Vasculitic neuropathy following exposure to minocycline
| Autor: | P. James B. Dyck, Janean K. Engelstad, John M. Baratta, Brent P. Goodman, Pariwat Thaisetthawatkul, Chafic Karam, Patricio Brand, Peter J. Dyck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Weakness Pathology medicine.disease_cause Article Autoimmunity Mononeuropathy 03 medical and health sciences 0302 clinical medicine Medicine Stroke Acne 030203 arthritis & rheumatology Muscle biopsy medicine.diagnostic_test business.industry Minocycline medicine.disease Dermatology 3. Good health Neurology Neurology (clinical) medicine.symptom business Vasculitis 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Neurology® Neuroimmunology & Neuroinflammation |
| ISSN: | 2332-7812 |
| Popis: | Objective: To report 3 patients with minocycline-induced autoimmunity resulting in peripheral nerve vasculitis. Methods: We report 3 patients who, during minocycline treatment for acne vulgaris, developed subacute onset of pain and weakness caused by vasculitis in single and multiple mononeuropathy patterns. Results: Each patient underwent either a nerve or muscle biopsy that confirmed vasculitis. One patient additionally developed systemic symptoms (including fever, fatigue, and night sweats) and another had a posterior circulation stroke. Symptoms developed with either early or prolonged use of minocycline. Despite withdrawal of minocycline, patients needed long-term immunotherapy to gain neurologic improvement. Conclusions: Our findings suggest that the typical neuropathy associated with minocycline use is painful single or multiple mononeuropathy due to peripheral nerve vasculitis, which may also be accompanied by presumed CNS vasculitis (presenting as stroke). |
| Databáze: | OpenAIRE |
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