After repeated epidermal application of an ointment containing salicylic acid, mucopolysaccharidepolysulfate and suprarenal extract (Mobilat) the transdermal absorption of salicylate was determined in seven healthy volunteers by measuring the renal excretion of salicylate as well as the plasma level. The determination of the corticosteroid plasma level was to elucidate a possible effect caused by the suprarenal extract contained in Mobilat ointment. By means of high pressure liquid chromatography the concentrations of salicylic acid and salicyluric acid in the collected urine and in the plasma were established. The quantitative determination of hydrocortisone, 11-desoxycortisol and 17 alpha-hydroxyprogesterone, selected as indicator steroids, was performed by radioimmuno assay. After repeated application of Mobilat ointment a constant level of salicylic acid in plasma of approximately 0.2 microgram/ml was observed. The total excretion of salicylate reaches a constant level of approximately 12 mg/day. About 6.9% of the amount of salicylate was renally excreted after 7 days. The corticosteroid plasma level showed no significant change.
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Rehabilitacion (Madr)
January 2025
Servicio de Medicina Física y Rehabilitación, Hospital Universitario Miguel Servet, Zaragoza, España.
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Department of Pain Medicine, Aichi Medical University, Nagakute, Aichi, Japan.
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Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine Los Angeles, Los Angeles, CA, USA.
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Section of Benign Hematology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Thrombotic thrombocytopenic purpura (TTP) is characterized by thrombotic microangiopathy resulting from decreased activation of the von Willebrand factor-cleaving protease (ADAMTS13). TTP can cause organ damage and is often fatal if the appropriate treatment is not started immediately. Although primary immune TTP is the most common form of TTP, secondary immune etiologies, including complications from immune checkpoint inhibitors (ICIs), have also been reported.
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