09 Tacrolimus-induced neurotoxicity

Reversible tacrolimus-induced neurotoxicity isolated to the brain stem.

Diplopia, nystagmus, visual hallucinations, and internuclear ophthalmoplegia developed in a 30-year-old woman 84 days after she received a matched, unrelated bone marrow transplant for chronic myeloid leukemia. A regimen of tacrolimus had been administered since the transplantation was performed. MR imaging revealed bilaterally symmetric regions of signal abnormality with abnormal contrast enha...

neurotoxicity perspective: stand behind prograf® (tacrolimus) as a pharmacist

[Topical tacrolimus-induced lentigines].

Varón de 11 años de raza caucásica y fototipo II con dermatitis atópica, que presenta desde hace 2 meses múltiples lesiones maculosas hiperpigmentadas de 1-2 mm de diámetro en huecos antecubitales (fig. 1). La dermatoscopia muestra retículo pigmentado delicado y zonas con glóbulos marrones (fig. 2). Durante los 8 meses previos a la consulta el paciente aplicó, sin realizar fotoprotección solar,...

Taxane-Induced Peripheral Neurotoxicity

Taxane-derived agents are chemotherapy drugs widely employed in cancer treatment. Among them, paclitaxel and docetaxel are most commonly administered, but newer formulations are being investigated. Taxane antineoplastic activity is mainly based on the ability of the drugs to promote microtubule assembly, leading to mitotic arrest and apoptosis in cancer cells. Peripheral neurotoxicity is the ma...

Ester-induced Delayed Neurotoxicity

Most organophosphorus esters are direct inhibitors or are rapidly converted to inhibitors of acetylcholinesterase (AChE, EC 3.1.1.7) (1-3). Some of these compounds produce a more persistent effect: delayed neurotoxicity. In humans, organophosphorus ester-induced delayed neurotoxicity (OPIDN) results in a flaccid paresis which develops distally in the legs and spreads to the hands and thighs. In...