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迟发性皮肤卟啉病与磺脲类降血糖衍生物

[Porphyria cutanea tarda and blood-sugar-suppressing derivatives of sulfonylurea].

作者信息

Malina L, Bartos V

出版信息

Hautarzt. 1975 Oct;26(10):535-6.

PMID:1201944
Abstract

A screening test for urinary porphyrin excretion was performed amound 1433 diabetes patients (552 males and 881 females). In three patients (0.21)% the diagnosis of porphyria cutanea tarda was ascertained. In spite of the increasing usage of sulfonylurea antidiabetic drugs, previously reported as potential porphyria-inducing agents, the authors could not observe an increased number of porphyria cases among the diabetics compared to the proportions in similar groups examined 10-12 years ago. The sulfonylurea Oradian was the likely etiopathogenic factor in only one out of three patients. The above mentioned observations do not speak in favour of independent etiological porphyrinogenic influence of antidiabetic sulfonylurea drugs.

摘要

对1433名糖尿病患者(552名男性和881名女性)进行了尿卟啉排泄筛查试验。确诊迟发性皮肤卟啉病的患者有3例(0.21%)。尽管磺脲类抗糖尿病药物的使用越来越多,此前曾报道其为潜在的卟啉病诱发剂,但与10至12年前检查的类似组比例相比,作者未观察到糖尿病患者中卟啉病病例数增加。在3例患者中,只有1例的磺脲类药物奥拉丁可能是致病因素。上述观察结果并不支持抗糖尿病磺脲类药物具有独立的病因性卟啉生成影响。

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