title: Focal myopathy associated with chronic intramuscular injection of piritramide.
abstract: We report a patient in whom chronic intramuscular piritramide led to a focal fibrotic myopathy. Since piritramide myotoxicity has never been reported, we have studied its effect on rat skeletal muscle. Chronic intramuscular piritramide led to fibrous connective tissue replacement of rat skeletal muscle, similar to that found in the patient's muscle. Although the pathogenetic mechanism of piritramide myopathy is unclear, we caution against prolonged intramuscular use of piritramide to prevent this potentially debilitating adverse effect.
authors.affiliation: Department of Neurology, Cliniques Universitaires St-Luc, University of Louvain, Brussels, Belgium.
authors.forename: P Y
authors.initials: PY
authors.lastname: Van den Bergh
authors.forename: L
authors.initials: L
authors.lastname: Guettat
authors.forename: B C
authors.initials: BC
authors.lastname: Vande Berg
authors.forename: J J
authors.initials: JJ
authors.lastname: Martin
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000009:adverse effects*; D000818:Animals; D003238:Connective Tissue / Q000473:pathology; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D009132:Muscles / Q000187:drug effects / Q000473:pathology; D009135:Muscular Diseases / Q000139:chemically induced* / Q000473:pathology; D010892:Pirinitramide / Q000008:administration & dosage* / Q000009:adverse effects*; D051381:Rats; D013997:Time Factors
chemical_list: D000701:Analgesics, Opioid; D010892:Pirinitramide