FK506-induced intractable leukoencephalopathy following allogeneic bone marrow transplantation

被引:21
作者
Misawa, A
Takeuchi, Y
Hibi, S
Todo, S
Imashuku, S
Sawada, T
机构
[1] Kyoto Prefectural Univ Med, Dept Pediat, Kamigyo Ku, Kyoto 6028566, Japan
[2] Kyoto City Inst Hlth & Environm Sci, Kyoto, Japan
关键词
FK506; leukoencephalopathy; bone marrow transplantation;
D O I
10.1038/sj.bmt.1702143
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
FK506-related leukoencephalopathy has been reported to be reversible and readily treated by discontinuation or reduction of FK506, We describe two pediatric cases of FK506-related leukoencephalopathy following allogeneic bone marrow transplantation, which could not be readily controlled. These cases show that FK506-related leukoencephalopathy is not always reversible, and patients may develop epilepsy.
引用
收藏
页码:331 / 334
页数:4
相关论文
共 11 条
[1]  
FREISE CE, 1991, TRANSPLANT P, V23, P3173
[2]   A reversible posterior leukoencephalopathy syndrome [J].
Hinchey, J ;
Chaves, C ;
Appignani, B ;
Breen, J ;
Pao, L ;
Wang, A ;
Pessin, MS ;
Lamy, C ;
Mas, JL ;
Caplan, LR .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (08) :494-500
[3]  
IWASAKI Y, 1993, ACTA NEUROPATHOL, V85, P566
[4]  
PETTITT AR, 1994, BONE MARROW TRANSPL, V14, P495
[5]   Cerebral vasculitis during FK 506 treatment in a liver transplant patient [J].
Pizzolato, GP ;
Sztajzel, R ;
Burkhardt, K ;
Megret, M ;
Borisch, B .
NEUROLOGY, 1998, 50 (04) :1154-1157
[6]   IMMUNOPHILINS MEDIATE THE NEUROPROTECTIVE EFFECTS OF FK506 IN FOCAL CEREBRAL-ISCHEMIA [J].
SHARKEY, J ;
BUTCHER, SP .
NATURE, 1994, 371 (6495) :336-339
[7]   CORTICAL BLINDNESS AND WHITE-MATTER LESIONS IN A PATIENT RECEIVING FK506 AFTER LIVER-TRANSPLANTATION [J].
SHUTTER, LA ;
GREEN, JP ;
NEWMAN, NJ ;
HOOKS, MA ;
GORDON, RD .
NEUROLOGY, 1993, 43 (11) :2417-2418
[8]   Immunosuppression-induced leukoencephalopathy from tacrolimus (FK506) [J].
Small, SL ;
Fukui, MB ;
Bramblett, GT ;
Eidelman, BH .
ANNALS OF NEUROLOGY, 1996, 40 (04) :575-580
[9]   Cortical blindness and seizures in a patient receiving FK506 after bone marrow transplantation [J].
Steg, RE ;
Kessinger, A ;
Wszolek, ZK .
BONE MARROW TRANSPLANTATION, 1999, 23 (09) :959-962
[10]   HIGH BRAIN DENSITIES OF THE IMMUNOPHILIN FKBP COLOCALIZED WITH CALCINEURIN [J].
STEINER, JP ;
DAWSON, TM ;
FOTUHI, M ;
GLATT, CE ;
SNOWMAN, AM ;
COHEN, N ;
SNYDER, SH .
NATURE, 1992, 358 (6387) :584-587