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Guillain–Barre syndrome-like presentation and thrombotic microangiopathy with calcineurin inhibitor - A case report
oleh: Prawash Kumar Chowdhary, Sanjeev Anant Kale, Tarun Kumar Saha, Subho Banerjee
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2020-01-01 |
Deskripsi
A 35-year-old male, 3 months postrenal transplant, presented with acute-onset demyelinating polyneuropathy, diagnosed to have tacrolimus-associated Guillain–Barre syndrome. He recovered within 5–7 days after converting from tacrolimus to cyclosporine (CsA). He developed graft dysfunction after 2 months due to CsA-induced thrombotic microangiopathy. He responded after converting to sirolimus from CsA. The proper knowledge of immunosuppression side effect and its discontinuation in the early period prevents permanent damage.