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5-氟尿嘧啶治疗硬皮病:一项随机、双盲、安慰剂对照的国际协作研究。

5-fluorouracil in the treatment of scleroderma: a randomised, double blind, placebo controlled international collaborative study.

作者信息

Casas J A, Saway P A, Villarreal I, Nolte C, Menajovsky B L, Escudero E E, Blackburn W D, Alarcón G S, Subauste C P

机构信息

Department of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.

出版信息

Ann Rheum Dis. 1990 Nov;49(11):926-8. doi: 10.1136/ard.49.11.926.

DOI:10.1136/ard.49.11.926
PMID:2256740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1004264/
Abstract

A six month controlled study of 5-fluorouracil in the treatment of scleroderma showed a modest benefit in skin scores, Raynaud's phenomenon, and patients' global assessment. Visceral organ and hand function were unaffected. Mild to moderate toxicity was common in the 5-fluorouracil treated patients but usually responded to dose reduction. Two patients receiving 5-fluorouracil died from causes seemingly unrelated to treatment. Significant clinical improvement in scleroderma was not noted in the first six months of treatment with 5-fluorouracil.

摘要

一项关于5-氟尿嘧啶治疗硬皮病的为期六个月的对照研究表明,在皮肤评分、雷诺现象和患者整体评估方面有适度益处。内脏器官和手部功能未受影响。5-氟尿嘧啶治疗的患者中常见轻度至中度毒性,但通常通过减少剂量即可缓解。两名接受5-氟尿嘧啶治疗的患者死于看似与治疗无关的原因。在使用5-氟尿嘧啶治疗的前六个月中,未观察到硬皮病有显著的临床改善。

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Z Rheumatol. 2004 Dec;63(6):451-6. doi: 10.1007/s00393-004-0672-6.
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[Treatment of therapy-resistant acral ulcers with iloprost].
Hautarzt. 2004 Dec;55(12):1150-3. doi: 10.1007/s00105-004-0844-y.
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Bone marrow transplantation in the treatment of systemic sclerosis.骨髓移植治疗系统性硬化症。
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Intravenous dexamethasone pulse therapy in diffuse systemic sclerosis. A randomized placebo-controlled study.静脉注射地塞米松脉冲疗法治疗弥漫性系统性硬化症:一项随机安慰剂对照研究
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本文引用的文献

1
D-Penicillamine therapy in progressive systemic sclerosis (scleroderma): a retrospective analysis.青霉胺治疗进行性系统性硬化症(硬皮病):一项回顾性分析。
Ann Intern Med. 1982 Nov;97(5):652-9. doi: 10.7326/0003-4819-97-5-652.
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[Treatment of scleroderma].[硬皮病的治疗]
Ann Med Interne (Paris). 1983;134(8):754-65.
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Prinzmetal's angina during 5-fluorouracil chemotherapy.
Am J Med. 1987 Mar;82(3):566-8. doi: 10.1016/0002-9343(87)90465-7.
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A new promising treatment in systemic sclerosis: 5-fluorouracil.系统性硬化症的一种新的有前景的治疗方法:5-氟尿嘧啶。
Ann Rheum Dis. 1987 Oct;46(10):763-7. doi: 10.1136/ard.46.10.763.
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5-Fluorouracil-induced coronary vasospasm.5-氟尿嘧啶诱发的冠状动脉痉挛。
Am Heart J. 1987 Aug;114(2):433-6. doi: 10.1016/0002-8703(87)90517-5.
6
Cardiotoxicity of 5-fluorouracil.5-氟尿嘧啶的心脏毒性
Cancer Treat Rep. 1987 Jul-Aug;71(7-8):733-6.
7
5-Fluorouracil-associated cardiotoxicity.5-氟尿嘧啶相关的心脏毒性。
Cancer. 1988 Jan 1;61(1):36-45. doi: 10.1002/1097-0142(19880101)61:1<36::aid-cncr2820610108>3.0.co;2-6.
8
Profound, yet reversible, heart failure secondary to 5-fluorouracil.5-氟尿嘧啶继发的严重但可逆的心力衰竭
Am J Med. 1988 Sep;85(3):454-6. doi: 10.1016/0002-9343(88)90615-8.
9
The toxicity of D-penicillamine in systemic sclerosis.青霉胺在系统性硬化症中的毒性作用
Ann Intern Med. 1986 May;104(5):699-705. doi: 10.7326/0003-4819-104-5-699.
10
Thrombotic thrombocytopenic purpura in systemic sclerosis.系统性硬化症中的血栓性血小板减少性紫癜
J Rheumatol. 1989 Oct;16(10):1400-1.