Reversible hepatotoxicity, pancreatitis, coagulation disorder and simultaneous bone marrow suppression with valproate in a 2-year-old girl

نویسندگان

  • Thorsten Gerstner
  • Marc-Oliver Bauer
  • Elke Longin
  • Nellie Bell
  • Stephan A. Koenig
چکیده

Valproic acid (VPA) is considered to be a drug of first choice for the therapy of generalized and focal epilepsies, including special epileptic syndromes like the WEST-syndrome. The drug is usually well tolerated; rare serious complications may occur in some patients, including haemorrhagic pancreatitis, coagulapathies, bone marrow suppression, VPA-induced hepatotoxicity and encephalopathy. We report a case of combined appearance of several severe VPA-associated side effects in a two- and a half-year-old girl with lissencephaly.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Valproate-associated reversible encephalopathy in a 3-year-old girl with Pallister-Killian syndrome

Valproic acid (VPA) is considered to be a drug of first choice for the therapy of generalized and focal epilepsies, including special epileptic syndromes. The drug is usually well tolerated, rare serious complications may occur in some patients, including hemorrhagic pancreatitis, coagulapathies, bone marrow suppression, VPA-induced hepatotoxicity and encephalopathy. We report a case of VPA-ass...

متن کامل

P 91: The Evaluation of Serum Level of 25-Hydroxy Vitamin D in Patients under Sodium Valproate Medication

Epilepsy is one of the common neurologic disorders in children. Drug side-effects are one of the important problems in treating patients with epilepsy. Using the antiepileptic medication may cause different side effects such as disorder in bone and vitamin D metabolism. Sodium valproate is one of the antiepileptic medications used widely. Some of its side effects include digestive disorder, inc...

متن کامل

Primary Malignant Melanoma of the Eye in a 17-Year-Old Girl with Acute Lymphoblastic Leukemia

Herein we describe a case of intraocular melanoma in a17-year old leukemic patient.  The history, histological findings of the enucleated eye, blood and bone marrow of the patient were investigated. The enucleated eye contained epitheloid cell type melanoma instead of leukemic cell infiltration.  We conclude that intraocular malignant melanoma can occur in acute lymphoblastic leukemia.

متن کامل

Amiodarone Induced Organizing Pneumonia: A Masquerader of Community Acquired Pneumonia

Amiodarone is one of the most common antiarrhythmic medications prescribed worldwide [1] and its adverse reactions are very frequent (75% of patients) [2] and extensively studied: corneal deposits in over 90% of the patients (and also development of cataract and optic neuropathy), interaction with other cardiac drugs, symptomatic bradycardia, hepatotoxicity, gastrointestinal disturbances, derma...

متن کامل

Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature

The development of intramural duodenal haematoma (IDH) after small bowel biopsy is an unusual lesion and has only been reported in 18 children. Coagulopathy, thrombocytopenia and some special features of duodenal anatomy, e.g. relatively fixed position in the retroperitoneum and numerous submucosal blood vessels, have been suggested as a cause for IDH. The typical clinical presentation of IDH i...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Seizure

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2007