T-cell lymphoproliferative disorder following mycophenolate treatment for myasthenia gravis

Muscle Nerve. 2009 Jun;39(6):849-50. doi: 10.1002/mus.21306.

Abstract

Immunosuppressive therapies are critical in the management of numerous conditions including myasthenia gravis. Mycophenolate mofetil is a widely used, oral immunosuppressive agent that is considered to have few adverse effects compared with similar drugs. We report the case of a patient who developed T-cell lymphoproliferative lesions following long-term treatment with mycophenolate mofetil and prednisone for myasthenia gravis. The lesions resolved following cessation of the treatment. This case highlights a serious complication of a commonly used drug.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers / analysis
  • Epstein-Barr Virus Infections / chemically induced*
  • Epstein-Barr Virus Infections / immunology
  • Epstein-Barr Virus Infections / physiopathology
  • Female
  • Genitalia, Female / diagnostic imaging
  • Genitalia, Female / pathology
  • Gingiva / pathology
  • Gingivitis / chemically induced
  • Gingivitis / pathology
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Lymphoproliferative Disorders / chemically induced*
  • Lymphoproliferative Disorders / immunology
  • Lymphoproliferative Disorders / physiopathology
  • Mouth / diagnostic imaging
  • Mouth / pathology
  • Myasthenia Gravis / drug therapy*
  • Myasthenia Gravis / immunology
  • Myasthenia Gravis / physiopathology
  • Mycophenolic Acid / adverse effects
  • Mycophenolic Acid / analogs & derivatives*
  • Positron-Emission Tomography
  • Prednisone / therapeutic use
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / virology

Substances

  • Biomarkers
  • Immunosuppressive Agents
  • Mycophenolic Acid
  • Prednisone