Holtzhausen G H
S Afr Med J. 1979 Mar 24;55(13):516-21.
The ongoing development and gradual availability of the new anti-androgens hold exciting clinical implications for the future. The biosynthesis and interchangeability of the sex steroids, the roles of the ovaries and adrenals and the value and interpretation of biochemical assays in clinical practice are briefly discussed. Because the anti-androgens are used primarily for seborrhoea/acne/hirsutism/oligomenorrhoea, the pathophysiological basis of this socially debilitating syndrome is discussed. The classification of the anti-androgens, their indications, side-effects, dosage schemes and results of treatment are reviewed. Finally, a summary of a possible clinical management regimen is presented.
新型抗雄激素药物的不断研发及其逐渐投入使用,为未来带来了令人兴奋的临床意义。本文简要讨论了性类固醇的生物合成与互换性、卵巢和肾上腺的作用以及临床实践中生化检测的价值和解读。由于抗雄激素药物主要用于治疗脂溢性皮炎/痤疮/多毛症/月经过少,因此本文讨论了这种对社会功能有损害的综合征的病理生理基础。本文对抗雄激素药物的分类、适应证、副作用、给药方案及治疗结果进行了综述。最后,给出了一种可能的临床管理方案总结。