Calne D B, Fermaglich J
Postgrad Med J. 1976 Apr;52(606):232-3. doi: 10.1136/pgmj.52.606.232.
Two cases of clinical gout are reported in parkinsonian patients receiving L-dopa in combination with a decarboxylase inhibitor. Blockade of decarboxylation leads to major changes in the pattern of L-dopa metabolites. It is suggested that hyperuricaemia may result from accumulation of L-dopa itself or a transaminated product.
报告了两例接受左旋多巴联合脱羧酶抑制剂治疗的帕金森病患者出现临床痛风的病例。脱羧作用的阻断导致左旋多巴代谢产物模式发生重大变化。有人认为高尿酸血症可能是由左旋多巴本身或一种转氨产物的积累所致。