A case of pemphigus vulgaris possibly triggered by quinolones

Pemphigus vulgaris is an autoimmune blistering disorder in which both genetic and environmental factors, mainly drugs, are thought to play a part in its aetiopathogenesis. Although some drugs that contain thiol groups, such as D-penicillamine and captopril, and non-thiol drugs, such as cephalosporin, have been reported to trigger or induce pemphigus, there are no previous reports regarding the influence of quinolones in triggering this disease. Here we present a case of pemphigus possibly triggered by quinolones.     

HPLC和1HNMR分析确定cis-A-和cis-B-羟甲芬太尼的组成和构型

羟甲芬太尼(1)是一个强效的镇痛剂和高亲和、高选择性的阿片μ受体激动剂。通过HPLC和¹HNMR分析,cis-A-l被确定为由等量的cis-(+)-(3R,4S,2'S)-l和:cis-(—)-(3S,4R,2'R)-1组成的外消旋体,cis-B-l被确定为由等量的cis-(—)-(3R,4S,2'R)-1和cis-(+)-(3S/,4R,2'S)-1组成的外消旋体。     

佳贝和欧可芬滴眼液在白内障手术中应用的研究

目的：评价佳贝和欧可芬滴眼液在白内障术中维持瞳孔散大及术后抗炎作用疗效。胡机分组（佳贝组、欧可芬组和对照组）研究８６名白内障患者术前应用两种药物后,白内障术中瞳孔大小的改变以及对卡米可林（氨甲酰胆碱,Ｃａｒｂａｃｏｌ）缩瞳作用的影响;以地塞米松滴眼液为对照,研究应用两种滴眼液对术后角膜后ＫＰ和房水混浊度的影响,以及对术眼眼压的影响。结果：与对照组相比,佳贝和欧可芬都能有效抑制术中的瞳孔缩小（Ｐ〈０     

用二维核磁共振技术研究赤芝孢子内酯A和B的结构

通过~1H-~1H,~1H-~(13)C相关谱(COSY),~1H-~(13)C远程偶合相关谱(OOLOC)及NOE二维谱(NOESY)等新的二维核磁共振技术确定了两个新化合物赤芝孢子内酯A和B的结构。     

Tryptophan reduction and histidine racemization during deprotection by catalytic transfer hydrogenation of an analog of the luteinizing hormone releasing factor

(d -Trp)⁶-LHRH:pGlu-His-Trp-Ser-Tyr-d -Trp-Leu-Arg-Pro-GlyNH₂ was prepared by solid-phase peptide synthesis using the nitro group to protect the guanidine side chain of the arginyl residue. Removal of the side-chain protecting groups was carried out by catalytic transfer hydrogenation (CTH) using palladium acetate/ammonium formate or palladium on charcoal/formic acid. We show in this paper that this deprotection method induces i) reduction of the tryptophan residue and ii) epimerization at the histidine level (with palladium acetate/ammonium formate). Despite the formation of significant amounts of reduced peptide. CTH enabled us to obtain (d -Trp)⁶-LHRH in relatively good yield.     

羟甲芬太尼立体异构体的晶体结构

对强效镇痛剂羟甲芬太尼的两个光学异构体体cis-(3R,4S,2′R)-羟甲芬太尼(I)和trans-(3R,4R,2′S)-羟甲芬太尼(Ⅱ)进行了X-射线衍射晶体结构分析。两个异构体均有一个sp³N(l)原子和一个sp²N(7)原子。哌啶环呈椅式构象,顺式异构体I的3-甲基处于直立键,4-N-苯基丙酰胺基处于平伏键;反式异构体II的3-甲基与4-N-苯基丙酰胺基均处于平伏键。在I分子中,C(4)原子与4-丙酰胺基组成的平面与N-苯环平面近似相互垂直,而在II中,两平面的二面角近似为100℃。两异构体分子中均存在分子内氢键O(1)一H…N(1),反式异构体II还存在分子间氢键O(1)一H(A)…O(2)(B)。     

朝藿素D的分离和结构

从朝鲜淫羊藿(Epimedium koreanum)地上部分分离得到一新黄酮成分(I)和一已知化合物(II)。经光谱解析,证明I的结构为5,7,3',4'-tetrahydroxy-5'-prenylflavone,命名为朝藿素D(epimedokoreanin D);II为2-hydroxy-3,4,6,7-tetramethoxy-9,10-dihydrophenanthren。     

Extranasopharyngeal angiofibroma of the head and neck in women

Extranasopharengeal angiofibroma of the head and neck in women is very rare, and clinical characteristics do not confirm to that of nasopharyngeal angiofibroma. We present clinical characteristics, etiology, preoperative evaluation, and management of 3 unusual cases of angiofibroma, 1 case originating from larynx and the other 2 cases from nasal septum in women. Endolaryngeal endoscopic excision for laryngeal and local excision for septal angiofibromas were performed. The patients are free of disease. In the etiology of extranasopharyngeal angiofibroma, we suspect that ectopic tissue may become located further away than usual place and may have been the cause of the extranasopharyngeal location. Computed tomography scan, magnetic resonance imaging, and carotid angiogram are valuable in the diagnosis of extranasopharyngeal angiofibroma. Excision of the mass is the treatment of choice, and recurrence is rare.