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孟加拉国患有神经型山黧豆中毒的患者中出现骨山黧豆中毒的证据。

Evidence of osteolathyrism among patients suffering from neurolathyrism in Bangladesh.

作者信息

Haque A, Hossain M, Lambein F, Bell E A

机构信息

Institute for Post Graduate Medical Research, Shahbagh, Dhaka, Bangladesh.

出版信息

Nat Toxins. 1997;5(1):43-6. doi: 10.1002/(SICI)(1997)5:1<43::AID-NT7>3.0.CO;2-M.

DOI:10.1002/(SICI)(1997)5:1<43::AID-NT7>3.0.CO;2-M
PMID:9086459
Abstract

In a study of 500 patients suffering from neurolathyrism in Bangladesh it was found that 60 (all male) complained of bone pain and showed skeletal deformities suggestive of osteolathyrism. On X-ray examination a failure of fusion in both vertebral and iliac epiphyses was found in two patients. At the age of these patients (30 and 37 years) such failure was considered a clear evidence of osteolathyrism. All 60 patients were accustomed to eating the green parts of Lathyrus sativus, which contain 2-cyanoethyl-isoxazolin-5-one, a compound that chemically and metabolically can produce the osteolathyrogen beta-aminopropionitrile (BAPN), as well as foods made from the seeds of the same plant which contain the neurotoxin 3-N-oxalyl-2,3-diaminopropanoic acid (beta-ODAP).

摘要

在孟加拉国对500名患有骨软化症的患者进行的一项研究中,发现60名患者(均为男性)抱怨骨痛并表现出提示骨软化症的骨骼畸形。经X光检查,两名患者的椎体和髂骨骨骺均未融合。在这些患者的年龄(30岁和37岁),这种未融合被认为是骨软化症的明确证据。所有60名患者都习惯食用含有2-氰基乙基异恶唑啉-5-酮的香豌豆的绿色部分,该化合物在化学和代谢上可产生致骨软化因子β-氨基丙腈(BAPN),以及由同一植物种子制成的含有神经毒素3-N-草酰基-2,3-二氨基丙酸(β-ODAP)的食物。

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