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他克莫司治疗药物水平导致肾移植患者颅内出血。

Therapeutic drug level of tacrolimus causing intracranial hemorrhage in a patient with renal transplant.

作者信息

Shah Sangam, Ojha Rajeev, Chamlagain Rajan, Chhetri Santosh, Prasad Pravin, Baral Bikash, Gyawali Bindu, Shrestha Ashish, Yadav Jayant Kumar

机构信息

Maharajgunj Medical Campus Institute of Medicine Tribhuvan University Maharajgunj Nepal.

Department of Internal Medicine Institute of Medicine Tribhuvan University Maharajgunj Nepal.

出版信息

Clin Case Rep. 2022 Apr 26;10(4):e05788. doi: 10.1002/ccr3.5788. eCollection 2022 Apr.

DOI:10.1002/ccr3.5788
PMID:35498342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9043708/
Abstract

Tacrolimus is used in solid organ transplant patients to prevent rejection, and no case of intracerebral hemorrhage (ICH) has been reported till date. We report a case of 31-year-old man with diabetes and hypertension for ten years who had a renal transplant four years back; diagnosed with tacrolimus-induced ICH.

摘要

他克莫司用于实体器官移植患者以预防排斥反应,迄今为止尚未有脑出血(ICH)的病例报告。我们报告一例31岁男性患者,患有糖尿病和高血压10年,4年前接受了肾移植;诊断为他克莫司诱发的脑出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7480/9043708/7714614434dc/CCR3-10-e05788-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7480/9043708/7714614434dc/CCR3-10-e05788-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7480/9043708/7714614434dc/CCR3-10-e05788-g001.jpg

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Blood Pressure and Outcomes in Patients With Different Etiologies of Intracerebral Hemorrhage: A Multicenter Cohort Study.不同病因脑出血患者的血压与结局:一项多中心队列研究。
J Am Heart Assoc. 2020 Oct 20;9(19):e016766. doi: 10.1161/JAHA.120.016766. Epub 2020 Sep 13.
2
Cerebrovascular manifestations of herpes simplex virus infection of the central nervous system: a systematic review.中枢神经系统单纯疱疹病毒感染的脑血管表现:系统评价。
J Neuroinflammation. 2019 Jan 29;16(1):19. doi: 10.1186/s12974-019-1409-4.
3
Cancer-associated stroke: Pathophysiology, detection and management (Review).
癌症相关性卒中:病理生理学、检测与管理(综述)。
Int J Oncol. 2019 Mar;54(3):779-796. doi: 10.3892/ijo.2019.4669. Epub 2019 Jan 2.
4
Calcineurin inhibitors cyclosporine A and tacrolimus induce vascular inflammation and endothelial activation through TLR4 signaling.钙调神经磷酸酶抑制剂环孢素 A 和他克莫司通过 TLR4 信号诱导血管炎症和内皮细胞活化。
Sci Rep. 2016 Jun 13;6:27915. doi: 10.1038/srep27915.
5
Susceptibility weighted imaging: An important tool for early diagnosis of tacrolimus toxicity.磁敏感加权成像:他克莫司毒性早期诊断的重要工具。
Indian J Nephrol. 2016 Mar-Apr;26(2):151-2. doi: 10.4103/0971-4065.156908.
6
Everolimus-based calcineurin-inhibitor sparing regimens for kidney transplant recipients: a systematic review and meta-analysis.基于依维莫司的肾移植受者钙调神经磷酸酶抑制剂减量方案:一项系统评价和荟萃分析。
Int Urol Nephrol. 2014 Oct;46(10):2035-44. doi: 10.1007/s11255-014-0783-1. Epub 2014 Jul 16.
7
The association between cerebral developmental venous anomaly and concomitant cavernous malformation: an observational study using magnetic resonance imaging.脑发育性静脉异常与伴发海绵状血管畸形的相关性:一项磁共振成像观察性研究。
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Tacrolimus-related cerebral microbleeds after lung transplantation.肺移植术后与他克莫司相关的脑微出血
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