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Map Adverse Drug Events (ADEs) mentioned in text data to their most relevant Preferred MeDDRA terms.
Although risk factors for MTX-induced pulmonary toxicity are poorly understood, the presence in 3 out of 5 of our patients of pre-existing lung disease, represented by diffuse interstitial changes on chest X-ray, and mild bronchial asthma in two RA patients and by pulmonary silicosis in the patient with PsA may account for a predisposition to the development of MTX pneumonitis.
Pneumonitis
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Methotrexate-induced pneumonitis in patients with rheumatoid arthritis and psoriatic arthritis: report of five cases and review of the literature.
Pneumonitis
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On the other hand, MTX-induced pneumonitis seems to be very rare in psoriatic arthritis (PsA).
Pneumonitis
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Our review of 194 RA patients and 38 PsA patients receiving MTX has identified four RA patients and one PsA patient with MTX-induced pneumonitis, giving a prevalence of 2.1% and 0.03%, respectively.
Pneumonitis
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Pneumonitis is emerging as one of the most unpredictable and potentially serious, adverse effects of treatment with MTX.
Pneumonitis
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The presence of a lymphocyte alveolitis with a predominance of CD4+ T cells in 3 RA patients and CD8+ T cells with a concomitant increase in neutrophils in another case suggests that immunologically mediated reactions may be one damage mechanism in MTX-induced pneumonitis.
Pneumonitis
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A retrospective epidemiological study of deaths from hepatic angiosarcoma (HAS) in the U.S. showed that during 1964--74 there were 168 such cases, of which 37 (22%) were associated with previously known causes (vinyl chloride, 'Thorotrast', and inorganic arsenic) and 4 (3.1%) of the remaining 131 cases with the use of androgenic-anabolic steroids.
Hepatic angiosarcoma
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Recent studies have shown that under experimental conditions ferrous sulfate may reduce the gastrointestinal absorption of orally administered levothyroxine sodium in patients with primary hypothyroidism.
Malabsorption
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We describe a patient who became hypothyroid while taking ferrous sulfate.
Hypothyroidism
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However, as the use of hepatitis B vaccination is growing, adverse side effects, including mental nerve neuropathy, should be observed with an increased frequency.
Numb chin syndrome
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Mental nerve neuropathy as a result of hepatitis B vaccination.
Numb chin syndrome
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Although its side effects are few, tamoxifen increases the incidence of proliferative lesions of the endometrium, which theoretically should be preventable with progestational agents.
Endometrial hyperplasia
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CASES: Two postmenopausal women treated with tamoxifen and progestational agents for breast carcinoma developed uterine enlargement and intermittent spotting.
Postmenopausal haemorrhage
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CONCLUSIONS: The value of multihormonal therapy in breast carcinoma is not established, and the addition of progestogens to tamoxifen may not reduce of developing endometrial lesions, including carcinoma.
Neoplasm malignant
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Thoracoscopic biopsy to confirm metastasis revealed instead fibrotic lesions apparently attributable to bleomycin or cyclophosphamide.
Fibrosis
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An elderly man with procainamide hydrochloride-induced lupus syndrome had a circulating anticoagulant against factor XI and a biologic false-positive (BFP) test result for syphilis.
Systemic lupus erythematosus syndrome
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Circulating anticoagulant in the procainamide-induced lupus syndrome.
Systemic lupus erythematosus syndrome
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Clinical signs of hypermagnesemia are an uncommon complication following oral administration of magnesium sulfate.
Hypermagnesaemia
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Establishment of diuresis with fluids and IV administration of calcium may provide successful treatment of magnesium toxicosis in horses.
Hypermagnesaemia
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Magnesium toxicosis in two horses.
Hypermagnesaemia
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Overdose of magnesium sulfate in combination with renal insufficiency, hypocalcemia, or compromise of intestinal integrity may predispose horses to magnesium toxicosis.
Hypermagnesaemia
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CASE SUMMARIES: In each case, the patients were treated over 5 years with lovastatin and developed rhabdomyolysis that coincided with the completion of a prescribed regimen of a newer macrolide antibiotic.
Rhabdomyolysis
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CONCLUSIONS: The risk of drug-induced rhabdomyolysis due to the potential interaction between lovastatin and azithromycin or clarithromycin should be considered before the concomitant use of these agents.
Rhabdomyolysis
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DISCUSSION: Rhabdomyolysis is a clinical syndrome resulting from the destruction of skeletal muscle that may progress to renal failure Several drugs have been associated with rhabdomyolysis, including lovastatin, a hydroxymethylglutaryl-coenzyme A reductase inhibitor.
Rhabdomyolysis
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Erythromycin is a macrolide antibiotic that may increase the risk of lovastatin-induced rhabdomyolysis.
Rhabdomyolysis
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Lovastatin-induced rhabdomyolysis possibly associated with clarithromycin and azithromycin.
Rhabdomyolysis
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OBJECTIVE: To describe two cases of rhabdomyolysis in patients taking lovastatin that were precipitated by the use of the newer macrolide antibiotics clarithromycin and azithromycin.
Rhabdomyolysis
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To our knowledge, these cases are the first published reports of lovastatin-induced rhabdomyolysis associated with azithromycin and clarithromycin.
Rhabdomyolysis
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These cases were considered unusual in light of the short delay of their onset after initiation of immunosuppressive therapy and their fulminant course: 3 of these patients died of PCP occurring during the first month of treatment with prednisone.
Death
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We report the specifics of 12 cases of severe hypertension after the intraoperative use of topical phenylephrine, submucosal epinephrine, or both.
Hypertensive urgency
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Acute leukaemia during tamoxifen therapy.
Acute leukaemia
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Tamoxifen is suggested to be carcinogenic both through direct genotoxic and epigenetic mechanisms.
Carcinogenicity
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We report two cases that developed acute myeloid leukaemia (AML) during tamoxifen therapy for breast cancer.
Acute myeloid leukaemia
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Relapse in the external auditory canal of acute promyelocytic leukemia after treatment with all-trans retinoic acid.
Acute promyelocytic leukaemia
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Cutaneous reactions to propylthiouracil and methimazole occur in 3%-5% of adults.
Rash
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Generalized maculopapular and papular purpuric eruptions are perhaps the most common thionamide-induced reactions.
Rash maculo-papular
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Propylthiouracil-induced cutaneous vasculitis.
Cutaneous vasculitis
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The observation of cutaneous vasculitis during administration of propylthiouracil suggested that clinical awareness of this complication should be of considerable importance.
Cutaneous vasculitis
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A 2-year-old mentally retarded boy with frontal lobe epilepsy presented with an episode that resembled heat stroke during the administration of zonisamide.
Cerebrovascular accident
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Children receiving zonisamide should be monitored for oligohidrosis and the development of neurological symptoms associated with an elevation of body temperature.
Neurological symptom
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Heat stroke-like episode in a child caused by zonisamide.
Heat stroke
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Acute renal failure in a patient receiving treatment with suramin.
Acute Renal failure
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Acute renal failure should be recognized as a potential complication of suramin treatment.
Renal failure
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Other potential causes of renal failure were not present in our patient and his renal function gradually recovered with the cessation of suramin treatment.
Renal failure
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We describe a patient with metastatic prostate cancer who developed nonoliguric renal failure during treatment with suramin.
Renal failure
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Clozapine induced polyserositis.
Polyserositis
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We report the case of a patient who developed polyserositis (pericardial effusion, pleural effusion, and pericarditis) after being started on clozapine, and whose symptoms remitted upon discontinuation of clozapine.
Pericardial effusion
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Thirty-six patients with AL received, in a three-month period, 51 cycles of combined chemotherapy which included, in all of them, cytosine arabinoside (ARA-C); among them, along with myelosuppression, five experienced fever, infectious complications, gastrointestinal tract symptoms and severe myalgias.
Pyrexia
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CONCLUSION: We believe this to be the first reported case of rhGH-induced hypercalcemia in an HIV-infected patient.
Hypercalcaemia
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Hypercalcemia in an AIDS patient treated with growth hormone.
Hypercalcemia
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The hypercalcemia responded to discontinuation of rhGH and a single dose of intravenous pamidronate disodium and has not recurred in 8 months of follow-up.
Hypercalcaemia
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We report a male patient with advanced AIDS who developed hypercalcemia 2 weeks after institution of rhGH therapy.
Hypercalcaemia
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Hypersensitivity reactions to cisplatin following multiple uncomplicated courses: a report on two cases.
Hypersensitivity
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Two patients with ovarian cancer who had received multiple courses of cisplatin without complications experienced hypersensitivity reactions to cisplatin: one, involving intrahepatic artery infusion, manifested general erythema, dyspnea, and hypotension; the other, involving intravenous infusion, manifested abdominal pain, general erythema, and fever.
Abdominal pain
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We report an unusually short lived and asymptomatic episode of severe cisplatin-induced renal tubular salt wasting in a fit 41-year-old patient with malignant teratoma.
Renal tubular acidosis
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Clinicians should include phenolphthalein in their list of possible causes of drug-induced TEN.
Toxic epidermal necrolysis
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DISCUSSION: Phenolphthalein is the active ingredient in several over-the-counter laxative preparations and has only rarely been reported to cause TEN.
Toxic epidermal necrolysis
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OBJECTIVE: To report a case of phenolphthalein-induced toxic epidermal necrolysis (TEN) in a patient maintained on several other medications more commonly known to be associated with TEN.
Toxic epidermal necrolysis
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Phenolphthalein-induced toxic epidermal necrolysis.
Toxic epidermal necrolysis
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The patient's previous rash and the temporal relation of this event and the ingestion of phenolphthalein, as well as the similarity of this case to other reports, point to phenolphthalein as the cause of TEN in this patient.
Rash
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During clarithromycin coadministration, four out of the seven patients developed moderate-to-severe toxic symptoms of carbamazepine, such as drowsiness, dizziness, and ataxia, which resolved within 5 days after clarithromycin discontinuation.
Ataxia
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As far as we know, this is the first case report of acute hemorrhagic gastritis associated with AZ intoxication.
Gastritis haemorrhagic
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We experienced a case of chronic renal failure in a patient suffering from acute hemorrhagic gastritis associated with AZ intoxication.
Gastritis haemorrhagic
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In association with this tocolysis, urinary calculus of magnesium ammonium phosphate occurred at 34 weeks gestation.
Calculus urinary
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Magnesium tocolysis as the cause of urinary calculus during pregnancy.
Calculus urinary
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Danazol induced thrombocytopenia.
Thrombocytopenia
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On the next day, after a total dose of only 600 mg of danazol, gingival bleeding and purpura occurred.
Gingival bleeding
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We diagnosed this case as danazol induced thrombocytopenia.
Thrombocytopenia
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It occasionally accompanies the heparin-associated thrombocytopenia and thrombosis syndrome.
Thrombocytopenia
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Skin necrosis is a rare complication of subcutaneous heparin therapy that usually occurs at injection sites.
Skin necrosis
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Skin necrosis secondary to low-molecular weight heparin in a patient with antiphospholipid antibody syndrome.
Skin necrosis
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We describe a patient with the antiphospholipid syndrome who had skin necrosis develop from low-molecular weight heparin therapy at sites distant from injection sites.
Skin necrosis
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A case of contact dermatitis due to sodium bisulfite in an ophthalmic solution.
Dermatitis contact
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Therefore, we diagnosed her eruption as contact dermatitis due to sodium bisulfite.
Dermatitis contact
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We report a case of contact dermatitis due to sodium bisulfite in Tathion eye drops.
Dermatitis contact
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Acute pancreatitis after long-term 5-aminosalicylic acid therapy.
Pancreatitis acute
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Acute pancreatitis is a known, although rare, complication of mesalamine treatment.
Pancreatitis acute
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A rechallenge, performed in both patients, confirmed the diagnosis of mesalamine-induced pancreatitis.
Pancreatitis
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These case reports provide evidence that 5-aminosalicylic acid may induce acute pancreatitis after long term treatment.
Pancreatitis acute
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We describe two cases of acute pancreatitis that occurred after long term mesalamine therapy for ulcerative colitis.
Pancreatitis acute
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A 35-year-old nephrotic man developed acute renal failure with serum creatinine to 1543 micromol/l after a month of therapy with enalapril.
Acute kidney injury
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Acute renal failure with severe tubulointerstitial changes in a patient with minimal change nephrotic syndrome treated with enalapril.
Acute kidney injury
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Early ritonavir-induced maculopapular eruption.
Rash maculo-papular
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We report 2 cases of maculopapular eruption and fever in patients infected with human immunodeficiency virus (HIV) on the 2nd day of first administration of ritonavir, a protease inhibitor.
Pyrexia
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Nephropathy caused by methicillin therapy for staphylococcal septicemia.
Nephropathy
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Review of the literature relating to methicillin-induced nephropathy suggests a hypersensitivity origin for this disorder, but immunologic and ultrastructural investigation to date has failed to elucidate pathogenesis.
Nephropathy
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A 25-year-old woman sought medical attention because of iliocaval manifestations of retroperitoneal fibrosis while she was taking methysergide.
Retroperitoneal fibrosis
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Methysergide-induced retroperitoneal fibrosis: successful outcome and two new laboratory features.
Retroperitoneal fibrosis
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Vitiligo associated with alpha-interferon in a patient with chronic active hepatitis C.
Vitiligo
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We report a case of vitiligo that occurred during the second month of interferon alpha 2a therapy for chronic active hepatitis C.
Vitiligo
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A case is reported of an elderly woman who developed febrile agranulocytosis several weeks after commencing ticlopidine but who had a favorable outcome after cessation of that drug and treatment with filgastrim.
Agranulocytosis
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Agranulocytosis associated with ticlopidine: a possible benefit with filgastim.
Agranulocytosis
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Ticlopidine is an oral antiplatelet agent frequently utilized in the treatment of cerebrovascular disease and is rarely associated with severe bone marrow suppression, typically aplastic anemia.
Aplastic Anaemia
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Hemodialysis was also shown to reverse ifosfamide-related neurotoxicity.
Neurotoxicity
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Ifosfamide-associated neurotoxicity was noted within hours of drug administration and improved rapidly following hemodialysis.
Neurotoxicity
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A 55-year-old woman developed symptoms suggestive of hepatitis 12 weeks after first receiving methyldopa for hypertension.
Hepatitis
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Methyldopa-induced liver injury.
Liver injury
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Such a rapid and relentless progression of methyldopa-induced liver injury is undoubtedly rare, but it may be prevented by careful supervision of patients who exhibit liver function abnormalities early in the course of therapy.
Liver injury
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Acute respiratory depression as a complication of nebulised morphine.
Respiratory depression
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Approximately 15 min after the first administration of nebulised morphine the patient became markedly bradypneic (respiratory rate: 4-5 bpm), hypotensive (BP 70/40 mmHg), and responded only partially to command.
Bradypnoea