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沙利度胺治疗白塞病

Treatment of Behçet's disease with thalidomide.

作者信息

Hamza M H

出版信息

Clin Rheumatol. 1986 Sep;5(3):365-71. doi: 10.1007/BF02054255.

DOI:10.1007/BF02054255
PMID:3780143
Abstract

The clinical response to thalidomide in 30 male patients with Behçet's disease was reviewed. Twenty-six patients with orogenital ulcerations responded (20 completely and 6 partially). Cutaneous lesions including erythema nodosum or necrotic pseudofolliculitis were controlled by treatment in the majority of cases. All patients with arthritis responded (13 completely and 1 partially). Uveitis was improved in 3 patients, stabilizated in 4 and aggravated in 4. Patients with thalidomide purposely discontinued experienced a flare; the reintroduction of therapy controlled the flare. Side effects were uncommon and included skin rash and somnolence. These results suggest that thalidomide may be useful in the therapy of the various manifestations of Behçet's disease and that a controlled study is indicated.

摘要

回顾了30例男性白塞病患者使用沙利度胺的临床反应。26例有口生殖器溃疡的患者有反应(20例完全缓解,6例部分缓解)。包括结节性红斑或坏死性假毛囊炎在内的皮肤病变在大多数病例中通过治疗得到控制。所有关节炎患者均有反应(13例完全缓解,1例部分缓解)。3例葡萄膜炎患者病情改善,4例稳定,4例加重。故意停用沙利度胺的患者病情复发;重新开始治疗控制了复发。副作用不常见,包括皮疹和嗜睡。这些结果表明,沙利度胺可能对白塞病的各种表现形式的治疗有用,有必要进行对照研究。

相似文献

1
Treatment of Behçet's disease with thalidomide.沙利度胺治疗白塞病
Clin Rheumatol. 1986 Sep;5(3):365-71. doi: 10.1007/BF02054255.
2
Thalidomide in Behçet's disease.沙利度胺治疗白塞病
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Treatment of Behcet's syndrome with levamisole.用左旋咪唑治疗白塞氏综合征。
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Clin Exp Rheumatol. 2020 Sep-Oct;38 Suppl 127(5):69-75. Epub 2020 Dec 10.
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Thalidomide in the treatment of Behçet's syndrome.
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Thalidomide interaction with inflammation in idiopathic pulmonary fibrosis.沙利度胺在特发性肺纤维化中的炎症反应。
Inflammopharmacology. 2023 Jun;31(3):1167-1182. doi: 10.1007/s10787-023-01193-1. Epub 2023 Mar 25.
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Molecular Mechanisms of the Teratogenic Effects of Thalidomide.沙利度胺致畸作用的分子机制

本文引用的文献

1
PROLONGATION OF SKIN HOMOGRAFT SURVIVAL BY THALIDOMIDE.沙利度胺延长皮肤同种异体移植存活时间
Br Med J. 1965 Sep 18;2(5463):687-9. doi: 10.1136/bmj.2.5463.687.
2
THALIDOMIDE IN THE TREATMENT OF LEPRA REACTIONS.沙利度胺治疗麻风反应
Clin Pharmacol Ther. 1965 May-Jun;6:303-6. doi: 10.1002/cpt196563303.
3
[Thalidomide in the treatment of discoid lupus erythematosus (D.L.E.) (author's transl)].沙利度胺治疗盘状红斑狼疮(作者译)
Pharmaceuticals (Basel). 2020 May 13;13(5):95. doi: 10.3390/ph13050095.
4
Update on the Medical Management of Gastrointestinal Behçet's Disease.胃肠道白塞病的医学管理进展
Mediators Inflamm. 2017;2017:1460491. doi: 10.1155/2017/1460491. Epub 2017 Jan 22.
5
Mucocutaneous Involvement in Behçet's Disease: How Systemic Treatment Has Changed in the Last Decades and Future Perspectives.白塞病的皮肤黏膜受累:过去几十年全身治疗的变化及未来展望
Mediators Inflamm. 2015;2015:451675. doi: 10.1155/2015/451675. Epub 2015 Jun 22.
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Update on the therapy of Behçet disease.白塞病治疗的最新进展。
Ther Adv Chronic Dis. 2014 May;5(3):112-34. doi: 10.1177/2040622314523062.
7
Outcome measures used in clinical trials for Behçet syndrome: a systematic review.白塞病临床试验中使用的结局指标:一项系统评价。
J Rheumatol. 2014 Mar;41(3):599-612. doi: 10.3899/jrheum.131249. Epub 2014 Feb 1.
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Molecular action of lenalidomide in lymphocytes and hematologic malignancies.来那度胺在淋巴细胞及血液系统恶性肿瘤中的分子作用
Adv Hematol. 2012;2012:513702. doi: 10.1155/2012/513702. Epub 2012 Jul 24.
9
Teratogenic effects of thalidomide: molecular mechanisms.沙利度胺的致畸作用:分子机制。
Cell Mol Life Sci. 2011 May;68(9):1569-79. doi: 10.1007/s00018-010-0619-9. Epub 2011 Jan 5.
10
Current trends in the management of ocular symptoms in Adamantiades-Behçet's disease.白塞病眼部症状管理的当前趋势
Clin Ophthalmol. 2009;3:567-79. doi: 10.2147/opth.s4445. Epub 2009 Oct 19.
Ann Dermatol Venereol. 1980 Jun;107(6):515-23.
4
Thalidomide treatment of subacute cutaneous lupus erythematosus.沙利度胺治疗亚急性皮肤型红斑狼疮
Br J Dermatol. 1982 Jul;107(1):83-6. doi: 10.1111/j.1365-2133.1982.tb00294.x.
5
Thalidomide in the treatment of Behçet's syndrome.
Arch Dermatol. 1982 Aug;118(8):536.
6
Treatment of Behcet's disease with levamisole.
Arthritis Rheum. 1982 Jun;25(6):714-5. doi: 10.1002/art.1780250621.
7
[Treatment of Behcet's syndrome with thalidomide].沙利度胺治疗白塞氏综合征
Nouv Presse Med. 1982 Mar 27;11(14):1080-1.
8
Treatment of Behcet's syndrome with levamisole.用左旋咪唑治疗白塞氏综合征。
Arthritis Rheum. 1981 Jan;24(1):64-70. doi: 10.1002/art.1780240111.
9
[Treatment of aphthosis with thalidomide and with colchicine].[沙利度胺和秋水仙碱治疗口疮病]
Dermatologica. 1984;168(4):182-8.
10
Chlorambucil in the treatment of uveitis and meningoencephalitis of Behçet's disease.苯丁酸氮芥治疗白塞病的葡萄膜炎和脑膜脑炎。
Am J Med. 1984 Jan;76(1):75-84. doi: 10.1016/0002-9343(84)90753-8.