Drug-induced thrombocytopenia

Curr Opin Hematol. 1999 Sep;6(5):349-53. doi: 10.1097/00062752-199909000-00013.

Abstract

Many drugs can induce thrombocytopenia mediated by drug-dependent antiplatelet antibodies. Recent studies have documented specific epitopes for drug-dependent antibody binding on glycoprotein Ib-IX, glycoprotein IIb-IIIa, and platelet-endothelial cell adhesion molecule-1. Molecular identification of antibody binding sites may help to identify susceptible individuals. Management of patients with unexpected thrombocytopenia who are taking multiple drugs remains a difficult clinical problem. A recent systematic review of all published case reports of drug-induced thrombocytopenia ranks drugs according to the strength of clinical evidence for a causal relation to thrombocytopenia. This database is available online at http://moon.ouhsc.edu/jgeorge.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Humans
  • Thrombocytopenia / chemically induced*
  • Thrombocytopenia / immunology