title: Diffuse fasciculations induced by D-penicillamine.
abstract: Diffuse fasciculations developed in a patient with rheumatoid arthritis who had received D-penicillamine for 6 months. Fasciculations disappeared after discontinuation of the drug but recurred on rechallenge. This reversible neuromuscular irritability has been reported with gold therapy but not with D-penicillamine.
mesh_terms: D001172:Arthritis, Rheumatoid / Q000188:drug therapy*; D005207:Fasciculation / Q000139:chemically induced*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009461:Neurologic Manifestations / Q000139:chemically induced*; D010396:Penicillamine / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D010396:Penicillamine