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Hochegger, K; Gruber, J; Lhotta, K.
Acute inflammatory syndrome induced by mycophenolate mofetil in a patient following kidney transplantation.
Am J Transplant. 2006; 6(4):852-854 Doi: 10.1111/j.1600-6143.2006.01251.x (- Case Report) [OPEN ACCESS]
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Abstract:
Mycophenolate mofetil (MMF) is increasingly used to prevent acute and chronic rejection following kidney transplantation and in autoimmune diseases. Here, we report on a patient after kidney transplantation, who developed an acute inflammatory syndrome characterized by fever and oligoarthritis within 1 week after increasing the MMF dosage. MMF was discontinued resulting in a complete resolution of the syndrome within 48 h. We demonstrated in vitro that the patient's phorbol myristate acetate (PMA-) and formyl Met-Leu-Phe (fMLP-) stimulated polymorphonuclear neutrophils (PMNs) developed increased oxidative burst when incubated with MMF. This report demonstrates that MMF can also induce acute inflammatory syndrome in patients following kidney transplantation and that this syndrome might be due to a paradox, pro-inflammatory reaction of PMNs.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Ankle Joint - pathology
Arthritis - chemically induced Arthritis - diagnosis Arthritis - pathology
Fever - chemically induced Fever - diagnosis
Graft Rejection - drug therapy
Humans -
Immunosuppressive Agents - adverse effects
Kidney Transplantation -
Male -
Mycophenolic Acid - adverse effects Mycophenolic Acid - analogs and derivatives Mycophenolic Acid - pharmacology
N-Formylmethionine Leucyl-Phenylalanine - pharmacology
Neutrophils - drug effects
Respiratory Burst -
Syndrome -
Tetradecanoylphorbol Acetate - pharmacology

Find related publications in this database (Keywords)
MMF
PMN
side effect
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