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接受氯丙嗪治疗的慢性精神病患者中的抗核抗体。

Antinuclear antibodies in chronic psychotic patients treated with chlorpromazine.

作者信息

Quismorio F P, Bjarnason D F, Kiely W F, Dubois E L, Friou G J

出版信息

Am J Psychiatry. 1975 Nov;132(11):1204-6. doi: 10.1176/ajp.132.11.1204.

DOI:10.1176/ajp.132.11.1204
PMID:52302
Abstract

The authors found a significantly higher incidence of antinuclear antibodies (ANA) and positive lupus erythematosus cell tests in chronic psychotic patients who received 400 mg a day or more of chlorpromazine (CPZ) for at least 7 weeks than in those who had taken 50 to 300 mg a day for varying periods or those who had received no CPZ for at least 3 months. Despite the high incidence of ANA, there was no observed development of lupuslike syndrome. The authors suggest that CPZ in high doses may induce ANA in humans.

摘要

作者发现,与那些在不同时间段每天服用50至300毫克氯丙嗪(CPZ)的患者或至少3个月未服用CPZ的患者相比,每天服用400毫克或更多CPZ至少7周的慢性精神病患者中,抗核抗体(ANA)的发生率和狼疮细胞试验阳性率显著更高。尽管ANA发生率很高,但未观察到类似狼疮综合征的发展。作者认为,高剂量的CPZ可能会在人体内诱导ANA产生。

相似文献

1
Antinuclear antibodies in chronic psychotic patients treated with chlorpromazine.接受氯丙嗪治疗的慢性精神病患者中的抗核抗体。
Am J Psychiatry. 1975 Nov;132(11):1204-6. doi: 10.1176/ajp.132.11.1204.
2
A comparison of the relative clinical efficacy of two chlorpromazine (CPZ) preparations.两种氯丙嗪(CPZ)制剂相对临床疗效的比较。
Curr Ther Res Clin Exp. 1974 Sep;16(9):1014-21.
3
Chlorpromazine-induced lupus anticoagulant and associated immunologic abnormalities.氯丙嗪诱导的狼疮抗凝物及相关免疫异常。
Am J Hematol. 1982 Sep;13(2):121-9. doi: 10.1002/ajh.2830130204.
4
Chlorpromazine-induced immunopathy: progressive increase in serum IgM.氯丙嗪诱发的免疫病:血清IgM进行性升高。
Medicine (Baltimore). 1990 Mar;69(2):92-100.
5
Neuroleptic-associated autoantibodies. A prevalence study.抗精神病药物相关自身抗体。一项患病率研究。
Biol Psychiatry. 1990 Apr 15;27(8):863-70. doi: 10.1016/0006-3223(90)90467-g.
6
Antigenic specificity of chlorpromazine-induced antinuclear antibodies.氯丙嗪诱导的抗核抗体的抗原特异性。
Clin Exp Immunol. 1973 Dec;15(4):543-8.
7
[Antinuclear antibodies and lupus due to phenothiazines in 600 hospitalized patients].
Ann Med Psychol (Paris). 1975 Feb;1(2):237-48.
8
Clinical significance of plasma chlorpromazine levels. I. Plasma levels of the drug, some of its metabolites and prolactin during acute treatment.
Psychol Med. 1976 Aug;6(3):407-15. doi: 10.1017/s0033291700015841.
9
Chlorpromazine-induced systemic lupus erythematosus: case report and review of the literature.氯丙嗪诱发的系统性红斑狼疮:病例报告及文献综述
JAMA. 1972 Aug 7;221(6):595-6.
10
Immunologic and coagulation disorders in chlorpromazine-treated patients.氯丙嗪治疗患者的免疫和凝血障碍
Ann Intern Med. 1979 Aug;91(2):194-9. doi: 10.7326/0003-4819-91-2-194.

引用本文的文献

1
The prevalence of antinuclear antibodies in patients with schizophrenia spectrum disorders: results from a large cohort study.精神分裂症谱系障碍患者抗核抗体的流行率:一项大型队列研究的结果。
NPJ Schizophr. 2015 May 6;1:15013. doi: 10.1038/npjschz.2015.13. eCollection 2015.
2
Drug-induced cholestasis.药物性胆汁淤积
Med Toxicol. 1987 Mar-Apr;2(2):112-60. doi: 10.1007/BF03260010.
3
Drug-related lupus. Incidence, mechanisms and clinical implications.药物性狼疮。发病率、机制及临床意义。
Drug Saf. 1991 Nov-Dec;6(6):431-49. doi: 10.2165/00002018-199106060-00004.