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过敏性疾病中的类固醇。

Steroids in allergic disease.

作者信息

Webb D R

出版信息

Med Clin North Am. 1981 Sep;65(5):1073-81. doi: 10.1016/s0025-7125(16)31490-0.

Abstract

From the experience above, it may be concluded that corticosteroid therapy in allergic disease has become more effective than ever before. The expected variations in usage of new important pharmacologic agents is seen with special clarity in the use of corticosteroids. The wide acclaim for the "miracle drug of the 1950's", which followed penicillin of the 1940's, soon gave away to anguish about side-effects that threatened to abolish its use entirely in the late 1950's. The 1960's brought alternate day therapy for chronic usage and recognition that short term usage was relatively safe. The 1970's saw proliferation of topically active steroids similar to those so important to the practice of Dermatology in the previous decade. Results in treating asthma and nasal diseases have been excellent and extensive research for adverse effects has been largely unrevealing.

摘要

从上述经验可以得出结论,皮质类固醇疗法在过敏性疾病治疗中比以往任何时候都更有效。新的重要药物使用情况的预期变化在皮质类固醇的使用中表现得尤为明显。继20世纪40年代的青霉素之后,20世纪50年代的“神奇药物”广受赞誉,但在20世纪50年代末,人们很快就对其副作用感到痛苦,这些副作用甚至可能使其完全被弃用。20世纪60年代出现了用于长期治疗的隔日疗法,并且认识到短期使用相对安全。20世纪70年代,局部活性类固醇大量涌现,类似于前十年对皮肤科实践非常重要的那些类固醇。在治疗哮喘和鼻部疾病方面取得了优异的成果,并且对不良反应的广泛研究在很大程度上没有发现问题。

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