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Correspondence
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Volume 332:127 January 12, 1995 Number 2
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Cyclosporine in Severe Ulcerative Colitis

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To the Editor: In the study by Lichtiger et al. (June 30 issue),1 we were surprised by the high frequency of neurologic side effects in the cyclosporine-treated patients. In a review of 3000 recipients of kidney transplants and 800 recipients of bone marrow transplants treated with cyclosporine, the incidence of seizures was 1.5 percent and 5.5 percent, respectively.2 As Lichtiger et al. suggest, cyclosporine neurotoxicity may be related to hypocholesterolemia or hypomagnesemia; other postulated mechanisms include hypertension and increased permeability of the blood–brain barrier. Of special interest is the possible toxicity of the solvent in which cyclosporine is provided or . . . [Full Text of this Article]

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