Kalyoncu Nuri Ihsan, Yaris Fusun, Ulku Cunay, Kadioglu Mine, Kesim Murat, Unsal Mesut, Dikici Mustafa, Yaris Ersin
Department of Pharmacology, School of Medicine, Karadeniz Technical University, TR-61187 Trabzon, Turkey.
Reprod Toxicol. 2005 Mar-Apr;19(4):563-4. doi: 10.1016/j.reprotox.2004.11.003.
Data about rosiglitazone use in pregnancy is limited. We aimed to present a pregnant woman who exposed to rosiglitazone in the second trimester and the fetal outcome.
The case was a 42-year-old, multigravid Caucasian woman with a history of diabetes mellitus type II for 4 years prior to her current pregnancy. Her diabetes was managed by diet and exercise and she has not received any drug therapy until the 13th week of her sixth (present) and unplanned pregnancy. The case was exposed to rosiglitazone (4 mg/day) between 13th and 17th gestational weeks. After the diagnosis of pregnancy at the 17th week, rosiglitazone was stopped and insulin therapy was started. At the 37th week, she had a healthy male infant (4500 g, 50 cm). The baby was examined and no major or minor malformations were observed.
This is the first case present in the literature exposed to rosiglitazone in the second trimester of her pregnancy. The data from the present case may contribute to the existing limited knowledge about rosiglitazone in pregnancy.
关于罗格列酮在孕期使用的数据有限。我们旨在呈现一名在孕中期接触罗格列酮的孕妇及其胎儿结局。
该病例为一名42岁、多孕次的白人女性,在本次怀孕前有4年2型糖尿病病史。她的糖尿病通过饮食和运动控制,在其第六次(本次)意外怀孕的第13周之前未接受任何药物治疗。该病例在妊娠第13周至17周期间接触罗格列酮(4毫克/天)。在第17周确诊怀孕后,停用罗格列酮并开始胰岛素治疗。在第37周时,她产下一名健康男婴(体重4500克,身长50厘米)。对婴儿进行了检查,未观察到任何 major 或 minor 畸形。
这是文献中首例在孕中期接触罗格列酮的病例。本病例的数据可能有助于增加目前关于罗格列酮在孕期使用的有限知识。 (注:原文中“major or minor malformations”这里的“major”和“minor”暂不清楚准确对应中文的“严重”和“轻微”是否完全准确,可根据医学专业进一步确认,但按要求未添加解释,直接翻译)