tacrolimus associated posterior reversible encephalopathy syndrome – a case series and review
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ID: 219436
2014
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Abstract
Tacrolimus is an immunosuppressive drug mainly used to lower the risk of transplant
rejection in individuals who are post solid organ or hematopoietic transplantation. It is a
macrolide which reduces peptidyl-propyl isomerase activity and inhibits calcineurin, thus
inhibiting T-lymphocyte signal transduction and interleukin-2 (IL-2) transcription. It has
been associated with Posterior Reversible Encephalopathy Syndrome (PRES), a disease
of sudden onset that can present as a host of different symptoms, depending on the
affected area of the brain. While infectious causes of encephalopathy must always be
entertained, the differential diagnosis should also include PRES in the appropriate
context. We report three cases of PRES in patients with acute myeloid leukemia (AML)
placed on tacrolimus after receiving a bone marrow transplant (BMT). The focus of this
review is to enhance clinical recognition of PRES as it is related to an adverse effect of
Tacrolimus in the setting of hematopoietic transplantation.
| Reference Key |
apuri2014mediterraneantacrolimus
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|---|---|
| Authors | ;Susmitha Apuri;Kristin Carlin;Edward Bass;Phuong Thuy Nguyen;John Norman Greene |
| Journal | aktualʹnì pitannâ farmacevtičnoï ì medičnoï nauki ta praktiki |
| Year | 2014 |
| DOI |
10.4084/mjhid.2014.014
|
| URL | |
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