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Frequent rhabdomyolysis in anti-NMDA receptor encephalitis

Authors
Lim, Jung-AhLee, Soon-TaeKim, Tae-JoonMoon, JangsupSunwoo, Jun-SangByun, Jung-IckJung, Keun-HwaJung, Ki-YoungChu, KonLee, Sang Kun
Issue Date
15-Sep-2016
Publisher
Elsevier BV
Keywords
Encephalitis; NMDA; Autoimmune encephalitis; Rhabdomyolysis
Citation
Journal of Neuroimmunology, v.298, pp 178 - 180
Pages
3
Journal Title
Journal of Neuroimmunology
Volume
298
Start Page
178
End Page
180
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8759
DOI
10.1016/j.jneuroim.2016.08.002
ISSN
0165-5728
1872-8421
Abstract
The aim of this study was to analyze the clinical presentation and provocation factors of rhabdomyolysis in anti-NMDAR encephalitis. Among the 16 patients with anti-NMDAR encephalitis in our institutional cohort, nine patients had elevated CK enzyme levels and clinical evidence of rhabdomyolysis. Rhabdomyolysis was more frequent after immunotherapy. The use of dopamine receptor blocker (DRB) increased the risk of rhabdomyolysis. None of the patients without rhabdomyolysis received DRBs. Rhabdomyolysis is a frequent complication in anti-NMDAR encephalitis and more common after immunotherapy and the use of DRBs increases the risk. Therefore, DRBs should be administered carefully in patients with anti-NMDAR encephalitis. (C) 2016 Elsevier B.V. All rights reserved.
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