Pn. Plowman et al., ETOPOSIDE PHARMACOKINETICS IN A JAUNDICED INFANT WITH LETTERER-SIWE VARIANT OF LANGERHANS CELL HISTIOCYTOSIS, Oncology Reports, 1(6), 1994, pp. 1233-1234
An infant with hepatocellular jaundice due to Langerhans cell histiocy
tosis was treated and responded well to intravenous etoposide. Pharmac
okinetics demonstrated similar clearance and AUC data in both the jaun
diced and non-jaundiced states but myelosuppression was greater when t
he infant was jaundiced. Children with hepatocellular jaundice require
dose reductions of etoposide, despite the similar drag pharmacokineti
cs to the non-jaundiced state. The mechanisms involved are discussed.