Journal
RENAL FAILURE
Volume 33, Issue 5, Pages 528-530Publisher
TAYLOR & FRANCIS LTD
DOI: 10.3109/0886022X.2011.573893
Keywords
Cyclosporine A; polyneuropathy; renal transplantation; calcineurin inhibitor; electromyography
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Background: Calcineurin inhibitor cyclosporine A (CsA) is a potent immunosuppressive agent. The side effects of CsA include nephrotoxicity, hypertension, hypertrichosis, infection, hyperpotassemia, and, to a lower extent, neuropathy. Objectives: In this case report, we aimed to present a renal transplant patient with polyneuropathy (PNP) due to the use of CsA and with improvement when switched to rapamycin. Methods: In electromyography, axonal sensory PNP was detected. CsA was stopped and rapamycin was begun. Results: His complaints rapidly improved after using rapamycin. Conclusions: Patients using CsA should be closely monitored for peripheral neuropathy and in case of toxicity, alternative immunosuppressive agents should be considered.
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