Centre for Hepatology, Department of Medicine, University College London Medical School, University College London, London, UK.
Eur J Gastroenterol Hepatol. 2010 May;22(5):628-31. doi: 10.1097/MEG.0b013e32833383e3.
Details of two patients with chronic hepatitis C infection who developed features of Parkinsonism when treated with IFN-alpha2b and ribavirin are reported. The symptoms resolved when treatment was discontinued in one patient but not in the other. Physicians should be alert to the possibility that drug-related Parkinsonism may complicate treatment of hepatitis C infection with antiviral agents; the agent most likely responsible is IFN-alpha2b. Prompt withdrawal of treatment is mandatory but does not always guarantee reversal of the Parkinsonian features.
现报道两例慢性丙型肝炎感染患者在接受 IFN-α2b 和利巴韦林治疗后出现帕金森病特征的病例。其中一位患者在停止治疗后症状缓解,但另一位患者则没有。医生应该警惕药物相关性帕金森病可能使抗病毒药物治疗丙型肝炎感染复杂化;最有可能的致病药物是 IFN-α2b。必须立即停止治疗,但并不总是能保证帕金森病特征逆转。