Mycophenolate Mofetil-related Pancolitis in a Kidney Transplant Recipient

被引:7
|
作者
Hamouda, Mouna [1 ,3 ]
Mahmoudi, Houda [2 ,3 ]
Skhiri, Habib [1 ,3 ]
Elmay, Mezri [1 ,3 ]
机构
[1] Fattouma Bourguiba Hosp, Dept Nephrol, Monastir 5000, Tunisia
[2] Fattouma Bourguiba Hosp, Dept Pathol, Monastir 5000, Tunisia
[3] Univ Fac Med, Monastir, Tunisia
关键词
Immunosuppression; Colitis; Diarrhea; Kidney transplant; VERSUS-HOST-DISEASE; GASTROINTESTINAL MUCOSAL INJURY; EC-MPS; EXPOSURE; SODIUM; ACID; COMBINATION; PATTERNS;
D O I
10.6002/ect.2011.0200
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Gastrointestinal adverse effects are common with mycophenolate mofetil administration, especially diarrhea. We report a case of mycophenolate mofetil-related colitis in a kidney transplant recipient. Colonoscopy revealed an ulcerative diffuse colitis. The colonoscopic biopsy specimen showed mild crypt distortion, accompanied by cryptitis and focal graft-versus-host disease like changes. The patient's symptoms improved after we discontinued the mycophenolate mofetil. A repeat colonoscopy 2 months after we discontinued the mycophenolate mofetil showed reparative changes. Mycophenolate mofetil is an important drug in organ transplant immune-suppression regimens; however, with its widespread use, additional adverse effects continue to be recognized.
引用
收藏
页码:501 / 505
页数:5
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