Abstract

Imatinib mesylate is a tyrosine kinase inhibitor with preferential activity toward the bcr-abl fusion protein of chronic myelogenous leukemia (CML).1 Imatinib mesylate is also active against a limited number of other tyrosine kinases, including c-kit, PDGFR and PDGFR.2 Significant clinical activity has been demonstrated in diseases in which these tyrosine kinases play a major role, including a variety of myeloproliferative disorders such as the hypereosinophilic syndromes.3 Currently, we report on a patient with an atypical myeloproliferative disorder and a novel balanced translocation who had a dramatic clinical response to imatinib mesylate. The specific target in this patient is unknown.

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