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与福斯拉夫康纳L-氨酸乙醇酸相关的损伤
Takahiro Shinzato1, Kojiro Nagai2, Yuuki Hoshino2
1Department of Nephrology, Shizuoka General Hospital, 4-21-1, Kitaando, Aoi Ward, Shizuoka City, Shizuoka, 4208527, Japan. shinzatotakahiro@gmail.com.
Clinical and experimental nephrology
|November 2, 2024
概括
瑞可纳L-氨酸乙醇酸 (F-RVCZ) 在27.8%的患者中引起损伤,比以前认为的更高. 这种抗真菌药物诱导的损伤的确切原因尚不清楚.
科学领域:
- 药理学 药理学是指药理学的学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
背景情况:
- 福斯拉夫可纳L-氨酸乙醇酸 (F-RVCZ) 是拉夫可纳的一种三抗真菌前药物.
- 它用于治疗甲状腺菌 (菌指甲感染).
- 以前的报道显示,F-RVCZ相关损伤的发生率很低 (≤1%).
研究的目的:
- 评估与F-RVCZ治疗相关的损伤的实际发生率.
- 调查潜在的风险因素和F-RVCZ诱导的损伤的潜在机制.
主要方法:
- 在服用F-RVCZ之前,期间和之后,对血清肌素,淋巴膜过率和尿蛋白进行了监测.
- 病理学和活检被用来调查损伤的原因.
- 统计分析确定了F-RVCZ诱导的损伤的危险因素.
主要成果:
- 在接受F-RVCZ的患者中,损伤发生在27.8%,在治疗后的10%持续.
- 没有观察到尿液分析的显著变化.
- 同时使用ACE抑制剂或ARB是一种显著的危险因素 (OR 18.9,p=0.0169).
- 一名患者的脏活检显示,没有引起病变的病变.
结论:
- F-RVCZ与损伤的发病率比以前报告的更高.
- F-RVCZ诱导的损伤背后的机制需要进一步研究.
- 接受ACE抑制剂或ARB治疗的患者可能面临更高的风险.
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