酒精作为大麻超导综合征的新型触发器
Umair Hayat1, Mohammed K Al-Sawalha2, Shahzad Hussain3
1Internal Medicine, Lady Reading Hospital Peshawar, Peshawar, PAK.
Cureus
|March 2, 2026
概括
一次剂量酒精可能会在易感个体中引发大麻超症候群 (CHS). 这份案例报告强调酒精是CHS的潜在原因,强调需要进行临床调查.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
背景情况:
- 大麻高症候群 (CHS) 是一种影响慢性大麻使用者的疾病,导致周期性恶心,吐和腹痛.
- 除了大麻使用之外,CHS的确切触发因素还不清楚.
研究的目的:
- 报告一例复发性大麻复杂综合征 (CHS) 的情况.
- 为了调查CHS发作的潜在新型触发因素.
主要方法:
- 一个52岁的男性患有复发性CHS的病例报告.
- 分析酒精摄入和高发作之间的时间关系.
- 诊断工作排除症状的其他原因.
主要成果:
- 患者经历了五次CHS发作,每个发作都是在大约一周前服用单剂量酒精后发生的.
- 最近的发作涉及严重的低血症,需要接受ICU治疗.
- 诊断工作证实了CHS并排除了其他病理.
结论:
- 一次剂量的酒精可能会作为大麻高缩综合征 (CHS) 的特定触发剂.
- 这一案例突出了酒精作为CHS的先前报告不足的沉剂.
- 临床医生应考虑在出现复发性CHS的患者中使用酒精,以有效预防和咨询.
相关概念视频
CNS Depressants: Alcohol and Nicotine
1.4K
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
1.4K
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
864
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
864
Pathophysiology of Vomiting
3.5K
Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through...
3.5K
Acid Halides to Esters: Alcoholysis
4.2K
Alcoholysis is a nucleophilic acyl substitution reaction in which an alcohol functions as a nucleophile. Acid halides react with alcohol to produce esters. The mechanism proceeds in three steps:
4.2K
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
983
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
983
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
691
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
691


