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One-sided limb lymphedema in a liver transplant recipient receiving Sirolimus

Identifieur interne : 000549 ( PascalFrancis/Curation ); précédent : 000548; suivant : 000550

One-sided limb lymphedema in a liver transplant recipient receiving Sirolimus

Auteurs : M. Van Onna [Belgique] ; A. Geerts [Belgique] ; H. Van Vlierberghe [Belgique] ; F. Berrevoet [Belgique] ; B. De Hemptinne [Belgique] ; R. Troisi [Belgique] ; I. Colle [Belgique]

Source :

RBID : Pascal:08-0121554

Descripteurs français

English descriptors

Abstract

Sirolimus (SRL) is associated with many side effects including hypercholesterolemia, anaemia, impaired wound healing and abnormal liver function tests. Limb lymphedema has only been reported several times in renal transplant recipients. We present a case of lower limb lymphedema that occurred in a 59-year-old liver transplant recipient after being on a SRL regimen for seven months. Extensive diagnostic investigations could not reveal signs of infection, venous obstruction or malignancy. After discontinuation of SRL, the lymphedema gradually resolved during the next three months. The pathologic mechanism behind this phenomenon is unknown, but antiangiogenetic and antiproliferative properties of SRL have been hold responsible. Further studies are necessary to explain this rare side effect.
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A06       @2 4
A08 01  1  ENG  @1 One-sided limb lymphedema in a liver transplant recipient receiving Sirolimus
A11 01  1    @1 VAN ONNA (M.)
A11 02  1    @1 GEERTS (A.)
A11 03  1    @1 VAN VLIERBERGHE (H.)
A11 04  1    @1 BERREVOET (F.)
A11 05  1    @1 DE HEMPTINNE (B.)
A11 06  1    @1 TROISI (R.)
A11 07  1    @1 COLLE (I.)
A14 01      @1 Department of Gastroenterology and Hepatology, Ghent University Hospital @3 BEL @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 7 aut.
A14 02      @1 Department of Hepatobiliary Surgery and Liver Transplantation, Ghent University Hospital @3 BEL @Z 4 aut. @Z 5 aut. @Z 6 aut.
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C01 01    ENG  @0 Sirolimus (SRL) is associated with many side effects including hypercholesterolemia, anaemia, impaired wound healing and abnormal liver function tests. Limb lymphedema has only been reported several times in renal transplant recipients. We present a case of lower limb lymphedema that occurred in a 59-year-old liver transplant recipient after being on a SRL regimen for seven months. Extensive diagnostic investigations could not reveal signs of infection, venous obstruction or malignancy. After discontinuation of SRL, the lymphedema gradually resolved during the next three months. The pathologic mechanism behind this phenomenon is unknown, but antiangiogenetic and antiproliferative properties of SRL have been hold responsible. Further studies are necessary to explain this rare side effect.
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C03 02  X  FRE  @0 Membre @5 07
C03 02  X  ENG  @0 Limb @5 07
C03 02  X  SPA  @0 Miembro @5 07
C03 03  X  FRE  @0 Lymphoedème @5 08
C03 03  X  ENG  @0 Lymphedema @5 08
C03 03  X  SPA  @0 Linfedema @5 08
C03 04  X  FRE  @0 Foie @5 09
C03 04  X  ENG  @0 Liver @5 09
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C03 11  X  SPA  @0 Anticanceroso @5 32
C03 12  X  FRE  @0 Immunodépresseur @5 33
C03 12  X  ENG  @0 Immunosuppressive agent @5 33
C03 12  X  SPA  @0 Inmunodepresor @5 33
C03 13  X  FRE  @0 Traitement @5 34
C03 13  X  ENG  @0 Treatment @5 34
C03 13  X  SPA  @0 Tratamiento @5 34
C07 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
C07 03  X  FRE  @0 Chirurgie @5 39
C07 03  X  ENG  @0 Surgery @5 39
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C07 04  X  ENG  @0 Graft @5 40
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C07 05  X  FRE  @0 Lactone @5 41
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C07 06  X  FRE  @0 Macrocycle @5 42
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C07 06  X  SPA  @0 Macrociclo @5 42
C07 07  X  FRE  @0 Macrolide @5 43
C07 07  X  ENG  @0 Macrolide @5 43
C07 07  X  SPA  @0 Macrólido @5 43
C07 08  X  FRE  @0 Inhibiteur synthèse protéique @5 44
C07 08  X  ENG  @0 Protein synthesis inhibitor @5 44
C07 08  X  SPA  @0 Inhibidor síntesis proteica @5 44
C07 09  X  FRE  @0 Inhibiteur mTOR @4 INC @5 86
N21       @1 070
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0121554

Le document en format XML

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<div type="abstract" xml:lang="en">Sirolimus (SRL) is associated with many side effects including hypercholesterolemia, anaemia, impaired wound healing and abnormal liver function tests. Limb lymphedema has only been reported several times in renal transplant recipients. We present a case of lower limb lymphedema that occurred in a 59-year-old liver transplant recipient after being on a SRL regimen for seven months. Extensive diagnostic investigations could not reveal signs of infection, venous obstruction or malignancy. After discontinuation of SRL, the lymphedema gradually resolved during the next three months. The pathologic mechanism behind this phenomenon is unknown, but antiangiogenetic and antiproliferative properties of SRL have been hold responsible. Further studies are necessary to explain this rare side effect.</div>
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<s5>07</s5>
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<fC03 i1="02" i2="X" l="SPA">
<s0>Miembro</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Lymphoedème</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Lymphedema</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Linfedema</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Foie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Liver</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Hígado</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Homotransplantation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Homotransplantation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Homotrasplante</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Oedème</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Edema</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Edema</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Toxicité</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Toxicity</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Toxicidad</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Transplantation</s0>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Transplantation</s0>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Trasplantación</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Antibactérien</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Antibacterial agent</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Antibacteriano</s0>
<s5>30</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Antibiotique</s0>
<s5>31</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Antibiotic</s0>
<s5>31</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Antibiótico</s0>
<s5>31</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Anticancéreux</s0>
<s5>32</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Antineoplastic agent</s0>
<s5>32</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Anticanceroso</s0>
<s5>32</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Immunodépresseur</s0>
<s5>33</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Immunosuppressive agent</s0>
<s5>33</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Inmunodepresor</s0>
<s5>33</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>34</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>34</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>34</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'appareil circulatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Greffe</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Graft</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Injerto</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Lactone</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Lactone</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Lactona</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Macrocycle</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Macrocycle</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Macrociclo</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Macrolide</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Macrolide</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Macrólido</s0>
<s5>43</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Inhibiteur synthèse protéique</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Protein synthesis inhibitor</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Inhibidor síntesis proteica</s0>
<s5>44</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Inhibiteur mTOR</s0>
<s4>INC</s4>
<s5>86</s5>
</fC07>
<fN21>
<s1>070</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
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