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沙利度胺的过去与现在:一名患沙利度胺胚胎病女性的病例报告及沙利度胺当前用途综述

Thalidomide-Then and Now: Case Report of a Woman With Thalidomide Embryopathy and Review of Current Thalidomide Uses.

作者信息

Malik Sara, Cohen Philip R

机构信息

Feinberg School of Medicine, Northwestern University, Chicago, USA.

Dermatology, University of California, Davis Medical Center, Sacramento, USA.

出版信息

Cureus. 2021 Aug 10;13(8):e17070. doi: 10.7759/cureus.17070. eCollection 2021 Aug.

Abstract

Thalidomide was initially developed as a sedative; subsequently, its use was expanded to treat morning sickness in pregnant women. However, it was later discovered to be a teratogenic drug that was associated with embryopathy in women. A woman is described who was exposed to thalidomide in utero. She had several stigmata of thalidomide embryopathy. Although treatment of nausea and anxiety in pregnant women with thalidomide was discontinued in 1961, the drug has been found to be a useful agent for the management of several systemic conditions and dermatological disorders. Whether the treatment with thalidomide shall be incorporated in the therapeutic regime for patients with severe coronavirus disease 2019 (COVID-19) infection remains to be determined.

摘要

沙利度胺最初被开发用作镇静剂;随后,其用途扩展至治疗孕妇的晨吐。然而,后来发现它是一种致畸药物,与女性胚胎病有关。本文描述了一名在子宫内接触过沙利度胺的女性。她有多种沙利度胺胚胎病的体征。尽管1961年已停止使用沙利度胺治疗孕妇的恶心和焦虑,但已发现该药物对治疗多种全身性疾病和皮肤病有效。沙利度胺治疗是否应纳入重症2019冠状病毒病(COVID-19)感染患者的治疗方案仍有待确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4beb/8428198/ae8dc41d6628/cureus-0013-00000017070-i01.jpg

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