Coradello H, Lubec G
Hautarzt. 1979 Feb;30(2):89-91.
The collagenase inhibiting effect of erythromycin already observed in vitro was demonstrated also after oral administration of the drug in vivo in one child with epidermolysis bullosa letalis and one child with epidermolysis bullosa dystrophica. Despite inhibition of skin collagenase activity during administration of the drug the frequency of bullous eruptions and healing process of affected skin areas remained unchanged. This suggests no direct causal relation existing between skin collagenase activity and epidermolysis bullosa. Whether increased collagenase activity reflects a secondary reaction of the organism cannot be concluded from this study.
体外已观察到的红霉素对胶原酶的抑制作用,在一名致死性大疱性表皮松解症患儿和一名营养不良性大疱性表皮松解症患儿口服该药后在体内也得到了证实。尽管在给药期间皮肤胶原酶活性受到抑制,但大疱性皮疹的发生率和受影响皮肤区域的愈合过程并未改变。这表明皮肤胶原酶活性与大疱性表皮松解症之间不存在直接因果关系。本研究无法得出胶原酶活性增加是否反映机体的继发反应这一结论。