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慢性荨麻疹患者在乙酰水杨酸激发试验期间,组胺代谢产物N-τ-甲基组胺的尿排泄增加。

Increased urinary excretion of the histamine metabolite N tau-methylhistamine during acetylsalicylic acid provocation in chronic urticaria patients.

作者信息

Oosting E, Kardaun S H, Doeglas H M, Los P, de Monchy J G

机构信息

B.C.O. Centre for Research, Breda, The Netherlands.

出版信息

Agents Actions. 1990 Apr;30(1-2):254-7. doi: 10.1007/BF01969053.

DOI:10.1007/BF01969053
PMID:1695449
Abstract

Seventeen chronic urticaria patients with a history suggestive of acetylsalicylic acid (ASA, Aspirin)-intolerance were challenged with ASA; only 2 patients showed marked clinical reactions. These clinical reactions were accompanied by a significant increase in the urinary excretion of the most important histamine metabolite, N tau-methylhistamine, in comparison with 15 non-responders (p less than or equal to 0.05) and placebo test. These results suggest an involvement of histamine in the pathogenesis of ASA-intolerance in chronic urticaria patients.

摘要

17名有乙酰水杨酸(ASA,阿司匹林)不耐受病史的慢性荨麻疹患者接受了ASA激发试验;只有2名患者出现明显的临床反应。与15名无反应者及安慰剂试验相比,这些临床反应伴随着最重要的组胺代谢产物N-τ-甲基组胺尿排泄量的显著增加(p≤0.05)。这些结果提示组胺参与了慢性荨麻疹患者ASA不耐受的发病机制。

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本文引用的文献

1
Aspirin desensitization in aspirin-sensitive asthmatic patients: clinical manifestations and characterization of the refractory period.阿司匹林敏感型哮喘患者的阿司匹林脱敏:临床表现及不应期特征
J Allergy Clin Immunol. 1982 Jan;69(1 Pt 1):11-9. doi: 10.1016/0091-6749(82)90081-1.
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Improved diagnosis of mastocytosis by measurement of urinary histamine metabolites.通过测量尿组胺代谢产物改善肥大细胞增多症的诊断
N Engl J Med. 1983 Dec 29;309(26):1603-5. doi: 10.1056/NEJM198312293092603.
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Aspirin and allergic diseases: a review.
Am J Med. 1983 Jun 14;74(6A):102-9. doi: 10.1016/0002-9343(83)90537-5.
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Histamine metabolism after adverse reactions due to d-tubocurarine administration.使用筒箭毒碱后不良反应中的组胺代谢。
Agents Actions. 1987 Jun;21(1-2):54-61. doi: 10.1007/BF01974921.
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Age dependent normal values of histamine and histamine metabolites in human urine.人尿中组胺及组胺代谢产物的年龄依赖性正常参考值
Agents Actions. 1988 Apr;23(3-4):307-10. doi: 10.1007/BF02142572.
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Proposed mechanisms of aspirin sensitivity reactions.
J Allergy Clin Immunol. 1987 Dec;80(6):788-90. doi: 10.1016/s0091-6749(87)80266-x.
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Tryptase levels as an indicator of mast-cell activation in systemic anaphylaxis and mastocytosis.类胰蛋白酶水平作为全身过敏反应和肥大细胞增多症中肥大细胞活化的指标。
N Engl J Med. 1987 Jun 25;316(26):1622-6. doi: 10.1056/NEJM198706253162603.
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Correlation between urinary levels of histamine metabolites in 24-hour urine and morning urine samples of man: influence of histamine-rich food.人体24小时尿液和晨尿样本中组胺代谢物水平的相关性:富含组胺食物的影响
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Plasma level of histamine in aspirin-sensitive urticaria.阿司匹林敏感性荨麻疹患者血浆组胺水平
Ann Allergy. 1987 Sep;59(3):219-22.
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Oral aspirin challenges in asthmatic patients: a study of plasma histamine.
Clin Allergy. 1976 Sep;6(5):493-505. doi: 10.1111/j.1365-2222.1976.tb01934.x.