Mucous Membrane Pemphigoid during CPX-351 Therapy Successfully Treated with Corticosteroids

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Authors: Masahiro Akimoto, Takashi Mastuki, Michiki Saito, Kengo Katsuki, Takayoshi Tachibana, Masatsugu Tanaka, Hideaki Nakajima
Cited by: 1
References: 13

Abstract

A 58-year-old man was diagnosed with acute myeloid leukemia with myelodysplasia-related changes. Induction therapy with CPX-351 achieved complete remission, and a second course of consolidation therapy was administered. Shortly after the second course, he developed aphthous ulcers on the tongue that progressively worsened. Although a tongue biopsy showed no specific findings, serum anti-bullous pemphigoid 180 antibodies were positive. Mucous membrane pemphigoid (MMP) was diagnosed, and corticosteroid therapy led to a rapid improvement. Given the temporal relationship between CPX-351 administration and the MMP onset, CPX-351 was considered to be the likely causative agent.

Fields of Study & Subjects

Autoimmune Bullous Skin Diseases Vasculitis and related conditions Skin Diseases and Diabetes

Publication details

Journal / source
Internal Medicine
Publisher
Japanese Society of Internal Medicine
Volume
65
Issue
17
Pages
2380–2383
Publication date
14 January 2026
Language
EN