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. 2018 Feb 20;13:34. doi: 10.1186/s13023-018-0775-9

Table 4.

Adverse events in patients with sirolimusa

Adverse events Number of patients Percentage (%)
Mouth ulcers 43 43.9
Menstrual abnormality 26 26.5
Hyperlipidemia 15 15.3
Acneiform rash 15 15.3
Diarrhea 2 2.0
Fever 2 2.0
Peripheral edema 2 2.0
Gingival hyperplasia 2 2.0
Infections 1 1.0
Hypertension 1 1.0
Non-productive cough 1 1.0
Nasal allergy 1 1.0
Low back pain 1 1.0
Chest pain 1 1.0
Alopecia 1 1.0
Toothache 1 1.0
Arthralgia (finger) 1 1.0
Dizziness 1 1.0
Palpitation 1 1.0
Elevated alanine aminotransferase 1 1.0

aThree patients stopped sirolimus because of severe adverse effects, which were elevated liver alanine aminotransferase, lung infection and fever. All of them initiated the therapy again after 2 to 6 months and were free of severe adverse events