TY - CHAP M1 - Book, Section TI - Thiopurine Methyltransferase Pharmacogenetics A1 - Booth, Ronald A. A1 - Ansari, Mohammed T. A2 - Murray, Michael F. A2 - Babyatsky, Mark W. A2 - Giovanni, Monica A. A2 - Alkuraya, Fowzan S. A2 - Stewart, Douglas R. PY - 2014 T2 - Clinical Genomics: Practical Applications in Adult Patient Care AB - Clinical utility of thiopurine methyltransferase analysis:Various guidelines recommend pre-thiopurine therapy thiopurine methyltransferase (TPMT) assessment in managing chronic inflammatory conditions.There is insufficient evidence base to recommend pretherapy TPMT assessment.Decreased or absent TPMT activity is associated with increased risk of myelotoxicity and leukopenia in patients treated with thiopurine medications (azathioprine [AZA] or 6-mercaptopurine [6-MP]).Decreased or absent TPMT activity is not associated with hepatitis or pancreatitis in patients treated with thiopurine medications (AZA or 6-MP).Reduced or absent TPMT activity does not place patients at risk of disease. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=1102698482 ER -