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Case Report: Neurological adverse events in subject with myasthenia gravis after PCSK9 inhibitor administration

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F24%3A00084684" target="_blank" >RIV/00023001:_____/24:00084684 - isvavai.cz</a>

  • Alternative codes found

    RIV/68407700:21460/24:00382316 RIV/00216208:11110/24:10480188

  • Result on the web

    <a href="https://www.frontiersin.org/articles/10.3389/fcvm.2024.1343775/full" target="_blank" >https://www.frontiersin.org/articles/10.3389/fcvm.2024.1343775/full</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.3389/fcvm.2024.1343775" target="_blank" >10.3389/fcvm.2024.1343775</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Case Report: Neurological adverse events in subject with myasthenia gravis after PCSK9 inhibitor administration

  • Original language description

    Background Myasthenia gravis is a rare chronic autoimmune neuromuscular disorder mainly caused by autoantibodies to the nicotinic acetylcholine receptor. Cholesterol is an essential molecule that affects the distribution and proper functioning of this receptor. Several reports have described the potential worsening of myasthenia gravis in patients treated with statins.Case presentation The patient was an obese 72 years old man, past smoker, diagnosed with ischaemic heart disease, type 2 diabetes mellitus and lipid metabolism disorder. Statin treatment was not implemented because of chronic myasthenia gravis and PCSK9i monotherapy [Repatha (evolucamab), 140 mg] was implemented to treat dyslipidaemia. Within 24 h after the first dose of PCSK9i the patient developed severe muscle weakness, joint pain, fever, and general discomfort, lasting for several days. Despite strong advice against the second dose administration, this was self-administered approximately 2 weeks later, leading to report significant worsening of the muscle problems, leading to the patient admittion to the neurology department where he was being treated for myasthenia gravis attack.Conclusion Based on the neurologist&apos;s conclusion, it can be assumed that in this case, treatment with PCSK9i resulted in significant worsening of the patient&apos;s chronic disease.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

    <a href="/en/project/LX22NPO5104" target="_blank" >LX22NPO5104: National Institute for Research of Metabolic and Cardiovascular Diseases</a><br>

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2024

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Frontiers in cardiovascular medicine

  • ISSN

    2297-055X

  • e-ISSN

    2297-055X

  • Volume of the periodical

    11

  • Issue of the periodical within the volume

    March 12

  • Country of publishing house

    CH - SWITZERLAND

  • Number of pages

    4

  • Pages from-to

    "art. no. 1343775"

  • UT code for WoS article

    001190363600001

  • EID of the result in the Scopus database

    2-s2.0-85188521325