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Zapytanie: SINZINGER
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Tytuł oryginału: Flu-like response on statins.
Autorzy: Sinzinger Helmut
Źródło: Med. Sci. Monitor 2002: 8 (5) s.CR384-CR388, tab., bibliogr. 9 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • toksykologia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Stains became one of the most widely used family of drugs meanwhile. Myopathy in various forms is among the most prevalent side effects. Only few attention has been paid to its various forms of appearance. We are reporting on a so far unknown flu-like response on statins with very severe symptoms of exhaustion, wekness, paining muscles and joints elevated acute phase response markers and sometimes even subfebrile body temperature. The 5 patients (4 males, 1 female) we monitored showed this response to some but not all the available statins with an onset of latest 3 weeks after strating therapy. Symptoms appeared already at the lowest available dose of the respective statin. Only in 3 of the patients, CK-elevation was noted, while 4 of them exahibited a severe increase in 8-epiprostaglandin-F2a, an in-vivo oxidation injury marker. Latest 5 weeks after statin withdrawal the symptoms completely disappeared. Liver function parameters remained normal in all the patients at all time. Misinterpretation of this flu-like response is particularly dangerous as the treatment with antibiotics initiated in one of the patients may have had deleterious consequence. The pathophysiological background of this response remains to be asessed.

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