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药物性肌腱疾病

Drug-Induced Tendon Disorders.

作者信息

Knobloch Karsten

机构信息

SportPraxis Prof. Knobloch, Heiligerstr. 3, Hannover, 30159, Germany.

出版信息

Adv Exp Med Biol. 2016;920:229-38. doi: 10.1007/978-3-319-33943-6_22.

Abstract

Drug-induced tendon disorders are an often underestimated risk factor. The range from detrimental effects on the tendon include tendinopathy as well as potentially tendon rupture. As for today, four main drug classes have been reported to be associated with potentially deteriorated tendon properties: 1. Corticosteroids, 2. Chinolon antibiotics, 3. Aromatase inhbitors, 4. Statins as HMG-CoA-reductase inhibitors. Most often, the Achilles tendon is affected in terms of tendinopathy and/or subsequent tendon rupture. However, nearly every tendon of the entire body might be affected in a detrimental way by one or a combination of the aformentioned agents.

摘要

药物性肌腱疾病是一个常常被低估的风险因素。药物对肌腱的有害影响范围包括肌腱病以及潜在的肌腱断裂。到目前为止,已有四类主要药物被报道与肌腱性能潜在恶化有关:1. 皮质类固醇;2. 喹诺酮类抗生素;3. 芳香化酶抑制剂;4. 作为HMG-CoA还原酶抑制剂的他汀类药物。最常见的是,跟腱在肌腱病和/或随后的肌腱断裂方面受到影响。然而,全身几乎每一根肌腱都可能因上述一种或几种药物的联合作用而受到有害影响。

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