» Articles » PMID: 2831692

Morphological Study of Peripheral Nerve Changes Induced by Chloroquine Treatment

Overview
Specialty Neurology
Date 1988 Jan 1
PMID 2831692
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Nerve biopsies were performed in four patients with suspected chloroquine induced neuromyopathy. Three of the patients were treated with high doses of chloroquine for connective tissue disease, while one patient was taking this drug as malaria prophylaxis. Morphological studies demonstrated the presence of segmental demyelination and remyelination in all cases. Cytoplasmic inclusions were observed in Schwann cells, in perineurial and endothelial cells, and in some interstitial cells. They were never observed within axons. Occasional curvilinear profiles were seen in perineurial and Schwann cells. Perineurial calcifications were observed in two cases. The results of this morphological study suggest that chloroquine neuropathy is essentially due primary involvement of Schwann cells.

Citing Articles

Chloroquine stimulates nitric oxide synthesis in murine, porcine, and human endothelial cells.

Ghigo D, Aldieri E, Todde R, Costamagna C, Garbarino G, Pescarmona G J Clin Invest. 1998; 102(3):595-605.

PMID: 9691096 PMC: 508920. DOI: 10.1172/JCI1052.


Lipidosis of the dorsal root ganglia in rats treated with an almitrine metabolite.

Yamanaka Y, Sakamoto E, Sakuma Y, Uno H, Koyama T, Izawa Y Arch Toxicol. 1995; 69(6):391-6.

PMID: 7495377 DOI: 10.1007/s002040050189.


Neurotoxic effects of chloroquine in vitro.

Bruinink A, Zimmermann G, Riesen F Arch Toxicol. 1991; 65(6):480-4.

PMID: 1929868 DOI: 10.1007/BF01977360.


Spontaneous mineralization of the sciatic nerve of senescent rats.

Terao E, Corman B, van den Bosch de Aguilar P Acta Neuropathol. 1991; 81(5):546-51.

PMID: 1713396 DOI: 10.1007/BF00310136.


Prevention and management of drug-induced peripheral neuropathy.

Olesen L, Jensen T Drug Saf. 1991; 6(4):302-14.

PMID: 1653573 DOI: 10.2165/00002018-199106040-00007.

References
1.
Fardeau M, Tome F, Simon P . Muscle and nerve changes induced by perhexiline maleate in man and mice. Muscle Nerve. 1979; 2(1):24-36. DOI: 10.1002/mus.880020105. View

2.
Gumbinas M, Larsen M, Mei Liu H . Peripheral neuropathy in classic Niemann-Pick disease: ultrastructure of nerves and skeletal muscles. Neurology. 1975; 25(2):107-13. DOI: 10.1212/wnl.25.2.107. View

3.
Van Lis J, Jennekens F, Veldman H . Calcium deposits in the perineurium and their relation to lipid accumulation. J Neurol Sci. 1979; 43(3):367-75. DOI: 10.1016/0022-510x(79)90016-9. View

4.
Singh K, Krause W, David H, von Zglinicki T . Effects of chloroquine on hepatocytic organelles in rat. Exp Pathol. 1985; 28(2):119-24. DOI: 10.1016/s0232-1513(85)80023-2. View

5.
Tome F, Brunet P, Fardeau M, Hentati F, REIX J . Familial disorder of the central and peripheral nervous systems with particular cytoplasmic lamellated inclusions in peripheral nerves, muscle satellite cells, and blood capillaries. Acta Neuropathol. 1985; 68(3):209-17. DOI: 10.1007/BF00690197. View