Yıl: 2014 Cilt: 29 Sayı: 4 Sayfa Aralığı: 304 - 308 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use

Öz:
İzotretinoin, sistemik antibiyotik içeren standart tedaviye yanıtın olmadığı durumlarda akne tedavisinde kullanılan vitamin A türevi bir ilaçtır. İzotretinoin retinoik asit reseptörleri üzerinden etkili olur. Öte yandan, sıklıkla mukokütanöz, kas-iskelet sistemi, nörolojik ve oküler yan etkilere neden olur. Kas-iskelet sistemine ait en sık karşılaşılan yan etkiler artralji ve miyaljidir. Nadiren seronegatif sakroiliit görülür. Nörolojik yan etkiler sıklıkla merkezi sinir sistemiyle ilişkilidir. İzotretinoin kullanan hastalarda, periferik sinir sisteminde duysal lifler motor liflere göre daha erken tutulmaktadır. Bu tutulum distalde duysal sinirler ve miyelin liflerde daha belirgindir. Bu yazıda, altı ay izotretinoin kullanımı sonrası demyelinizan tip polinöropati ve sakroiliit gelişen 25 yaşında bir erkek olgu sunuldu.
Anahtar Kelime:

Konular: Romatoloji

İzotretinoin kullanımına bağlı iki taraflı sakroiliit ve polinöropati gelişen bir olgu

Öz:
Isotretinoin is a vitamin A derivative used in acne treatment when standard treatment including systemic antibiotics fails. Isotretinoin exerts its effects via retinoic acid receptors. However, it often causes mucocutaneous, musculoskeletal, neurological, and ocular adverse effects. Most common musculoskeletal adverse effects include arthralgia and miyalgia. Rarely, seronegative sacroiliitis can be seen. Neurological adverse effects are generally related to central nervous system. In patients using isotretinoin, sensorial fibers are involved earlier than motor fibers in peripheral nervous system. This involvement is more prominent in sensorial nerves and myelin fibers at distal. In this article, we report a 25-year-old male case who developed demyelinating polyneuropathy and sacroiliitis after six months of isotretinoin use.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ÇAKIR T, BİLGİLİ A, ÜLKER R, SUBAŞI V, DEMİRDAL Ü (2014). A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. , 304 - 308.
Chicago ÇAKIR Tuncay,BİLGİLİ Adem,ÜLKER Rahime Nur,SUBAŞI Volkan,DEMİRDAL Ümit Seçkin A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. (2014): 304 - 308.
MLA ÇAKIR Tuncay,BİLGİLİ Adem,ÜLKER Rahime Nur,SUBAŞI Volkan,DEMİRDAL Ümit Seçkin A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. , 2014, ss.304 - 308.
AMA ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. . 2014; 304 - 308.
Vancouver ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. . 2014; 304 - 308.
IEEE ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü "A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use." , ss.304 - 308, 2014.
ISNAD ÇAKIR, Tuncay vd. "A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use". (2014), 304-308.
APA ÇAKIR T, BİLGİLİ A, ÜLKER R, SUBAŞI V, DEMİRDAL Ü (2014). A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. Archives of Rheumatology, 29(4), 304 - 308.
Chicago ÇAKIR Tuncay,BİLGİLİ Adem,ÜLKER Rahime Nur,SUBAŞI Volkan,DEMİRDAL Ümit Seçkin A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. Archives of Rheumatology 29, no.4 (2014): 304 - 308.
MLA ÇAKIR Tuncay,BİLGİLİ Adem,ÜLKER Rahime Nur,SUBAŞI Volkan,DEMİRDAL Ümit Seçkin A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. Archives of Rheumatology, vol.29, no.4, 2014, ss.304 - 308.
AMA ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. Archives of Rheumatology. 2014; 29(4): 304 - 308.
Vancouver ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use. Archives of Rheumatology. 2014; 29(4): 304 - 308.
IEEE ÇAKIR T,BİLGİLİ A,ÜLKER R,SUBAŞI V,DEMİRDAL Ü "A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use." Archives of Rheumatology, 29, ss.304 - 308, 2014.
ISNAD ÇAKIR, Tuncay vd. "A case with bilateral sacroiliitis and polyneuropathy development due to ısotretinoin use". Archives of Rheumatology 29/4 (2014), 304-308.