2.Telmisartan Versus Valsartan in Patients With Hypertension: Effects on Cardiovascular, Metabolic, and Inflammatory Parameters.
Sung Yoon LIM ; Sun Won KIM ; Eung Ju KIM ; Jun Hyuk KANG ; Su A KIM ; Yun Kyung KIM ; Jin Oh NA ; Cheol Ung CHOI ; Hong Euy LIM ; Seong Woo HAN ; Seung Woon RHA ; Chang Gyu PARK ; Hong Seog SEO ; Dong Joo OH
Korean Circulation Journal 2011;41(10):583-589
BACKGROUND AND OBJECTIVES: Angiotensin-receptor blockers (ARBs) have beneficial effects on cardiovascular, metabolic, and inflammatory parameters in addition to controlling blood pressure (BP). However, few comparative clinical studies have been conducted with different ARBs. We compared these effects in patients with uncomplicated hypertension who were receiving telmisartan or valsartan. SUBJECTS AND METHODS: The subjects were patients with essential hypertension (48.4+/-9.6 years) who were randomly assigned to take either telmisartan (80 mg/day, n=30) or valsartan (160 mg/day, n=30) for 12 weeks. Their anthropometric, laboratory, vascular, and echocardiographic data were measured at baseline and at the end of the study. RESULTS: Baseline characteristics were not significantly different between the two groups, except for the carotid-femoral pulse wave velocity (cfPWV; telmisartan group vs. valsartan group; 841.2+/-131.0 vs. 761.1+/-104.4 cm/s, p<0.05). After 12 weeks, BP had fallen to a similar extent with mean reductions in the systolic and diastolic BP of 20.7+/-18.1 and 16.3+/-13.0 mm Hg (p<0.001, respectively) for the telmisartan and 22.5+/-17.0 and 16.8+/-9.3 mm Hg (p<0.001, respectively) for the valsartan group. Although the cfPWV and left ventricular mass index (LVMI) fell significantly only with the administration of telmisartan, they were not significantly different when baseline cfPWV was considered. The differences in the cfPWV and LVMI changes from baseline between the two groups were also not significant after adjusting for baseline cfPWV. No significant changes in other vascular, metabolic, or inflammatory parameters were observed with either treatment. CONCLUSION: The effects of a 12-week treatment with the two ARBs, telmisartan and valsartan, on cardiovascular, metabolic, and inflammatory parameters were not different in patients with uncomplicated hypertension.
Benzimidazoles
;
Benzoates
;
Blood Pressure
;
Humans
;
Hypertension
;
Pulse Wave Analysis
;
Tetrazoles
;
Valine
;
Valsartan
3.A Case of Human Infestation of Canine Scabies.
Sung Bum KANG ; Jun Young LEE ; Baik Kee CHO ; Won HOUH
Korean Journal of Dermatology 1988;26(4):570-574
We present herein a case of human infestation of canine scabies occuring in a 7l-year-old female patient. Severe pruritic, erythematous papular lesions and excoriation were found over the abdomen, submammary area, and thigh. The itching sensation was aggravated especially at night. Efforts to demonstrate mites from the lesiona of the patient were unsuccessful. Her pet, a small puppy, showed loss of hair and crusted or scaly erythematous patches on the auricles and trunk 1 month prior to her skin lesions. Sarcaptescabiei var. canis were collected from the puppy by brushing the hair snd crusted or scaly patches on its skin. The patient and puppy were treated successfully with application of 25% benzyl benzoate solution.
Abdomen
;
Benzoates
;
Female
;
Hair
;
Humans*
;
Mites
;
Pruritus
;
Scabies*
;
Sensation
;
Skin
;
Thigh
4.A Case of Scabies Incognito.
Jong Yuk YI ; Chun Wook PARK ; Baik Kee CHO ; Won HOUH
Korean Journal of Dermatology 1986;24(4):518-522
Numerous burrows developed in a 20-year-old male student who had been terated with topical fluorinated corticosteroid for 2 months. The number of burrows is the largest on scrotum(15/cm) and then interdigital web(10/cm), finger (7/cm), wrist (7/cm), penis (5/cm), abdomen (5/crn) and dorsurn of hand (5/cm) in decreasing order. The itch mites were also collected by brushing the skin surface and clotbes. Metronidazole was tried in this case, but living itch mites were still found at 7th day of treatment. No living itch mites were found after topical application of benzyl benzoate solution and crotamiton cream for 3 consecutive days.
Abdomen
;
Benzoates
;
Fingers
;
Hand
;
Humans
;
Male
;
Metronidazole
;
Mites
;
Penis
;
Scabies*
;
Skin
;
Wrist
;
Young Adult
5.Simultaneous assay of paeoniflorin and albiflorin in Paeoniae Radix Alba by QAMS.
Shanjun HUANG ; Qiwei YANG ; Yanhong SHI ; Rui WANG ; Zhengtao WANG
China Journal of Chinese Materia Medica 2011;36(6):780-783
OBJECTIVETo develop a method of quantitative analysis of multi-components by single marker (QAMS) for simultaneously determining paeoniflorin and albiflorin in Paeoniae Radix Alba.
METHODUsing paeoniflorin as the internal reference substance, the relative correction factor (RCF) of albiflorin was determined by HPLC and UPLC with good reproducibility. The contents of paeoniflorin in 16 samples of Paeoniae Radix Alba were authentically determined by the external standard method, and the content of albiflorin was calculated according to the RCF. The contents of these two components in the samples were determined with the external standard method.
RESULTNo siginificant differences between the quantitative results of QAMS method and external standard method were observe.
CONCLUSIONIt is a convenient and accurate method to determine multi-components when some authentic standard substances were unavailable. It can be used to control the quality of Paeoniae Radix Alba
Benzoates ; analysis ; Bridged-Ring Compounds ; analysis ; Chromatography, High Pressure Liquid ; methods ; Glucosides ; analysis ; Monoterpenes ; Paeonia ; chemistry
6.A Study for Skin Protection Effect of Sunscreens: I . Comparison of Effectiveness by the Concentration.
Ai Young LEE ; Jai Il YOUN ; Yoo Shin LEE
Korean Journal of Dermatology 1984;22(3):295-301
The purpose of this study is to evaluate the effectiveness of these para-amino- benzoate, benzophenone and cinnamate sunscreens in the same base(cream) and the effect of concentration on sun protection with three different concentrations(2 5%, 5. 0% and 7. 5%.). Twenty-one normal healthy Korean-men, majority(2. 5%) of whom have skin type iv or v, were applied to their untanned back with above prepared nine different sunscreens and calculated individual sun protection factor (SPF) of these different sunscreens. The test results can be summarized as follows: 1. In the para-aminobenzoic acid, the mean SPF, of concentrations were 7. 33+2. 87, 7.35+2. 89 and 7. 37+2. 88 no significant difference. 2. In the benzophenone, the mean SPF of all of 2. 5M, ntrations was 3.43 t0. 85. 3 In the cinnamate, the mean SPF of all of 2. 5% 5. O%
4-Aminobenzoic Acid
;
Benzoates
;
Skin*
;
Solar System
;
Sun Protection Factor
;
Sunscreening Agents*
7.Microbiological transformation of paeoniflorin and albiflorin.
Xinxin LIU ; Xiaochi MA ; Changhong HUO ; Shuhong YU ; Qiao WANG
China Journal of Chinese Materia Medica 2010;35(7):872-875
OBJECTIVETo investigate the microbiological transformation of paeoniflorin and albiflorin.
METHODThe bacteria strains able to transform paeoniflorin and albiflorin were screened from 18 strains of microorganisms. The products were isolated by chromatography method and their structures were elucidated by spectral technology.
RESULTIt was found that Cunninghamella blakesleana (AS 3.970) and Syncephalastrum racemosum (AS 3.264) could convert paeoniflorin and albiflorin efficiently, respectively. C. blakesleana could convert paeoniflorin to produce albiflorin, while S. racemosum could convert albiflorin to produce paeoniflorin.
CONCLUSIONPaeoniflorin and albiflorin could be converted each other in definited condition.
Benzoates ; metabolism ; Biotransformation ; Bridged-Ring Compounds ; metabolism ; Cunninghamella ; metabolism ; Glucosides ; metabolism ; Monoterpenes ; Mucorales ; metabolism
8.Deferasirox--a new oral iron chelator--review.
Ting WANG ; Chong GAO ; Bao-An CHEN
Journal of Experimental Hematology 2010;18(5):1359-1364
Deferasirox is a new oral iron chelator. It is the first oral iron chelator approved in USA by FDA for transfusion-dependent patients above 2 years suffering from severe chronic iron overload. It is also recommended as the initial therapy for patients over the age of 6 years who are suffering from beta-thalassaemia. The clinical study is developing in China. This review focuses the related studies and the latest progression about deferasirox. The phase II and III clinical trials and pharmacokinetics indicated that deferasirox is a safety and effective oral iron chelator, can significantly decrease the myocardial and hepatic iron load, also is easy to accept for patients. The common adverse reactions are gastrointestinal symptom and rash. But it was recently reported that deferasirox has some rare adverse events to which we must attach importance, especially for the special people. Besides the patients with chronic iron overload resulting from blood transfusions (transfusional hemosiderosis), the drug is also used for the patients who has accepted auto-SCT or suffered from reversible renal inadequacy caused by Fanconi syndrome. The standard dosage is not useful to every patient. The clinician should adjust dosage based on the patient's condition and related indexes. The serum ferritin is not one and reliable index to monitoring the effect and adjust the dosage. Otherwise, this review recommends some new characters of deferasirox, e.g. anti-fungus, anti-cell proliferation and so on.
Benzoates
;
administration & dosage
;
Clinical Trials as Topic
;
Humans
;
Iron Chelating Agents
;
administration & dosage
;
Triazoles
;
administration & dosage
9.Eltrombopag for the treatment of primary immune thrombocytopenia in 23 pediatric patients.
Yue Ting HUANG ; Xiao Fan LIU ; Yun Fei CHEN ; Rong Feng FU ; Wei LIU ; Feng XUE ; Lei ZHANG ; Ren Chi YANG
Chinese Journal of Hematology 2019;40(12):1031-1034
Objective: To evaluate the efficacy and safety of eltrombopag in the treatment of pediatric primary immune thrombocytopenia (ITP) . Methods: The clinical characteristics of 23 pediatric ITP patients who received eltrombopag from May 2015 to March 2019 were retrospectively analyzed. Eltrombopag started with an initial dose of 12.5-50.0 mg/d and the maximum dose was 75.0 mg/d. Results: Among 23 children, there were 11 boys and 12 girls with median age 11.0 (2.0-17.0) years. Four cases were newly diagnosed ITP, the other 8 of persistent ITP and 11 of chronic ITP. The duration of eltrombopag application ranged from 4.5 to 95 weeks (8/23 still ongoing) . The median platelet (PLT) counts at 2 weeks, 4 weeks, 3 months and the 6 months after treatment were 40 (4-170) ×10(9)/L, 20 (4-130) ×10(9)/L, 60 (4-110) ×10(9)/L, and 70 (18-160) ×10(9)/L, which were all significantly higher than that before treatment 14 (2-82) ×10(9)/L (z=-3.440, P=0.001; z=-1.964, P=0.049; z=-4.339, P<0.001;z=-5.794, P<0.001 respectively) . The overall response rate was 60.87% (14/23 cases) . The median time to PLT count ≥30×10(9)/L was 10.5 (3-42) days. Seven patients (30.43%) responded within the first week, and 10 cases (43.48%) achieved PLT counts ≥30×10(9)/L within 2 weeks. All patients were divided into three groups according to the age (<6 years old, 6-12 years old, 13-17 years old) . The response rates were similar in three groups, as 33.33%, 60.00%, 85.71%, respectively. WHO bleeding scores as 0, 1, 2 were corresponded to 4, 12 and 7 patients before treatment. Patient numbers changed to 13, 7, 3 with bleeding scores 0, 1, 2 respectively after treatment (χ(2)=7.558, P=0.006) . Eltrombopag was well tolerated, the common adverse events included elevated transaminase (4 cases) and serum bilirubin (4 cases) ; mild nausea (1 case) , vomiting (1 case) and dizziness (1 case) . No drug withdrawal occurred due to adverse events. Conclusion: Eltrombopag is safe and effective in pediatric patients with primary ITP.
Adolescent
;
Benzoates
;
Child
;
Female
;
Humans
;
Hydrazines
;
Male
;
Purpura, Thrombocytopenic, Idiopathic
;
Pyrazoles
;
Retrospective Studies
;
Treatment Outcome
10.A Clinical and Histopathological Study of Experimental Canine Scabies.
Jin Kyung HONG ; In Gang JANG ; Baik Kee CHO ; Won Koo LEE
Annals of Dermatology 1998;10(4):238-246
BACKGROUND: Canine scabies is caused by an infestation of Sarcoptes scabiei var. canis (S. canis) in dogs and they can be transmitted to humans. Recently pet raising has been increasing in Korea and various parasitic infestations contracted from them have also been increasing including canine scabies. OBJECTIVE: The purpose of this study was to examine the clinical and histopathological features of experimental canine scabies. METHODS: Two dogs experimentally infested were observed for a year. They were examined physically and the numbers of S. cans were counted from scraping samples of the ear, leg and abdomen every 3 to 7 days and skin biopsies were taken. One was given systemic corticosteroids(Dogl) and the other was observed in its natural course(Dog2). RESULTS: Dogl-Clinically severely pruritic, markedly thick hyperkeratotic scales, crust and generalized erythema on the whole body developed with huge numbers(up to 754.9/100mg from scales of the abdomen) of mites, and histopathologically showed features similar to human crusted scabies. Dog2-Clinically showed milder features than Dogl including the number of S. canis(up to 242.6/100mg from scales of the ear), but histopathologically showed similar features with Dogl. Dog2 also showed a prompt response to one topical application of 20% benzyl benzoate solution. CONCLUSIONS: 1) The number of S. canis increased markedly in both normal and corticosteroidtreated dogs, although it was more significantly increased in the corticosteroid-treated one. 2) Histopathology showed features similar to classical scabies in the early stage but features of human crusted scabies in the full-blown stage. 3) Morphologically Sarcoptes canis differs from Sarcoptes scabiei var. hominis.
Abdomen
;
Animals
;
Benzoates
;
Biopsy
;
Dogs
;
Ear
;
Erythema
;
Humans
;
Korea
;
Leg
;
Mites
;
Sarcoptes scabiei
;
Scabies*
;
Skin
;
Weights and Measures