[Cyclosporin-induced toxic neuromyopathy]

Rev Neurol (Paris). 2005 Feb;161(2):221-3. doi: 10.1016/s0035-3787(05)85027-1.
[Article in French]

Abstract

Introduction: Cyclosporine is an immunosuppressive treatment whose side effects limit its usefulness. Among neurological side effects, neuropathies or myopathies have been reported, specially inpatients given combinations of cyclosporine with co-enzyme A reductase inhibitors.

Case report: We report here the case of a 67-year-old woman who developed few months after a kidney graft sensorimotor disorders which progressed rapidly. Since all etiologies of such a disorder were ruled out, the hypothesis of toxicity exclusively induced by cyclosporine was suggested and confirmed by the improvement observed after its withdrawal.

Conclusion: This observation highlights the fact that cyclosporine may induce neuromyopathies even when given alone at the therapeutic dosage.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Coenzyme A / metabolism
  • Cyclosporine / adverse effects*
  • Electromyography
  • Female
  • Graft Rejection / complications
  • Graft Rejection / drug therapy
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Kidney Transplantation / immunology
  • Middle Aged
  • Nerve Fibers / pathology
  • Neural Conduction / drug effects
  • Neuromuscular Diseases / chemically induced*
  • Neuromuscular Diseases / pathology

Substances

  • Immunosuppressive Agents
  • Cyclosporine
  • Coenzyme A