Thrombotic microangiopathy induced by long-term interferon-β therapy for multiple sclerosis: a case report

被引:27
作者
Broughton, A.
Cosyns, J. -P. [2 ]
Jadoul, M. [1 ]
机构
[1] Catholic Univ Louvain, Clin Univ St Luc, Serv Nephrol, Dept Nephrol, B-1200 Brussels, Belgium
[2] Catholic Univ Louvain, Clin Univ St Luc, Dept Pathol, B-1200 Brussels, Belgium
关键词
interferon; multiple sclerosis; micro-angiopathy; ANTIPHOSPHOLIPID ANTIBODIES; NEPHROTIC SYNDROME; ALPHA; LEUKEMIA; ASSOCIATION; PATIENT;
D O I
10.5414/CN106523
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a 53-year-old woman treated for 8 years with Betaferon (R) (interferon-beta-1b), who developed mild renal failure with hypertension, proteinuria and glomerular hematuria. Kidney biopsy was consistent with thrombotic micro-angiopathy (TMA). Considering the strong evidence of interferon-alpha causing TMA and the numerous immunomodulatory activities shared by INF-alpha and -beta, we incriminated Betaferon as the etiological agent of TMA in our patient. To our knowledge, it is the first time such an association has been published.
引用
收藏
页码:396 / 400
页数:5
相关论文
共 23 条
[1]   Autoimmune hemolytic anemia during interferon-beta-1b treatment for multiple sclerosis [J].
Alanoglu, G. ;
Kilbas, S. ;
Arslan, C. ;
Senol, A. ;
Kutluhan, S. .
MULTIPLE SCLEROSIS JOURNAL, 2007, 13 (05) :683-685
[2]   Nephrotic syndrome in a multiple sclerosis patient treated with interferon β1a [J].
Auty, A ;
Saleh, A .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2005, 32 (03) :366-368
[3]  
Cauli C, 2006, HAEMATOLOGICA, V91, P76
[4]   Thrombotic microangiopathy associated with α-interferon therapy for chronic myeloid leukaemia [J].
Galesic, K ;
Bozic, B ;
Racic, I ;
Scukanec-Spoljar, M .
NEPHROLOGY, 2006, 11 (01) :49-52
[5]   An association between autoreactive antibodies and anti-interferon-β antibodies in multiple sclerosis [J].
Garg, N. ;
Weinstock-Guttman, B. ;
Bhas, K. ;
Locke, I. ;
Ramanothan, M. .
MULTIPLE SCLEROSIS, 2007, 13 (07) :895-899
[6]   Acute renal failure, systemic lupus erythematosus and thrombotic microangiopathy following treatment with beta-interferon for multiple sclerosis: case report and review of the literature [J].
Hansen, Thomas ;
New, David ;
Reeve, Roy ;
Donne, Rosemary ;
Stephens, William .
CLINICAL KIDNEY JOURNAL, 2009, 2 (06) :466-468
[7]  
Herrera WG, 1999, NEUROLOGY, V52, pA135
[8]   Anti-phospholipid antibodies in patients with multiple sclerosis and MS-like illnesses: MS or APS? [J].
Ijdo, JW ;
Conti-Kelly, AM ;
Greco, P ;
Abedi, M ;
Amos, M ;
Provenzale, JM ;
Greco, TP .
LUPUS, 1999, 8 (02) :109-115
[9]  
Jadoul M, 1999, CANCER, V85, P2669, DOI 10.1002/(SICI)1097-0142(19990615)85:12<2669::AID-CNCR27>3.0.CO
[10]  
2-7