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Map Adverse Drug Events (ADEs) mentioned in text data to their most relevant Preferred MeDDRA terms.
We report two young patients with cystic fibrosis who presented with acute renal insufficiency after 2-3 weeks of oral ciprofloxacin therapy.
Acute kidney injury
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Sensory neuropathy revealing necrotizing vasculitis during infliximab therapy for rheumatoid arthritis.
Vasculitis necrotising
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We describe 2 patients with severe erosive rheumatoid arthritis and rheumatoid vasculitis, respectively, in whom infliximab therapy was associated with peripheral neuropathy due to necrotizing vasculitis in one patient and to progression of preexisting mononeuritis multiplex in the other.
Vasculitis necrotising
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Progressive anemia following combination therapy with interferon-alpha and interleukin-2 in a patient with metastatic renal cell carcinoma.
Anaemia
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We report a case of severe anemia, which responded well to steroid therapy, in a patient receiving IL-2 plus IFN-alpha for metastatic renal cell carcinoma.
Anaemia
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An objective causality assessment indicated a probable relationship between clotting abnormality and warfarin administration, although the degree of elevation of the INR was unusual in the light of the daily warfarin dose and duration of its exposure.
Coagulopathy
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Based on the clinical status of the patient, it was suspected that several conditions contributed to the abnormal hypersensitivity to warfarin.
Hypersensitivity
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Despite the low dosage of warfarin, international normalized ratio (INR) was markedly elevated from 1.15 to 11.28 for only 4 days, and bleeding symptoms concurrently developed.
Haemorrhage symptoms
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In view of our experience in the present case, it should be stressed that close monitoring of coagulation capacity is necessary in critically ill patients in order to avoid fatal haemorrhage after initiating warfarin therapy regardless of the dosage.
Haemorrhage
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Unusual hypersensitivity to warfarin in a critically ill patient.
Hypersensitivity
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We report an allogeneic bone marrow transplant recipient who developed CMV infection refractory to sequential therapy with ganciclovir, foscarnet, and cidofovir.
Cytomegalovirus infection
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5-fluorouracil (5-FU)-associated peripheral neuropathy is an uncommon event.
Neuropathy peripheral peripheral
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During analysis of 28 patients receiving CAP with concomitant radiation (XRT) for pancreatic cancer (resected or locally advanced), two patients developed signs and symptoms consistent with peripheral neuropathy.
Neuropathy peripheral peripheral
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Knowledge regarding potential adverse effects of CAP is paramount and dose modification is indicated with development of neurotoxicity.
Neurotoxicity
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Neurologic symptoms resolved after stopping CAP for 4 weeks in Patient A, with no recurrence after reinitiating CAP alone at 2000 mg/m2.
Neuropathy peripheral peripheral
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Patient A reported right leg weakness (foot drop) during week 4 of CAP-XRT (1600 mg/m2).
Peroneal nerve palsy
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Patient B developed perioral and upper extremity paresthesias during the fourth cycle of CAP alone (2500 mg/m2).
Paraesthesia
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Peripheral neuropathy associated with capecitabine.
Neuropathy peripheral peripheral
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We conclude peripheral neuropathy with 5-FU is rare.
Neuropathy peripheral peripheral
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Severe hypo-alpha-lipoproteinemia during treatment with rosiglitazone.
Hypo HDL cholesterolaemia
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We report three patients, all of whom had preexisting diabetic dyslipidemia, who showed a profound reduction in plasma HDL cholesterol and apolipoprotein AI levels soon after the initiation of rosiglitazone therapy.
High density lipoprotein decreased
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Severe leukopenia associated with mild hepatotoxicity in an HIV carrier treated with nevirapine.
Hepatotoxicity
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We report an HIV-infected woman who developed mild leukopenia as the first sign of a nevirapine-related adverse event, which was followed by skin and hepatic toxicity associated with a more severe leukopenia.
Leukopenia
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In all cases, drugs in addition to quetiapine were detected, but in cases #1 and #2, the cause of death was considered to be a quetiapine overdose and the other drugs were not considered to be contributory.
Death
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These cases were chosen for study because they were all deaths as a result of suicidal ingestion of drugs in which quetiapine was considered a significant factor.
Death
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We present three cases from the Provincial Toxicology Center of British Columbia, Canada in which suicidal overdose deaths were associated with quetiapine.
Death
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After approximately two weeks of sertraline treatment he noted an intense itching sensation in his scalp after eating a piece of chocolate cake.
Pruritus
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Itch and skin rash from chocolate during fluoxetine and sertraline treatment: case report.
Pruritus
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Pulmonary lymphohistiocytic reactions temporally related to etanercept therapy.
Lymphocytic infiltration
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This report details the pulmonary pathologic findings in four patients with rheumatoid arthritis, who developed new onset of pulmonary signs and symptoms with alveolar infiltrates temporally related to the institution of etanercept therapy.
Lung infiltration
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Paradoxical cerebral cortical hyperexcitability following flupirtine overdose.
Agitation
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We report the case of a patient with increased cerebral cortical excitability following intoxication with flupirtine, a centrally acting analgesic and antispastic drug.
Agitation
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AIM: Report of a case of a woman patient who developed celiac disease after pegylated interferon alpha-2a and ribavirin use for chronic hepatitis C.
Coeliac disease
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Celiac disease onset after pegylated interferon and ribavirin treatment of chronic hepatitis C.
Coeliac disease
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PATIENT AND METHOD: A 34-year-old woman with chronic hepatitis C, genotype 3, receiving pegylated interferon alpha-2a and ribavirin for 6 months, developed progressive malaise and anemia 6 months after the end of treatment.
Anaemia
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We present two cases of anaphylaxis under anaesthesia where return of spontaneous circulation was refractory to epinephrine, but occurred following the administration of the alpha-agonist metaraminol.
Anaphylactic reaction
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In this article, we describe another case of subcutaneous changes following repeated glatiramer acetate injection, presented as localized panniculitis in the area around the injection sites, in a 46-year-old female patient who was treated with glatiramer acetate for 18 months.
Panniculitis
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Localized panniculitis and subsequent lipoatrophy with subcutaneous glatiramer acetate (Copaxone) injection for the treatment of multiple sclerosis.
Lipoatrophy
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In a postoperative patient with pre-existent myasthenia gravis, oral verapamil caused a marked exacerbation in myasthenic weakness.
Myasthenia gravis crisis
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In four patients, thrombosis occurred 2-45 days after severe hepatic veno-occlusive disease (HVOD) secondary to intensive chemotherapy containing busulfan.
Venoocclusive liver disease
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PVT during chemotherapy in children is a rare event and appears to be closely related to intensive chemotherapy containing busulfan and to be associated with HVOD.
Venoocclusive liver disease
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Here, we describe a case of Vogt-Koyanagi-Harada disease occurring 4 months after the start of interferon alpha treatment, probably induced by the immunomodulatory effects of interferon.
Vogt-Koyanagi-Harada disease
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Retinal abnormalities, including retinal hemorrhage and "cotton-wool" spots, often occur within the first 8 weeks in the course of interferon therapy in patients with chronic hepatitis C.
Retinal exudates
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Vogt-Koyanagi-Harada disease occurring during interferon alpha therapy for chronic hepatitis C.
Vogt-Koyanagi-Harada disease
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Acute hepatic failure is a rare and potentially lethal complication of propylthiouracil (PTU) use for hyperthyroidism.
Acute hepatic failure
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After an extensive review of the literature, we believe that this is the first communication of the successful use of amiodarone to control hyperthyroidism in a patient with PTU-induced fulminant hepatitis.
Hepatitis fulminant
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Successful treatment of hyperthyroidism with amiodarone in a patient with propylthiouracil-induced acute hepatic failure.
Acute hepatic failure
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We present a 20-year-old woman with Basedow-Graves' disease who developed PTU-induced fulminant hepatitis, which progressed to acute hepatic failure with grade III hepatic encephalopathy.
Hepatitis fulminant
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Epstein-Barr virus-associated lymphoproliferative disorder in a patient with rheumatoid arthritis on methotrexate and rofecoxib: idiosyncratic reaction or pharmacogenetics?
Epstein-Barr virus associated lymphoproliferative disorder
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Methotrexate (MTX) is a commonly used second line agent for RA, and there have been several recent reports of Epstein-Barr virus (EBV)-associated polyclonal B cell lymphoproliferative disorder in MTX-treated RA patients.
Epstein-Barr virus associated lymphoproliferative disorder
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Previous studies have demonstrated the interaction of MTX and a variety of non-steroidal, anti-inflammatory drugs (NSAIDs) with various clinical manifestations including acute renal failure, pancytopenia, vomiting, diarrhea, elevated liver transaminases, jaundice, mucosal ulcerations, and pyrexia.
Acute kidney injury
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We hypothesize that decreased renal elimination of MTX induced by the COX-2 inhibitor resulted in enhanced hematopoietic toxicity and immunosuppression causing the EBV-associated lymphoproliferative disease.
Epstein-Barr virus associated lymphoproliferative disorder
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OBSERVATIONS: We observed aggravation and spreading of a psoriatic plaque when treated topically with the toll-like receptor (TLR) 7 agonist imiquimod.
Psoriasis
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Psoriasis triggered by toll-like receptor 7 agonist imiquimod in the presence of dermal plasmacytoid dendritic cell precursors.
Psoriasis
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Since imiquimod induces large amounts of type I interferon production from TLR7-expressing plasmacytoid dendritic cell precursors (PDCs), the natural interferon-producing cells of the peripheral blood, we asked whether PDCs are present in psoriatic skin.
Interferon alpha level increased
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The exacerbation of psoriasis was accompanied by a massive induction of lesional type I interferon activity, detected by MxA expression after imiquimod therapy.
Psoriasis
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Vision declined after treatment with methylprednisolone, after which fundus examination became consistent with progressive outer retinal necrosis.
Visual acuity reduced
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Allergic side effects of AZA are rare, and reported allergic skin eruptions from AZA are very limited in Japan.
Dermatitis allergic
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DLST is a good diagnostic tool for AZA allergy, especially for severe drug allergy cases.
Hypersensitivity
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Drug eruption caused by azathioprine: value of using the drug-induced lymphocytes stimulation test for diagnosis.
Drug eruption
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We report AZA-induced drug eruption that developed in two cases of systemic scleroderma with polymyositis.
Drug eruption
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Tardive dyskinesia in 2 patients treated with ziprasidone.
Tardive Dyskinesia
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Two of our patients developed TD after 23 months and 34 months of ziprasidone monotherapy, respectively.
Tardive Dyskinesia
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Ziprasidone is an atypical antipsychotic drug that is believed to have a low propensity for inducing extrapyramidal symptoms, including tardive dyskinesia (TD).
Extrapyramidal disorder
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Asthenozoospermia: possible association with long-term exposure to an anti-epileptic drug of carbamazepine.
Asthenospermia
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The patient was found to have no motile sperm with a normal sperm count, while taking a dose of 400 mg/day of carbamazepine.
Asthenospermia
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Scrotal ulceration induced by all-trans retinoic acid in a patient with acute promyelocytic leukemia.
Scrotal Ulcer
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The ulcer did not respond to antibiotic treatment and healed shortly after withholding ATRA.
Ulcer
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We report the development of scrotal ulcer in a patient with acute promyleocytic leukemia (APL) within 10 days of treatment with ATRA at a dose of 40 mg orally twice daily.
Scrotal Ulcer
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A case of clozapine-induced tonic-clonic seizures managed with valproate: implications for clinical care.
Generalised tonic-clonic seizure
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Following discontinuation of clozapine, she was rechallenged and again was observed to have seizures.
Seizure
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These findings suggest that clozapine-induced seizures can be successfully treated, that gradual dose titration can reduce the likelihood of further episodes of seizures and that concomitant use of a suitable mood stabilizer/anti-epileptic medication can improve the outcome of treatment-resistant schizophrenia.
Seizure
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We describe a case of clozapine-induced seizures in a patient with treatment-resistant schizophrenia.
Seizure
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CONCLUSIONS: Symptoms and pathologic changes of colitis are associated with exposure to rofecoxib.
Colitis
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OBJECTIVES: To describe clinical and pathologic findings in patients noted to develop lower gastrointestinal symptoms when exposed to rofecoxib.
Lower gastrointestinal haemorrhage
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RESULTS: Three patients who developed symptoms of inflammatory bowel disease (IBD) during rofecoxib exposure are described along with pathology findings.
Inflammatory bowel disease
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To the best of our knowledge, this is the first reported patient with captopril-induced pemphigus in whom no new lesions developed after subsequent treatment with enalapril.
Pemphigus
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We report a case of drug-induced pemphigus caused by an angiotensin-converting enzyme inhibitor, captopril.
Pemphigus
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Neuropathy is a significant side effect of thalidomide therapy, which may limit its clinical use.
Neuropathy peripheral
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Thalidomide neuropathy in childhood.
Neuropathy peripheral
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Thalidomide neuropathy is often associated with proximal weakness and may progress even after discontinuation of treatment, in the phenomenon of 'coasting'.
Neuropathy peripheral
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Thalidomide was withdrawn from world markets in 1961 following recognition of its teratogenic effects.
Teratogenicity
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We report four cases of sensorimotor axonal neuropathy in children aged 10-15 years, treated with thalidomide for myxopapillary ependymoma, Crohn's disease and recurrent giant aphthous ulceration.
Neuropathy peripheral
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Cerebral edema associated with Gliadel wafers: two case studies.
Brain oOedema
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Following are two clinical case reports demonstrating profound cerebral edema associated with implantation of Gliadel wafers.
Brain oOedema
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While the introduction of carmustine wafers (Gliadel wafers) into the tumor resection cavity has been shown to be a beneficial therapy for malignant glioma, it is recognized that clinically significant cerebral edema is a potential adverse effect.
Brain oOedema
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Cis-retinoic acid (RA) may further increase the risk of developing BMTN.
Meningitis bacterial
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It is likely that RA contributed to the deterioration in renal function in these patients.
Renal impairment
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Retinoic acid may increase the risk of bone marrow transplant nephropathy.
Nephropathy
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The occurrence of BMTN in two children treated with RA in our unit is unlikely to be coincidental.
Meningitis bacterial
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He developed a late secondary infection in some sites treated with imiquimod.
Infection
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A 64-year-old man with schizophrenia developed myoclonic jerks when given higher doses of quetiapine.
Myoclonus
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Quetiapine-induced myoclonus.
Myoclonus
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We report a case of myoclonus induced by quetiapine.
Myoclonus
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Treatment-related myelodysplastic syndrome after temozolomide for recurrent high-grade glioma.
Myelodysplastic syndrome
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We report a 44-year-old woman with t-MDS (refractory anemia with excess blasts) following treatment of recurrent anaplastic astrocytoma with temozolomide (TMZ).
Myelodysplastic syndrome with excess blasts
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Typically, drug-induced neutropenia occurs in a patient receiving a semisynthetic penicillin for two weeks or more.
Neutropenia
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Livedo reticularis associated with interferon alpha therapy in two melanoma patients.
Livedo reticularis
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These cases highlight the occurrence of livedo reticularis as an uncommon side-effect of interferon alpha treatment.
Livedo reticularis
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We report two patients who developed intense livedo reticularis clearly related to the administration of interferon alpha 2b as an adjuvant therapy for melanoma.
Livedo reticularis