February, 2025
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Bosutinib-Induced Pleural Effusion—Class Effect and Cross-Intolerance to All Tyrosine Kinase Inhibitors by Nikhil Vojjala et al.
Feb 4, 2025, 17:00

Bosutinib-Induced Pleural Effusion—Class Effect and Cross-Intolerance to All Tyrosine Kinase Inhibitors by Nikhil Vojjala et al.

Nikhil Vojjala, MD in Internal Medicine at Trinity Health MI, shared his recent article on X:

Bosutinib-Induced Pleural Effusion—Class Effect and Cross-Intolerance to All Tyrosine Kinase Inhibitors

Authors: Nikhil Vojjala et al.

Bosutinib-Induced Pleural Effusion—Class Effect and Cross-Intolerance to All Tyrosine Kinase Inhibitors by Nikhil Vojjala et al.

Summary:
The article titled “Bosutinib-Induced Pleural Effusion—Class Effect and Cross-Intolerance to All Tyrosine Kinase Inhibitors” presents a case study of a 79-year-old female diagnosed with Philadelphia-positive Acute Lymphoblastic Leukemia (Ph+ ALL) in 2015. Initially treated with Imatinib, she was later switched to second-generation tyrosine kinase inhibitors (TKIs).

Over time, she developed recurrent pleural effusions, leading to dyspnea. Despite multiple interventions, including diuretics, thoracentesis, and transitioning through various TKIs, her condition persisted. Notably, even after switching to Bosutinib, a third-generation TKI, the pleural effusions continued.

This case underscores the potential class effect of TKIs in inducing pleural effusions and highlights the challenge of cross-intolerance among different TKIs. Clinicians should be vigilant for such adverse events and consider alternative management strategies when faced with TKI-induced pleural effusions.