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    Jeylan El Mansoury, Joyce N. Mbekeani
    TLDR Cyclosporine-A can cause excessive hair growth, which usually stops after discontinuing the drug.
    The document discussed a case of cyclosporine-A (CSA) induced hypertrichosis in a patient with hemophagocytic lymphohistiocytosis (HLH). Hypertrichosis, characterized by excessive hair growth, was linked to the administration of CSA, a potent immunosuppressive drug used in the HLH-2004 treatment protocol. The patient exhibited diffuse hypertrichosis and eyelash trichomegaly, likely exacerbated by concurrent steroid therapy. Although hypertrichosis is a recognized side effect of CSA, it is usually not clinically significant and resolves after stopping the medication. The mechanism behind CSA-induced hair growth was speculated to involve the modulation of protein kinase C, which affects cell proliferation. The case highlighted the idiosyncratic nature of this side effect, as it does not occur universally in all patients.
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