Mycophenolate Mofetil-Related Celiac-Like Enteropathy With Devastating Superior Mesenteric Artery Thrombosis and Gobbi Syndrome in a Renal Transplant Recipient.

Autor: Wu CS; >From the Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan., Yen H, Lu CC, Chiu YC
Jazyk: angličtina
Zdroj: Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2024 Sep; Vol. 22 (9), pp. 721-725.
DOI: 10.6002/ect.2024.0220
Abstrakt: Mycophenolate mofetil, an immunosuppressant widely used in transplantation to prevent acute rejection, is generally considered to have a relatively benign adverse effect profile, which manifests in a spectrum of gastrointestinal disorders.We presented a case of de novo celiac-like enteropathy, epilepsy, and cerebral occipital calcifications-characteristics known in Gobbi syndrome-in a patient who had been on a prolonged regimen of mycophenolate mofetil after a renal transplant. These devastating complications highlight the need for vigilance in monitoring patients on mycophenolate mofetil for both gastrointestinal and associated neurological symptoms. Further research is essentially needed to address the mechanisms by which mycophenolate mofetil causes celiac-like disease in order to develop evidence-based guidelines for management.
Databáze: MEDLINE