Mahrle G, Thiele B, Ippen H
Dtsch Med Wochenschr. 1983 Nov 18;108(46):1753-7. doi: 10.1055/s-2008-1069820.
Five patients with T-cell lymphoma of the skin (mycosis fungoides; Sézary syndrome) were given parenterally arotinoid ethyl ester (Ro 13-6298) at a daily dose of 0.5-4.0 micrograms/kg body weight, to a total dose of 20 mg over maximally 31 weeks. In three patients, among them one with tumourous mycosis fungoides, there was complete regression of the cutaneous lesions. In another patient the cutaneous changes, some of them with ulceration, regressed so that there were only residual infiltrates. In the case of the Sézary syndrome there was no response. Most important side-effects of treatment were cheilitis, moist and sticky skin, paronychia and dry mucosae. The most serious side-effect was pain in muscles, joints and bones. There were no significant changes in biochemical values during the treatment.
五例皮肤T细胞淋巴瘤(蕈样肉芽肿; Sézary综合征)患者接受了阿维A酸乙酯(Ro 13-6298)的肠胃外给药,每日剂量为0.5-4.0微克/千克体重,最大剂量为20毫克,给药时间最长为31周。三名患者(其中一名为肿瘤性蕈样肉芽肿患者)的皮肤病变完全消退。另一名患者的皮肤变化(其中一些伴有溃疡)有所消退,仅残留浸润。对于Sézary综合征患者,治疗无反应。治疗的最重要副作用是唇炎、皮肤潮湿黏腻、甲沟炎和黏膜干燥。最严重的副作用是肌肉、关节和骨骼疼痛。治疗期间生化指标无显著变化。