NECROTIZING MYOPATHY DUE TO CHOLESTEROL-LOWERING AGENTS - A CASE-REPORT AND REVIEW OF THE LITERATURE

被引:0
|
作者
BERGER, O
ZIFKO, U
JELLINGER, K
MACHACEK, E
GRISOLD, W
机构
[1] LUDWIG BOLTZMANN INST KLIN NEUROBIOL,VIENNA,AUSTRIA
[2] KAISER FRANZ JOSEF SPITAL,INST PATHOL,VIENNA,AUSTRIA
来源
NERVENARZT | 1993年 / 64卷 / 08期
关键词
NECROTIZING MYOPATHY; RHABDOMYOLYSIS; CPK; EMG; MUSCLE BIOPSY; CHOLESTEROL LOWERING AGENTS; FENOFIBRATE;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 73 year old male who had been prescribed fenofibrate for years developed a slightly asymmetric paraparesis of both lower extremities. CPK values rose to 9800 U/l, EMG of the quadriceps femoris muscle was myopathic. Muscle biopsy revealed a necrotic myopathy. Discontinuation of fenofibrate induced a rapid decline of CPK values, followed by a slower remission of muscular symptoms and persisting pseudomyotonic discharges in EMG. The spectrum of neuromuscular side effects of cholesterol lowering agents, consisting of myalgia, cramps and reversible CPK elevation, is discussed. Only rarely necrotic myopathies have been described.
引用
收藏
页码:539 / 544
页数:6
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