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替勃龙治疗遗传性血管性水肿(HANE)

Treatment of hereditary angioneurotic oedema (HANE) with tibolone.

作者信息

Ott H W, Mattle V, Hadziomerovic D, Licht P, Döinghaus K, Rubbert A, Manger K, Manger B, Kalden J, Wildt L

机构信息

Clinical Division of Gynaecological Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Austria.

出版信息

Clin Endocrinol (Oxf). 2007 Feb;66(2):180-4. doi: 10.1111/j.1365-2265.2006.02704.x.

DOI:10.1111/j.1365-2265.2006.02704.x
PMID:17223985
Abstract

OBJECTIVE

Eight women, aged 25-58 years, with hereditary angioneurotic oedema (HANE) were treated with tibolone, a synthetic steroid exhibiting oestrogenic, androgenic and progestational activity.

DESIGN

Pilot study.

RESULTS

Tibolone at a dose of 2.5-7.5 mg/day significantly reduced the number and severity of attacks and the number of ampoules of C1-esterase inhibitor (C1-INH) needed for symptomatic therapy. The efficacy of tibolone was comparable to that of danazol, while the androgenic side-effects were considerably reduced.

CONCLUSIONS

Tibolone may represent an alternative to danazol administration for the prophylaxis of HANE in women.

摘要

目的

对8名年龄在25 - 58岁之间的患有遗传性血管性水肿(HANE)的女性,使用替勃龙进行治疗。替勃龙是一种具有雌激素、雄激素和孕激素活性的合成类固醇。

设计

试点研究。

结果

每日剂量为2.5 - 7.5毫克的替勃龙显著减少了发作的次数和严重程度,以及症状治疗所需的C1酯酶抑制剂(C1-INH)安瓿数量。替勃龙的疗效与达那唑相当,而雄激素副作用则大幅减少。

结论

替勃龙可能是女性预防遗传性血管性水肿时替代达那唑给药的一种选择。

相似文献

1
Treatment of hereditary angioneurotic oedema (HANE) with tibolone.替勃龙治疗遗传性血管性水肿(HANE)
Clin Endocrinol (Oxf). 2007 Feb;66(2):180-4. doi: 10.1111/j.1365-2265.2006.02704.x.
2
C1 esterase inhibitor: new preparation. A major advance in emergency treatment of hereditary angioneurotic oedema.C1酯酶抑制剂:新制剂。遗传性血管性水肿急救治疗的一项重大进展。
Prescrire Int. 2001 Jun;10(53):67-70.
3
[Treatment of hereditary angioneurotic edema with androgens].[雄激素治疗遗传性血管性水肿]
Nouv Presse Med. 1978 Sep 30;7(33):2927-31.
4
[Profhylaxis and treatment of hereditary and acquired angioedema at HUB; use of the C1-esterase inhibitor].[遗传性血管性水肿和获得性血管性水肿在HUB的预防和治疗;C1酯酶抑制剂的使用]
Farm Hosp. 2003 Nov-Dec;27(6):346-52.
5
[Hereditary angioneurotic edema: an underestimated medical emergency. Apropos of 33 cases].
Ann Dermatol Venereol. 1995;122(1-2):11-5.
6
C1-esterase inhibitor transfusions in patients with hereditary angioedema.遗传性血管性水肿患者的C1酯酶抑制剂输血治疗
Ann Allergy Asthma Immunol. 1998 Jun;80(6):457-61. doi: 10.1016/S1081-1206(10)63067-0.
7
Hereditary angioedema: a decade of human C1-inhibitor concentrate therapy.遗传性血管性水肿:人类C1抑制物浓缩剂治疗的十年
J Allergy Clin Immunol. 2007 Oct;120(4):941-7. doi: 10.1016/j.jaci.2007.06.026. Epub 2007 Aug 29.
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[Hereditary angioneurotic edema associated with DIC and treated effectively by nafamostat mesilate].[与弥散性血管内凝血相关的遗传性血管性水肿并被甲磺酸萘莫司他有效治疗]
Rinsho Ketsueki. 1992 Jan;33(1):30-5.
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Hereditary angioneurotic oedema in Finland. Clinical, immunological and genealogical studies.芬兰的遗传性血管神经性水肿。临床、免疫学和家谱学研究。
Acta Med Scand. 1977;201(5):415-27.
10
Treatment of hereditary angioedema with danazol. Reversal of clinical and biochemical abnormalities.用达那唑治疗遗传性血管性水肿。临床和生化异常的逆转。
N Engl J Med. 1976 Dec 23;295(26):1444-8. doi: 10.1056/NEJM197612232952602.

引用本文的文献

1
WAO Guideline for the Management of Hereditary Angioedema.WAO 遗传性血管性水肿管理指南。
World Allergy Organ J. 2012 Dec;5(12):182-99. doi: 10.1097/WOX.0b013e318279affa.
2
Clinical Immunology Review Series: An approach to the patient with angio-oedema.临床免疫学综述系列:血管性水肿患者的诊治方法
Clin Exp Immunol. 2009 Mar;155(3):367-77. doi: 10.1111/j.1365-2249.2008.03845.x.