Thrombotic microangiopathy associated with use of interferon-beta

Teresa Olea,1 Raquel Díaz-Mancebo,1 Maria-Luz Picazo,2 Jorge Martínez-Ara,1 Angel Robles,3 Rafael Selgas,11Departments of Nephrology, 2Pathology, 3Internal Medicine, Hospital Universitario La Paz, Madrid, SpainAbstract: Interferon-beta is widely used for the treatment o...

Full description

Bibliographic Details
Main Authors: Robles A, Martinez-Ara J, Picazo ML, Diaz-Mancebo R, Olea T, Selgas R
Format: Article
Language:English
Published: Dove Medical Press 2012-06-01
Series:International Journal of Nephrology and Renovascular Disease
Online Access:http://www.dovepress.com/thrombotic-microangiopathy-associated-with-use-of-interferon-beta-a10128
_version_ 1811262068035158016
author Robles A
Martinez-Ara J
Picazo ML
Diaz-Mancebo R
Olea T
Selgas R
author_facet Robles A
Martinez-Ara J
Picazo ML
Diaz-Mancebo R
Olea T
Selgas R
author_sort Robles A
collection DOAJ
description Teresa Olea,1 Raquel Díaz-Mancebo,1 Maria-Luz Picazo,2 Jorge Martínez-Ara,1 Angel Robles,3 Rafael Selgas,11Departments of Nephrology, 2Pathology, 3Internal Medicine, Hospital Universitario La Paz, Madrid, SpainAbstract: Interferon-beta is widely used for the treatment of relapsing multiple sclerosis. The drug is usually well tolerated, but autoimmune adverse effects, including kidney disease, have been reported. Only a few cases of hemolytic uremic syndrome-thrombotic microangiopathy associated interferon-alpha have been described so far, and even fewer with beta-interferon. We report a patient who developed thrombotic microangiopathy during treatment with interferon-beta and improved after discontinuation and steroid therapy. Complement cascade and antiphospholipid antibodies are investigated. The spectrum of renal diseases associated with interferon-beta treatment is also reviewed.Keywords: thrombotic microangiopathy hemolytic uremic syndrome, multiple sclerosis, interferon-beta
first_indexed 2024-04-12T19:18:29Z
format Article
id doaj.art-b109bd18c1184b21a33728df9b3e2ec4
institution Directory Open Access Journal
issn 1178-7058
language English
last_indexed 2024-04-12T19:18:29Z
publishDate 2012-06-01
publisher Dove Medical Press
record_format Article
series International Journal of Nephrology and Renovascular Disease
spelling doaj.art-b109bd18c1184b21a33728df9b3e2ec42022-12-22T03:19:40ZengDove Medical PressInternational Journal of Nephrology and Renovascular Disease1178-70582012-06-012012default97100Thrombotic microangiopathy associated with use of interferon-betaRobles AMartinez-Ara JPicazo MLDiaz-Mancebo ROlea TSelgas RTeresa Olea,1 Raquel Díaz-Mancebo,1 Maria-Luz Picazo,2 Jorge Martínez-Ara,1 Angel Robles,3 Rafael Selgas,11Departments of Nephrology, 2Pathology, 3Internal Medicine, Hospital Universitario La Paz, Madrid, SpainAbstract: Interferon-beta is widely used for the treatment of relapsing multiple sclerosis. The drug is usually well tolerated, but autoimmune adverse effects, including kidney disease, have been reported. Only a few cases of hemolytic uremic syndrome-thrombotic microangiopathy associated interferon-alpha have been described so far, and even fewer with beta-interferon. We report a patient who developed thrombotic microangiopathy during treatment with interferon-beta and improved after discontinuation and steroid therapy. Complement cascade and antiphospholipid antibodies are investigated. The spectrum of renal diseases associated with interferon-beta treatment is also reviewed.Keywords: thrombotic microangiopathy hemolytic uremic syndrome, multiple sclerosis, interferon-betahttp://www.dovepress.com/thrombotic-microangiopathy-associated-with-use-of-interferon-beta-a10128
spellingShingle Robles A
Martinez-Ara J
Picazo ML
Diaz-Mancebo R
Olea T
Selgas R
Thrombotic microangiopathy associated with use of interferon-beta
International Journal of Nephrology and Renovascular Disease
title Thrombotic microangiopathy associated with use of interferon-beta
title_full Thrombotic microangiopathy associated with use of interferon-beta
title_fullStr Thrombotic microangiopathy associated with use of interferon-beta
title_full_unstemmed Thrombotic microangiopathy associated with use of interferon-beta
title_short Thrombotic microangiopathy associated with use of interferon-beta
title_sort thrombotic microangiopathy associated with use of interferon beta
url http://www.dovepress.com/thrombotic-microangiopathy-associated-with-use-of-interferon-beta-a10128
work_keys_str_mv AT roblesa thromboticmicroangiopathyassociatedwithuseofinterferonbeta
AT martinezaraj thromboticmicroangiopathyassociatedwithuseofinterferonbeta
AT picazoml thromboticmicroangiopathyassociatedwithuseofinterferonbeta
AT diazmancebor thromboticmicroangiopathyassociatedwithuseofinterferonbeta
AT oleat thromboticmicroangiopathyassociatedwithuseofinterferonbeta
AT selgasr thromboticmicroangiopathyassociatedwithuseofinterferonbeta