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使用比马前列素滴眼液治疗青光眼后出现多毛症。

Hirsutism following the use of bimatoprost eyedrops for glaucoma.

作者信息

Kaliaperumal Subashini, Govindaraj Indu, Kopparapu Praveen Kumar, Ahuja Shashi

机构信息

Department of Ophthalmology, JawaharIal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India.

出版信息

J Pharmacol Pharmacother. 2014 Jul;5(3):208-10. doi: 10.4103/0976-500X.136110.

DOI:10.4103/0976-500X.136110
PMID:25210403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4156834/
Abstract

Prostaglandin F2 alpha (PGF2α) analogues including bimatoprost are often the first line drugs used in the treatment of glaucoma. We present a case of a 62-year-old female patient who was started on bimatoprost in both the eyes for primary open angle glaucoma. The intraocular pressures reached the target level but she developed hair growth over the chin and upper lip after six months of commencing of the treatment. The regional hypertrichosis did not reduce much after stopping the drug. Hirsutism is a potential side effect of prostaglandin analogues which has rarely been reported. Doctors and patients need to be aware of this noticeable and unwanted side effect. The effect seems to occur in patients already having few non-vellus hairs in these areas.

摘要

包括比马前列素在内的前列腺素F2α(PGF2α)类似物通常是治疗青光眼的一线药物。我们报告一例62岁女性患者,因原发性开角型青光眼开始双眼使用比马前列素治疗。眼压达到了目标水平,但在开始治疗6个月后,她的下巴和上唇出现了毛发增多。停药后局部多毛症并没有明显减轻。多毛症是前列腺素类似物的一种潜在副作用,很少有相关报道。医生和患者需要了解这种明显且不良的副作用。这种效应似乎发生在这些部位本来就几乎没有毳毛的患者身上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d596/4156834/2ab1cce4fd87/JPP-5-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d596/4156834/f1a0a66ca603/JPP-5-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d596/4156834/2ab1cce4fd87/JPP-5-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d596/4156834/f1a0a66ca603/JPP-5-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d596/4156834/2ab1cce4fd87/JPP-5-208-g002.jpg

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引用本文的文献

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本文引用的文献

1
Clinical utility and differential effects of prostaglandin analogs in the management of raised intraocular pressure and ocular hypertension.前列腺素类似物在治疗眼压升高和高眼压症中的临床应用及差异效应。
Clin Ophthalmol. 2010 Jul 30;4:741-64. doi: 10.2147/opth.s10441.
2
Instilled bimatoprost ophthalmic solution in patients with eyelash alopecia areata.在斑秃性睫毛脱落患者中滴入比马前列素眼药水。
J Am Acad Dermatol. 2009 Sep;61(3):530-2. doi: 10.1016/j.jaad.2009.01.027.
3
Clinical pharmacology of bimatoprost.比马前列素的临床药理学
Expert Opin Drug Metab Toxicol. 2005 Jun;1(1):151-7. doi: 10.1517/17425255.1.1.151.
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Deepening of lid sulcus from topical bimatoprost therapy.局部使用比马前列素治疗导致睑沟加深。
Optom Vis Sci. 2004 Aug;81(8):574-7. doi: 10.1097/01.opx.0000141791.16683.4a.
5
Prostaglandin-induced hair growth.前列腺素诱导的毛发生长。
Surv Ophthalmol. 2002 Aug;47 Suppl 1:S185-202. doi: 10.1016/s0039-6257(02)00307-7.
6
Efficacy and safety of bimatoprost in patients with elevated intraocular pressure: a 30-day comparison with latanoprost.比马前列素治疗眼压升高患者的疗效与安全性:与拉坦前列素的30天对比研究
Surv Ophthalmol. 2001 May;45 Suppl 4:S353-60. doi: 10.1016/s0039-6257(01)00212-0.
7
Comparison of once- or twice-daily bimatoprost with twice-daily timolol in patients with elevated IOP : a 3-month clinical trial.眼压升高患者中一日一次或一日两次使用比马前列素与一日两次使用噻吗洛尔的比较:一项为期3个月的临床试验。
Ophthalmology. 2001 Jun;108(6):1023-31; discussion 1032. doi: 10.1016/s0161-6420(01)00584-x.
8
Hypertrichosis and increased pigmentation of eyelashes and adjacent hair in the region of the ipsilateral eyelids of patients treated with unilateral topical latanoprost.单侧局部使用拉坦前列素治疗的患者,同侧眼睑区域出现多毛症,睫毛及邻近毛发色素沉着增加。
Am J Ophthalmol. 1997 Oct;124(4):544-7. doi: 10.1016/s0002-9394(14)70870-0.
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Drug-induced hair loss and hair growth. Incidence, management and avoidance.药物性脱发与毛发生长。发生率、管理与预防
Drug Saf. 1994 Apr;10(4):310-7. doi: 10.2165/00002018-199410040-00005.
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Cutaneous lesions in 67 cyclosporin-treated renal transplant recipients.67例接受环孢素治疗的肾移植受者的皮肤病变
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