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多发性硬化症中的透皮组胺:第一部分——临床经验。

Transdermal histamine in multiple sclerosis: part one -- clinical experience.

作者信息

Gillson G, Wright J V, DeLack E, Ballasiotes G

出版信息

Altern Med Rev. 1999 Dec;4(6):424-8.

Abstract

Histamine has a long history of therapeutic use in many diseases, including multiple sclerosis (MS). Recently, transdermal histamine has been successfully employed for the amelioration of symptoms of both relapsing-remitting and progressive multiple sclerosis. This paper summarizes preliminary experiences with transdermal histamine for MS at the Tahoma Clinic: 67 percent of 55 patients using histamine transdermal cream had improvements in one or more areas, including extremity strength, balance, bladder control, fatigue, activities of daily living, and cognitive functioning, sustained for periods of up to three months. One-third of patients had improvements in three or more areas of functioning. Five possible mechanisms of action are postulated: augmentation of subnormal cerebral tissue levels of histamine; improved electrical function of demyelinated fibers; increased cerebral blood flow; suppression of autoimmune responses; and stimulation of remyelination. These will be discussed in detail in Part 2 of this article.

摘要

组胺在包括多发性硬化症(MS)在内的多种疾病的治疗应用中有着悠久的历史。最近,经皮组胺已成功用于改善复发缓解型和进展型多发性硬化症的症状。本文总结了塔霍马诊所使用经皮组胺治疗MS的初步经验:55名使用组胺透皮乳膏的患者中,67%在一个或多个方面有改善,包括肢体力量、平衡、膀胱控制、疲劳、日常生活活动和认知功能,持续时间长达三个月。三分之一的患者在三个或更多功能领域有改善。推测有五种可能的作用机制:提高脑组织中低于正常水平的组胺;改善脱髓鞘纤维的电功能;增加脑血流量;抑制自身免疫反应;刺激髓鞘再生。这些将在本文的第二部分详细讨论。

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