结核病 危机 和 肌肉骨 皮质类固醇注射
Maheswari Muruganandam1, Eyerusalem B Akpan, Matthew K McElwee
1From the University of New Mexico Health Sciences Center, Albuquerque, NM.
概括
肌肉骨皮质类固醇注射对于全身性硬化症患者来说是安全的,没有显示出硬化皮质性危机的风险增加. 建议在注射后对高风险个体进行仔细监测.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 炎症性关节炎在全身性硬化症 (SSc) 中很常见.
- 肌肉骨类皮质类固醇 (MSKC) 注射在SSc患者中经常被避免,因为人们担心硬化肌性危机 (SRC).
研究的目的:
- 调查SSc.患者MSKC注射后SRC的发生率.
主要方法:
- 研究了136名SSc患者的队列,其中46名接受了总共330次MSKC注射的三氨酸.
- 在注射前后收集了包括血压,血清肌素和葡萄糖以及尿蛋白在内的患者数据.
- 系统地记录并发症.
主要成果:
- 在MSKC注射后,没有观察到缩或放缩血压,肌素,葡萄糖或尿蛋白-肌素比率的显著变化.
- 在MSKC组中,SRC的发病率为零,而对照组中死亡率为1例.
- 在MSKC组中没有报告感染,血液学异常或肌破裂.
结论:
- 在已建立的SSc患者中,MSKC注射似乎通常是安全的,SRC和其他并发症的发病率很低.
- 建议对高风险的SSc患者和MSKC注射后最近出现SSc的患者进行监测.
相关概念视频
Skeletal Muscle Relaxants: Adverse Effects
337
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
337
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
96
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
96
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
222
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
222
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
142
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
142
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
391
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
391
Skeletal Muscle Relaxants: Therapeutic Uses
466
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
466


