A clinical case of amiodarone- and statin-induced neuropathy with a manifestation of chronic inflammatory demyelinating polyneuropathy

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Abstract

The paper analyzes the data available in the scientific literature on the frequency and manifestations of the neurotoxic effect of amiodarone and statins on the peripheral nervous system. It shows the need for a differential diagnosis with immune-mediated polyneuropathies. The authors provide a rationale for the early identification of the neurotoxicity of the drugs to minimize neurological complications. The paper describes a clinical case of a 72-year-old male patient who received amiodarone and statins and developed demyelinating polyneuropathy. Amiodarone discontinuation led to a significant regression of neurological complaints.

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About the authors

L. Zaslavskii

I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia; Leningrad Regional Clinical Hospital

Author for correspondence.
Email: Dr.kzaslavskaya@gmail.com

Professor, MD

Russian Federation, Saint Petersburg; Saint Petersburg

E. Zaslavskaya

I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia; Leningrad Regional Clinical Hospital

Email: Dr.kzaslavskaya@gmail.com

Candidate of Medical Sciences

Russian Federation, Saint Petersburg; Saint Petersburg

M. Petrov

Leningrad Regional Clinical Hospital

Email: Dr.kzaslavskaya@gmail.com
Russian Federation, Saint Petersburg

E. Skornyakova

Leningrad Regional Clinical Hospital

Email: Dr.kzaslavskaya@gmail.com
Russian Federation, Saint Petersburg

References

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Supplementary files

Supplementary Files
Action
1. JATS XML
2. Extremity electroneuromyography (the description in the text): a – right median nerve, б – right median nerve, motor nerve fibers; в – left sural nerve, sensory nerve fibers; г – right deep fibular nerve, motor nerve fibers

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