Osteonecrosis after intranasal injection with bevacizumab in treating hereditary hemorrhagic telangiectasia: A case report

Autor: Else Merckoll, Sinan Dheyauldeen, Ketil Heimdal, John Magnar Slåstad, Johan Steineger, Erik Fink Eriksen
Rok vydání: 2017
Předmět:
Zdroj: The Laryngoscope. 128:593-596
ISSN: 0023-852X
DOI: 10.1002/lary.26722
Popis: Intranasal bevacizumab injections have been used in treating hereditary hemorrhagic telangiectasia (HHT)-related epistaxis since 2009. It is believed to be a safe and effective treatment for a selected group of HHT patients in reducing frequency and intensity of epistaxis, with few or none adverse effects. In this case report, however, we will describe a patient who developed bilateral osteonecrosis in the knees while undergoing regular intranasal submucosal bevacizumab injections. Although osteonecrosis previously has been documented in patients receiving bevacizumab intravenously in oncologic doses, thus far it has not been reported in patients treated with intranasal submucosal injections. Laryngoscope, 128:593-596, 2018.
Databáze: OpenAIRE