Myotoxicity of lipid-lowering agents in a teenager with MELAS mutation.

Abstract:

:The use of lipid-lowering statins has been associated with raised serum muscle enzymes and, occasionally, with rhabdomyolysis, especially in patients with pre-existing metabolic myopathies. The A3243G mutation is one of the most common mutations associated with mitochondrial disorders. A teenager harboring the A3243G mutation had the unusual association of hereditary glomerulopathy and recurrent episodes of raised creatine kinase levels with the use of lipid-lowering agents. Muscle biopsy showed both normal respiratory chain enzyme activities and normal coenzyme Q(10) levels, although decreased muscle coenzyme Q(10) concentration had been postulated to have a pathogenic role in statin-related myopathies. The close temporal relationship of statin administration and raised creatine kinase levels in this patient suggests caution in the use of statins in children and teenagers with mitochondrial myopathies.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Tay SK,Dimauro S,Pang AY,Lai PS,Yap HK

doi

10.1016/j.pediatrneurol.2008.09.002

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

426-8

issue

6

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(08)00424-4

journal_volume

39

pub_type

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