氧化诱导的脂症 - - 一种常见药物的被遗忘的并发症
Nagamounika Kothapalli1, Shivraj Padiyar1, Aswin M Nair2
1Department of Clinical Immunology and Rheumatology, Christian Medical College, Vellore, Tamil Nadu, India.
Indian journal of nephrology
|April 29, 2024
概括
氧化 (HCQ) 可以引起脂症,这是一个罕见的副作用. 在患有持续性蛋白尿症的患者中,应考虑这种情况,如通过脏活检电子显微镜检测发现的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 类风湿病学 类风湿病学
- 毒理学 毒理学 毒理学
背景情况:
- 氧化 (HCQ) 是一种具有免疫调节功能的疾病修饰性抗风湿药物 (DMARD),广泛用于风湿病.
- 通常用于系统性红斑狼,类风湿性关节炎和Sjogren综合征,HCQ通常耐受良好.
- 虽然已知的毒性包括视网膜病变和心肌病变,但药物诱导的脂症是不太常见的,但报告的不良影响.
研究的目的:
- 报告两例氧化诱导的脂症病例.
- 为了突出脏活检电子显微镜在诊断这种不常见的副作用的实用性.
- 强调在患有不明原因持续蛋白尿症的患者中考虑HCQ诱导的脂症的重要性.
主要方法:
- 关于两名患有持续蛋白尿症的患者的病例报告.
- 诊断评估包括脏活检.
- 对脏活检样本进行了电子显微镜检查,以确定脂沉积.
主要成果:
- 电子显微镜揭示了在两个患者中脂症的特征特征.
- 调查结果证实,氧化素是这些病例中脂症的致病原体.
- 持续的蛋白尿是临床表现的临床表现.
结论:
- 氧化诱导的脂症是一种不常见但显著的不良影响.
- 用电子显微镜进行脏活检对于诊断HCQ诱导的脂症至关重要.
- 在HCQ治疗中患有持续蛋白尿症的患者的差异诊断中应包括这种情况.
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