钙质沉着症.pdf

Therapeutics of Clinical Drugs 臨 床 藥 物 治 療 學 鈣質沉著症 高雄榮民總醫院藥劑部藥師 黃慈婷、林佩津、曾碧萊 摘要 warfarin bisphosphonates minocycline ceftriaxone diltiazem aluminium hydroxide probenecid intralesional corticosteroids intravenous immunoglobulin (carbon dioxide laser) (extracorporeal shock wave lithotripsy) CREST 壹 、前言 2,3 (calcinosis) 1 (sy stemic lupus erythematosus SLE) (scleroderma SSs) (sj ogrens syndrome) (dermatomyositis DM) CR E ST (calcinosis, raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) 圖一 鈣質沉著症1 貳 、分類 19 7 5 G r e e n f e l d 2 5 - 4 0 % 5- 10% (j uv en ile (m et a st at i c c a l c in o s i s) dermatomyositis JDM) (generalized calcinosis) 30% (idiopathic tumoral calcinosis) 1985Black Kanat Marzano 2002 Wilmer 29 3 藥學雜誌 第116冊 77 Sep . 30 20 13 臨 床 藥 物 治 療 學 Therapeutics of Clinical Drugs 4 (raynauds syndrome) (advanced glycation end products AGEs) (receptor) - (milk-alkali syndrome)