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用于治疗皮肤利什曼病的五价锑化合物对血常规和生化指标的影响。

The effect of pentavalent antimonial compounds used in the treatment of cutaneous leishmaniasis on hemogram and biochemical parameters.

作者信息

An Isa, Harman Mehmet, Esen Mustafa, Çelik Hakim

机构信息

a Department of Dermatology, Sanlıurfa Training and Research Hospital , Sanlıurfa , Turkey.

b Department of Dermatology, Dicle University Medical Faculty , Diyarbakır , Turkey.

出版信息

Cutan Ocul Toxicol. 2019 Sep;38(3):294-297. doi: 10.1080/15569527.2019.1610887. Epub 2019 May 16.

DOI:10.1080/15569527.2019.1610887
PMID:31039622
Abstract

: The aim of this study was to analyze the effect of pentavalent antimonials used in the treatment of cutaneous leishmaniasis (CL) on hemogram and biochemical parameters. : The study consisted of 168 patients diagnosed with CL after microscopic examination and treated with either systemic sodium stibogluconate (SSG) or meglumine antimonate (MA) 20 mg/kg/day for 14 days. The patients were divided into two groups as SSG and MA patients. Neutrophil count, leukocyte count, lymphocyte count, hemoglobin concentration, platelet count, amylase, lipase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen and serum creatinine levels were compared before and on the 14th day of the treatment. : There was a statistically significant decrease in the neutrophil, lymphocyte, leukocyte, platelet counts, and hemoglobin and blood urea nitrogen levels on the 14th day of the treatment when compared to the pre-treatment values. A statistically significant increase was found in the ALT, AST, amylase and lipase levels. No significant change was found in the serum creatinine levels. : According to the results of our study, pentavalent antimonials given standard doses in the treatment of CL can lead to an increase in the pancreatic enzymes and transaminases and bone marrow suppression. We do not recommend any change in the treatment if these conditions are not corroborated by clinical findings.

摘要

本研究的目的是分析用于治疗皮肤利什曼病(CL)的五价锑剂对血常规和生化指标的影响。本研究包括168例经显微镜检查确诊为CL并接受全身葡萄糖酸锑钠(SSG)或葡甲胺锑酸盐(MA)20mg/kg/天治疗14天的患者。患者分为SSG组和MA组。比较治疗前和治疗第14天的中性粒细胞计数、白细胞计数、淋巴细胞计数、血红蛋白浓度、血小板计数、淀粉酶、脂肪酶、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、血尿素氮和血清肌酐水平。与治疗前值相比,治疗第14天中性粒细胞、淋巴细胞、白细胞、血小板计数以及血红蛋白和血尿素氮水平有统计学意义的下降。ALT、AST、淀粉酶和脂肪酶水平有统计学意义的升高。血清肌酐水平无显著变化。根据我们的研究结果,在CL治疗中给予标准剂量的五价锑剂可导致胰腺酶和转氨酶升高以及骨髓抑制。如果这些情况未得到临床发现的证实,我们不建议对治疗进行任何改变。

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