tacrolimus and Blepharoptosis

Topics: Blepharoptosis; Child, Preschool; Female; Humans; Immunosuppressive Agents; Male; Myasthenia Gravis; Oculomotor Muscles; Prednisolone; Retrospective Studies; Steroids; Tacrolimus

FK506 (tacrolimus) is an immunosuppressive drug and more potent than cyclosporine. FK506 is widely used for immunosuppression in the prevention and treatment of graft-versus-host disease after allogeneic bone marrow transplantation and solid organ transplantation. Neurotoxicity is a recognized complication of FK506 therapy, but ptosis and weakness of eye abduction unilaterally has not been reported in association with FK506 administration to date. We discuss a 13-year-old male patient who developed ptosis and weakness of eye abduction unilaterally 90 days after transplantation with bone marrow from an unrelated donor, for acute lymphoblastic leukemia in this case report. FK506 therapy was administered for graft-versus-host disease prophylaxis and CMV infection was treated with ganciclovir. The physical examination findings completely resolved 72 to 96 hours after concomitant FK506 and ganciclovir treatment were terminated.

Topics: Adolescent; Antiviral Agents; Blepharoptosis; Bone Marrow Transplantation; Drug Therapy, Combination; Ganciclovir; Graft vs Host Disease; Humans; Immunosuppressive Agents; Male; Ocular Motility Disorders; Tacrolimus; Transplantation, Homologous; Treatment Outcome

Topics: Anti-Bacterial Agents; Atrophy; Blepharoptosis; Doxycycline; Edema; Elastin; Female; Humans; Tacrolimus; Treatment Outcome; Young Adult