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秋水仙碱诱导的环孢素治疗的肾移植受者肌神经病。

Colchicine-induced myoneuropathy in a cyclosporine-treated renal transplant recipient.

机构信息

Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Division of Nephrology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

出版信息

Kidney Res Clin Pract. 2013 Jun;32(2):74-7. doi: 10.1016/j.krcp.2013.04.003. Epub 2013 May 23.

Abstract

Colchicine is a relatively safe medication that is widely used for both prevention and treatment of gout attack. However, serious adverse events, including myoneuropathy and multiorgan failure, have been reported. We report a case of colchicine-induced myoneuropathy in a female kidney transplant recipient who had been taking cyclosporine. She developed gastrointestinal discomfort and paresthesia 5 days after the initiation of colchicine. She showed signs of myoneuropathy, and hepatic and renal injury. Colchicine toxicity was suspected, and colchicine was discontinued. Her symptoms and laboratory findings improved gradually. Literature was reviewed for previous reports of colchicine-induced myoneuropathy in solid organ transplant recipients.

摘要

秋水仙碱是一种相对安全的药物,广泛用于预防和治疗痛风发作。然而,已有严重不良事件报告,包括肌神经病和多器官衰竭。我们报告了一例秋水仙碱诱导的肌神经病病例,该患者为女性肾移植受者,正在服用环孢素。她在开始服用秋水仙碱后 5 天出现胃肠道不适和感觉异常。她出现了肌神经病和肝肾功能损伤的迹象。怀疑秋水仙碱中毒,停用了秋水仙碱。她的症状和实验室检查结果逐渐改善。我们还对既往报告的实体器官移植受者秋水仙碱诱导的肌神经病进行了文献复习。

相似文献

2
Colchicine myoneuropathy in a renal transplant patient.一名肾移植患者发生秋水仙碱所致的肌神经病。
Transpl Int. 2002 Jul;15(7):374-6. doi: 10.1007/s00147-002-0426-9. Epub 2002 Jun 20.
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Acute onset of colchicine myoneuropathy in cardiac transplant recipients: case studies of three patients.
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Colchicine-induced myoneuropathy in childhood.秋水仙碱诱发的儿童期肌神经病
Eur J Pediatr. 1998 Oct;157(10):853-5. doi: 10.1007/s004310050952.

本文引用的文献

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Colchicine myotoxicity: case reports and literature review.秋水仙碱的肌毒性:病例报告与文献综述
Pharmacotherapy. 2004 Dec;24(12):1784-92. doi: 10.1592/phco.24.17.1784.52334.
6
Colchicine myoneuropathy in a renal transplant patient.一名肾移植患者发生秋水仙碱所致的肌神经病。
Transpl Int. 2002 Jul;15(7):374-6. doi: 10.1007/s00147-002-0426-9. Epub 2002 Jun 20.
9
Acute onset of colchicine myoneuropathy in cardiac transplant recipients: case studies of three patients.
Clin Neurol Neurosurg. 1997 Dec;99(4):266-70. doi: 10.1016/s0303-8467(97)00092-9.
10
Colchicine myopathy in renal transplant recipients on cyclosporin.
Nephrol Dial Transplant. 1997 Nov;12(11):2389-92. doi: 10.1093/ndt/12.11.2389.

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