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Fruquintinib-induced renal-limited thrombotic microangiopathy: a case report
by
Wang, Ying
, Han, Yuze
, Fan, Ruichen
, Chen, Weidong
, Zhao, Ruiping
, Pan, Yan
in
Aged
/ B cells
/ Biopsy
/ Blood pressure
/ Cancer therapies
/ Case Report
/ Case studies
/ Colon cancer
/ Colonic Neoplasms - drug therapy
/ Colorectal cancer
/ Development and progression
/ Diagnosis
/ Drug therapy
/ Endothelium
/ Fuquinitinib
/ Humans
/ Internal Medicine
/ Kidney diseases
/ Kidneys
/ Kinases
/ Male
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Nephrology
/ Pathology
/ Proteins
/ Proteinuria
/ Quinazolines - adverse effects
/ Quinazolines - therapeutic use
/ Renal restriction
/ Risk factors
/ Thrombotic Microangiopathies - chemically induced
/ Thrombotic microangiopathy
/ Vascular endothelial growth factor
/ Vascular endothelial growth factor receptors
2024
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Fruquintinib-induced renal-limited thrombotic microangiopathy: a case report
by
Wang, Ying
, Han, Yuze
, Fan, Ruichen
, Chen, Weidong
, Zhao, Ruiping
, Pan, Yan
in
Aged
/ B cells
/ Biopsy
/ Blood pressure
/ Cancer therapies
/ Case Report
/ Case studies
/ Colon cancer
/ Colonic Neoplasms - drug therapy
/ Colorectal cancer
/ Development and progression
/ Diagnosis
/ Drug therapy
/ Endothelium
/ Fuquinitinib
/ Humans
/ Internal Medicine
/ Kidney diseases
/ Kidneys
/ Kinases
/ Male
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Nephrology
/ Pathology
/ Proteins
/ Proteinuria
/ Quinazolines - adverse effects
/ Quinazolines - therapeutic use
/ Renal restriction
/ Risk factors
/ Thrombotic Microangiopathies - chemically induced
/ Thrombotic microangiopathy
/ Vascular endothelial growth factor
/ Vascular endothelial growth factor receptors
2024
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Fruquintinib-induced renal-limited thrombotic microangiopathy: a case report
by
Wang, Ying
, Han, Yuze
, Fan, Ruichen
, Chen, Weidong
, Zhao, Ruiping
, Pan, Yan
in
Aged
/ B cells
/ Biopsy
/ Blood pressure
/ Cancer therapies
/ Case Report
/ Case studies
/ Colon cancer
/ Colonic Neoplasms - drug therapy
/ Colorectal cancer
/ Development and progression
/ Diagnosis
/ Drug therapy
/ Endothelium
/ Fuquinitinib
/ Humans
/ Internal Medicine
/ Kidney diseases
/ Kidneys
/ Kinases
/ Male
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Nephrology
/ Pathology
/ Proteins
/ Proteinuria
/ Quinazolines - adverse effects
/ Quinazolines - therapeutic use
/ Renal restriction
/ Risk factors
/ Thrombotic Microangiopathies - chemically induced
/ Thrombotic microangiopathy
/ Vascular endothelial growth factor
/ Vascular endothelial growth factor receptors
2024
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Fruquintinib-induced renal-limited thrombotic microangiopathy: a case report
Journal Article
Fruquintinib-induced renal-limited thrombotic microangiopathy: a case report
2024
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Overview
Background
Fruquintinib is a highly selective inhibitor of vascular endothelial growth factor receptor (VEGFR). Currently, there are no reported cases of fruquintinib causing kidney-restrictive thrombotic microangiopathy (TMA) in the available Chinese and foreign literature.
Case presentation
In this case report, we presented a 73-year-old patient receiving fruquintinib for metastatic colon cancer, manifesting abundant proteinuria, in which kidney-restrictive TMA was also diagnosed through renal biopsy. As far as we were concerned, this was the frst reported in terms of fruquintinib-induced kidney-restrictive TMA confrmed by renal biopsy.
Conclusion
This case indicates that fruquintinib may result in kidney-restrictive TMA, which is a rare but life-threatening complication of cancer treatment drug. Therefore, regular monitoring of proteinuria and blood pressure is imperative for all patients undergoing anti-VEGF drug therapy. And renal biopsy should be promptly conducted to facilitate early detection of thrombotic microangiopathy.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
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