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Cyclosporine-induced thrombotic microangiopathy in pregnant women: A case report and literature review. | LitMetric

Cyclosporine-induced thrombotic microangiopathy in pregnant women: A case report and literature review.

SAGE Open Med Case Rep

Center for Reproductive Medicine, Department of Obstetrics, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Published: January 2025

AI Article Synopsis

  • Cyclosporine A (CsA) is a popular immunosuppressant, but its connection to thrombotic microangiopathy (TMA) is uncommon and not often reported.
  • A case study highlights a 34-year-old pregnant woman who developed TMA symptoms while taking CsA, but her condition improved after stopping the medication.
  • This study is the first to document CsA-induced TMA in pregnancy, and it reviews previous cases to outline mechanisms, characteristics, risk factors, and detection methods for this rare side effect.

Article Abstract

Cyclosporine A (CsA) is a commonly used immunosuppressant, but its association with thrombotic microangiopathy (TMA) is rarely reported. In recent years, CsA has been used in pregnant women with autoimmune diseases or previous immune-related adverse pregnancies. Our case involves a 34-year-old female who developed typical laboratory indicators of TMA while using CsA to improve pregnancy outcomes. After discontinuing CsA, the TMA markers gradually normalized. To our knowledge, this is the first report of CsA-induced TMA during pregnancy. We also reviewed previous case reports of CsA-induced TMA and summarized the possible mechanisms, characteristics, and risk factors, as well as methods to identify this rare adverse effect of CsA in pregnant women.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700391PMC
http://dx.doi.org/10.1177/2050313X241308693DOI Listing

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