Camus J P, Jaffe I A, Crouzet J, Prier A, Mercier A, Dubois A
Rev Rhum Mal Osteoartic. 1978 Feb;45(2):95-100.
Pyrithioxine has certain chemical resemblances to penicillamine and is used as original treatment in a series of 72 cases of rheumatoid arthritis over a period of six months in a dose of 600 mgs daily. Results were favourable in 63% of cases with important lowering of the articular index, return to normal of the sedimentation rate and less frequently a reversal of the Waaler-Rose reaction. Secondary complications were essentially muco-cutaneous, sometimes gastric and necessitated stopping treatment in 15% of cases. No other serious side effect has been observed. When compared with penicillamine pyrithioxine would appear less efficacious but better tolerated. The usefulness of this new medicament in the treatment of rheumatoid arthritis needs to be further explored.
吡硫醇在化学结构上与青霉胺有某些相似之处,在6个月的时间里,以每日600毫克的剂量用于72例类风湿性关节炎患者的初始治疗。63%的病例效果良好,关节指数显著降低,血沉恢复正常,瓦尔勒-罗斯反应逆转的情况较少见。次要并发症主要是皮肤黏膜方面的,有时也会出现胃部问题,15%的病例需要停药。未观察到其他严重副作用。与青霉胺相比,吡硫醇似乎疗效稍差,但耐受性更好。这种新药在类风湿性关节炎治疗中的效用还有待进一步探索。