Document 0944 DOCN M9440944 TI Toxic neuropathies and myopathies. DT 9404 AU Kuncl RW; George EB; Department of Neurology, Johns Hopkins University School of; Medicine, Baltimore, MD 21287-7519. SO Curr Opin Neurol. 1993 Oct;6(5):695-704. Unique Identifier : AIDSLINE MED/94122889 AB This review first considers toxic neuropathies of recent interest, including those caused by antineoplastic and antiretroviral drugs, agents that affect methylation reactions, vitamin and herbal preparations, and certain occupational exposures. The discussion points out the interesting phenomenon of coasting, the strategy of using neurotrophic factors to combat toxic neuropathies, and the inapparent risks in health foods. Second, it considers toxic myopathy syndromes, including zidovudine myopathy and its differentiation from HIV-associated inflammatory myopathy, cholesterol-lowering agent myopathies, acute myopathy with selective loss of myosin filaments due to neuromuscular blocking agents and corticosteroids, the eosinophilia myalgia syndrome, and colchicine myoneuropathy. Some of these syndromes illustrate important toxicologic principles about recognition of rare disorders, unanticipated temporal relationships with exposure, and risk factor assessment. DE Animal Disease Models, Animal Human Microscopy, Electron Muscles/DRUG EFFECTS/PATHOLOGY Neuromuscular Diseases/*CHEMICALLY INDUCED/PATHOLOGY Occupational Diseases/CHEMICALLY INDUCED/PATHOLOGY Peripheral Nerves/DRUG EFFECTS/PATHOLOGY Polyneuritis/*CHEMICALLY INDUCED/PATHOLOGY Risk Factors Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).