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氰胺引起的肝损伤。一种可预测的病变。

Cyanamide-induced liver injury. A predictable lesion.

作者信息

Vazquez J J, Guillen F J, Zozaya J, Lahoz M

出版信息

Liver. 1983 Aug;3(4):225-30. doi: 10.1111/j.1600-0676.1983.tb00872.x.

DOI:10.1111/j.1600-0676.1983.tb00872.x
PMID:6323909
Abstract

Cyanamide, a drug frequently used for aversion therapy in chronic alcoholism, induces a liver-cell lesion consisting of cytoplasmic inclusion bodies, structurally similar to those of Lafora. In order to know how frequently the lesion is associated with the intake of this drug, a prospective study was carried out. A biopsy was performed in ten chronic alcoholic patients who had been treated with Cyanamide. Inclusion bodies were present in all patients (7 cases) whose biopsy was taken when they were on Cyanamide and in two other patients whose biopsies were taken 3 and 7 years after discontinuation of the treatment. Inclusion bodies were absent in one case who was treated for a short time and with a small dose and whose biopsy was performed 3 years after cessation of treatment. On the basis of these findings, the lesion may be considered to be predictable. The absence of inclusions in one patient may be explained by their disappearance after cessation of treatment.

摘要

氨甲酰,一种常用于慢性酒精中毒厌恶疗法的药物,可诱发一种肝细胞病变,其特征为细胞质内出现包涵体,在结构上与拉福拉小体相似。为了了解这种病变与该药物摄入的关联频率,开展了一项前瞻性研究。对10名接受过氨甲酰治疗的慢性酒精中毒患者进行了活检。所有在服用氨甲酰期间接受活检的患者(7例)以及另外2名在停药3年和7年后接受活检的患者均发现有包涵体。有1例患者接受的是短期小剂量治疗,在停药3年后进行活检,未发现包涵体。基于这些发现,这种病变可被认为是可预测的。1例患者未出现包涵体,可能是因为停药后包涵体消失了。

相似文献

1
Cyanamide-induced liver injury. A predictable lesion.氰胺引起的肝损伤。一种可预测的病变。
Liver. 1983 Aug;3(4):225-30. doi: 10.1111/j.1600-0676.1983.tb00872.x.
2
Hepatitis induced by drugs used as alcohol aversion therapy.用作酒精厌恶疗法的药物所致肝炎。
Diagn Histopathol. 1983 Jan-Mar;6(1):29-37.
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Ground glass inclusions in liver cells in an alcoholic treated with cyanamide (Dipsan).在用氨甲脒(迪普散)治疗的酒精性患者的肝细胞中出现磨玻璃样包涵体。
Liver. 1981 Mar;1(1):67-73. doi: 10.1111/j.1600-0676.1981.tb00024.x.
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Cyanamide-induced liver dysfunction after abstinence in alcoholics: a long-term follow-up study on four cases.
Alcohol Clin Exp Res. 2000 Apr;24(4 Suppl):100S-105S.
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Cyanamide-associated alcoholic liver disease: a sequential histological evaluation.氰胺相关酒精性肝病:一项连续组织学评估
Alcohol Clin Exp Res. 1995 Oct;19(5):1307-11. doi: 10.1111/j.1530-0277.1995.tb01616.x.
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Cyanamide-induced liver injury in alcoholics.酒精性患者中氨基氰诱发的肝损伤。
Lancet. 1980 Feb 16;1(8164):361-2. doi: 10.1016/s0140-6736(80)90903-4.
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Structural hepatic changes associated with cyanamide treatment: cholangiolar proliferation, fibrosis and cirrhosis.与氰胺治疗相关的肝脏结构变化:胆小管增生、纤维化和肝硬化。
Liver. 1984 Feb;4(1):15-21. doi: 10.1111/j.1600-0676.1984.tb00902.x.
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Liver. 1987 Aug;7(4):216-22.
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Comparison of cyanamide and disulfiram in effects on liver function.氨基氰和双硫仑对肝功能影响的比较。
Alcohol Clin Exp Res. 2000 Apr;24(4 Suppl):97S-99S.
10
Hepatic disease associated with ground-glass inclusions in hepatocytes after cyanamide therapy.
Arch Pathol Lab Med. 1986 Oct;110(10):906-10.

引用本文的文献

1
Regression mechanism of cyanamide-induced inclusion bodies in the rat: a useful experimental pattern to study the beta-glycogen metabolization of hepatocytes.氨基氰诱导大鼠包涵体形成的回归机制:一种研究肝细胞β-糖原代谢的有用实验模式。
Int J Exp Pathol. 1992 Dec;73(6):699-708.