溃疡性大肠炎治疗期间合并calcineurin-inhibitor induced pain syndrome (CIPS)的1例

敏浩 只野, 広喜 高橋, 菅原 かおり, 杉村 美華子, 正広 岩渕, 浩 真野, 克明 鵜飼, 慶一 田所, 芳正 森
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摘要

一例23岁女性因溃疡性结肠炎复发入院。他克莫司治疗是在对皮质类固醇治疗反应不足后开始的。虽然症状部分改善,但在他克莫司治疗的第16天,她突然出现下肢剧烈疼痛。到了第17天,她已经不能动了。磁共振显示下肢先天性骨髓水肿。我们怀疑是他克莫司引起的钙调磷酸酶抑制剂引起的疼痛综合征(CIPS)。他克莫司停用后,疼痛在大约四周内得到改善。与器官移植无关的CIPS是罕见的。在这里我们报告一个罕见的病例CIPS是由他克莫司治疗引起的患者溃疡性结肠炎。
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潰瘍性大腸炎治療中にcalcineurin-inhibitor induced pain syndrome(CIPS)を合併した1例
: A 23-year-old woman was admitted with a relapse of ulcerative colitis. Tacrolimus therapy was initiated following inadequate response to corticosteroid therapy. Although the symptoms partially improved, she suddenly developed severe pain localized to the lower limbs on day 16 of tacrolimus therapy. By day 17, she was unable to move. Magnetic resonance imaging revealed born marrow edema in the lower limbs. We suspected calcineurin-inhibitor induced pain syndrome (CIPS) due to tacrolimus therapy. The pain improved within approximately four weeks of tacrolimus cessation. CIPS that is not associated with organ transplantation is a rare occurrence. Here we report a rare case of CIPS that was caused by tacrolimus therapy in a patient with ulcerative colitis.
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