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Everolimus-associated perianal ulcers in an eight-month-old heart transplant recipient. | LitMetric

Everolimus-associated perianal ulcers in an eight-month-old heart transplant recipient.

Pediatr Transplant

Department of Congenital Heart Defects and Pediatric Cardiology, Heart Center, University of Freiburg, Freiburg, Germany.

Published: February 2018

AI Article Synopsis

  • mTOR inhibitors are used for various treatments in both adults and children, but their serious side effects in children are not well understood.
  • Common issues include oral ulcers, with a notable case of perianal ulcers reported in an infant post-heart transplant, leading to the discontinuation of the drug.
  • Proper identification and management of these side effects in pediatric patients is crucial, but it poses ongoing challenges.

Article Abstract

mTOR inhibitors have a wide spectrum of therapeutic applications in adults and children. Little is known, however, about serious adverse effects in children undergoing mTOR inhibitor therapy. Oral ulcers are common and sometimes severe, but no other gastrointestinal involvement has been reported so far. Here we present a case of everolimus-associated perianal ulcers in an eight-month-old infant, 3 months after heart transplantation, which necessitated the drug's discontinuation. In a thorough series of diagnostic tests, we identified no other cause for the progressive perianal ulceration. The recognition and appropriate management of mTOR inhibitors' adverse effects in pediatric patients are essential and remain challenging.

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Source
http://dx.doi.org/10.1111/petr.13072DOI Listing

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