2007
DOI: 10.1590/s0004-27492007000600033
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Toxicidade ocular por derivados da 4-aminoquinolona

Abstract: Retinal toxicity of chloroquine has been extensively studied since its first description in 1957. This drug is used on a chronic basis to treat several rheumatologic and dermatologic diseases, a there is a trend to use hydroxychloroquine rather than chloroquine. The recommended dose for hydroxychloroquine is 4 mg/kg lean body weight per day. The clinical picture of chloroquine retinopathy is characterized by a paracentral visual field scotoma with associated parafoveal retinal pigment epithelium atrophy, known… Show more

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Cited by 11 publications
(24 citation statements)
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References 28 publications
(35 reference statements)
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“…Systemic administration of these drugs for a prolonged period is responsible for the appearance of multifocal hyperpigmentation, which is reversible once the medication is discontinued. Oral pigmentation secondary to drug therapy can be attributed to the stimulation of melanin production by melanocytes and/ or the deposition of metabolic products of the drugs in the tissues [3,5].…”
Section: Discussionmentioning
confidence: 99%
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“…Systemic administration of these drugs for a prolonged period is responsible for the appearance of multifocal hyperpigmentation, which is reversible once the medication is discontinued. Oral pigmentation secondary to drug therapy can be attributed to the stimulation of melanin production by melanocytes and/ or the deposition of metabolic products of the drugs in the tissues [3,5].…”
Section: Discussionmentioning
confidence: 99%
“…Pathologic changes in the oral mucosa can be associated with several drugs [1][2][3][4][5]. These adverse reactions depend on the drug and its pharmacodynamics and pharmacokinetics, as well as any individual variability in drug metabolism [6].…”
Section: Discussionmentioning
confidence: 99%
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