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氨苯砜诱发的运动性多发性神经病。一种角膜下脓疱性皮肤病长期治疗的并发症。

Dapsone-induced motor polyneuropathy. A complication of prolonged treatment of subcorneal pustular dermatosis.

作者信息

Fredericks E J, Kugelman T P, Kirsch N

出版信息

Arch Dermatol. 1976 Aug;112(8):1158-60. doi: 10.1001/archderm.112.8.1158.

DOI:10.1001/archderm.112.8.1158
PMID:182085
Abstract

A motor polyneuropathy developed in a woman with subcorneal pustular dermatosis of 16 years' duration, who had received at least 300 gm of dapsone over a five-year period and 80 gm during the four-month period of progression of her neurologic symptoms. Although the patient believed her muscle power had returned to normal four months after the drug was stopped, a slight peripheral neuropathy remained. Electrodiagnostic and clinical features during the period of greatest weakness and the subsequent 16 months were consistent with a polyneuropathy of the axonal type. The neurotoxicity of dapsone appears to be dose-dependent, but the mechanism by which it occurs is unknown.

摘要

一名患有持续16年的角层下脓疱性皮肤病的女性发生了运动性多发性神经病,她在五年期间至少服用了300克氨苯砜,在神经症状进展的四个月期间服用了80克。尽管患者认为停药四个月后肌肉力量已恢复正常,但仍残留轻度周围神经病。在肌无力最严重时期及随后16个月的电诊断和临床特征与轴索性多发性神经病相符。氨苯砜的神经毒性似乎与剂量有关,但其发生机制尚不清楚。

相似文献

1
Dapsone-induced motor polyneuropathy. A complication of prolonged treatment of subcorneal pustular dermatosis.氨苯砜诱发的运动性多发性神经病。一种角膜下脓疱性皮肤病长期治疗的并发症。
Arch Dermatol. 1976 Aug;112(8):1158-60. doi: 10.1001/archderm.112.8.1158.
2
Peripheral motor neuropathy caused by excessive intake of dapsone (Avlosulfon).因过量摄入氨苯砜(阿弗唑芬)引起的周围运动神经病。
Arch Psychiatr Nervenkr (1970). 1982;232(1):63-9. doi: 10.1007/BF00343366.
3
Dapsone-induced peripheral neuropathy.氨苯砜诱发的周围神经病变。
Int J Dermatol. 1986 Jun;25(5):314-6. doi: 10.1111/j.1365-4362.1986.tb02253.x.
4
Subcorneal pustular dermatosis and crippling arthritis.角层下脓疱性皮肤病与致残性关节炎。
Arch Dermatol. 1979 Feb;115(2):185-8.
5
Dapsone motor neuropathy--an axonal disease.氨苯砜性运动神经病——一种轴索性疾病。
Neurology. 1976 Jun;26(6 PT 1):514-6. doi: 10.1212/wnl.26.6.514.
6
Dapsone-induced distal axonal degeneration of the motor neurons.
Dermatologica. 1978;156(6):321-4. doi: 10.1159/000250938.
7
[Dapsone-induced sensory peripheral neuropathy].[氨苯砜引起的感觉性周围神经病]
Ann Dermatol Venereol. 2003 Apr;130(4):447-9.
8
Neurologic symptoms posing as dapsone-induced polyneuropathy in two patients with dermatitis herpetiformis.两名疱疹样皮炎患者出现伪装成氨苯砜诱导性多发性神经病的神经系统症状。
Cutis. 1988 May;41(5):347-50.
9
Topical dapsone gel for treatment of axillary subcorneal pustular dermatosis.外用氨苯砜凝胶治疗腋窝角层下脓疱性皮肤病。
J Dermatol. 2019 Nov;46(11):e437-e438. doi: 10.1111/1346-8138.14953. Epub 2019 Jun 24.
10
Dapsone-induced peripheral neuropathy. Case report and review.氨苯砜诱发的周围神经病变。病例报告及文献复习。
Arch Dermatol. 1984 Mar;120(3):356-9.

引用本文的文献

1
Dapsone-induced optic atrophy and motor neuropathy.氨苯砜引起的视神经萎缩和运动神经病。
Br Med J (Clin Res Ed). 1981 Jul 25;283(6286):311. doi: 10.1136/bmj.283.6286.311-g.
2
Peripheral motor neuropathy caused by excessive intake of dapsone (Avlosulfon).因过量摄入氨苯砜(阿弗唑芬)引起的周围运动神经病。
Arch Psychiatr Nervenkr (1970). 1982;232(1):63-9. doi: 10.1007/BF00343366.
3
Drug-induced peripheral neuropathies.药物性周围神经病
Br Med J. 1979 Mar 10;1(6164):663-6. doi: 10.1136/bmj.1.6164.663.