Rhabdomyolysis following interferon-beta treatment in a patient with multiple sclerosis - A case report

Mult Scler Relat Disord. 2016 Jul:8:93-5. doi: 10.1016/j.msard.2016.05.005. Epub 2016 May 16.

Abstract

Background: Multiple sclerosis is an inflammatory disease of the central nervous system for which there is currently no cure. Interferon-beta-1-alpha is worldwide one of the most widely used treatments in multiple sclerosis. To our knowledge there is one previous reported case of rhabdomyolysis associated with Interferon-beta treatment.

Case presentation: We describe a 30 year old man with relapsing remitting multiple sclerosis who developed rhabdomyolysis and increased creatine kinase following Interferon-beta-1-alpha therapy. After the medication was discontinued, the patient rapidly improved.

Conclusion: Clinicians should be aware of the possibility of rhabdomyolysis occurring during Interferon-beta-1-alpha therapy. In cases where patients complain of severe myalgia, and in particular if weakness is reported, creatine kinase activity should be measured to prevent irreversible rhabdomyolysis during Interferon-beta-1-alpha therapy in patients with multiple sclerosis.

Keywords: Adverse effect; Interferon-beta treatment; Multiple sclerosis; Quality of life; Rhabdomyolysis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Creatine Kinase / blood
  • Humans
  • Immunologic Factors / adverse effects*
  • Immunologic Factors / therapeutic use*
  • Interferon beta-1a / adverse effects*
  • Interferon beta-1a / therapeutic use*
  • Male
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Multiple Sclerosis, Relapsing-Remitting / enzymology
  • Rhabdomyolysis / chemically induced*
  • Rhabdomyolysis / enzymology

Substances

  • Immunologic Factors
  • Creatine Kinase
  • Interferon beta-1a