Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0008031 (chest pain)
 17,248 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Within a one-year period seven patients were observed who had developed ulcers of the upper and mid oesophagus after treatment with doxycycline hydrochloride (n = 3), emepronium bromide (n = 3) or Pantogar (n = 1). In each instance the drug had apparently been swallowed dry. The typical symptoms were a sudden onset of retrosternal chest pain and odynophagia during bed rest. Once the drug had been discontinued and treatment with antacid combined with topical anaesthetics and/or alginic acid instituted the symptoms disappeared within a few days. The authors stress that drugs should be swallowed only with good amounts of fluid and generally not immediately before bed rest.
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PMID:[Drug-induced oesophageal ulcers (author's transl)]. 35 51

Clinical and endoscopic features of two pediatric cases of esophageal ulcers caused by capsules of oxytetracycline and doxycycline are described. Several cases of medication-induced esophageal injury in children have been reported until now, all of which were in association with tablets or capsules. Antibiotics are known to be responsible for medication-induced esophagitis in adults. In this study, 4 cases were caused by emepronium bromide and 3 cases, including the present patients, by antibiotics. All cases but one complained of chest pain and/or dysphagia. Although the interval between the onset of the symptoms and the diagnosis varied among cases, the clinical courses were relatively uneventful, without any long-term sequelae. This clinical entity seems to be unfamiliar to pediatricians and is omitted from the differential diagnosis.
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PMID:Medication-induced esophagitis in children. 221 Feb 23

Drug-induced ulcers of the oesophagus represent a rare but probably under-recorded complication. In a series of 5900 endoscopies performed in 32 months, oesophageal ulcers were seen in 4 cases following the intake of doxycycline, and in one case after ingestion of pinaverium bromide and a bulk laxative respectively. Oesophageal ulcers were seen mainly in young patients without underlying oesophageal disease, presenting with chest pain and odynophagia. The most common site of involvement was at the aortic notch in the middle third of the oesophagus. The course was quickly favorable within 5-10 days after the drug was discontinued, but transient complete abstention from oral intake was required in some cases. Ulceration is thought to be secondary to drug stasis and local cytotoxic effects. Oesophageal ulcers can be prevented simply by recommending intake of the drug with sufficient water in the upright position at least two hours before retiring.
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PMID:[Importance of drug-induced ulceration in endoscopic lesions of the esophagus]. 386 36

Diffuse esophageal spasm (DES) is a motor disorder of the esophageal smooth muscle characterized by multiple spontaneous contractions and by swallow-induced contractions that are of simultaneous onset, large amplitude, long duration, and repetitive occurrence. Although the pathogenesis of DES is unknown, provocative studies with cholinergic stimulation, esophageal balloon distention, or acid instillation have suggested involvement of both sensory and motor mechanisms. This report describes a patient with DES who would predictably become symptomatic with dysphagia and chest pain upon inhalation of perfume or other strong odors. Using esophageal scintigraphy to quantitate and analyze esophageal transit in this patient, we report for the first time that olfactory stimulation triggers episodes of DES and that such phenomena are mediated through the vagus nerve, because they can be ameliorated by the administration of ipratropium bromide. These observations suggest a new (sensory) pathway for the induction of DES and raise the intriguing possibility that inhaled anticholinergics may have a therapeutic role in the management of spastic esophageal motility disorders.
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PMID:Olfactory stimuli provoke diffuse esophageal spasm: reversal by ipratropium bromide. 885 54

Trinitroglycerin (TNG), a nitrate ester, is widely used in the pharmaceutical industry for the treatment of angina pectoris (chest pain) and by the military for the manufacturing of dynamite and propellants. Currently, TNG is considered as a key environmental contaminant due to the discharge of wastewater tainted with the chemical from various military and pharmaceutical industries. The present study describes the use of a nanostructured silica material (Mobil Composite Material no. 48 [MCM-48]) prepared by mixing tetraethylorthosilicate (TEOS) and cetyltrimethylammonium bromide (CTAB) to remove TNG from water. The sorption of TNG onto MCM-48 rapidly reached equilibrium within 1 h. Sorption kinetics were best described using a pseudo-second order model, whereas sorption isotherms were best interpreted using the Langmuir model. The latter gave a maximum sorption capacity of 55.2 mg g(-1) at 40 degrees C. The enthalpy and entropy of TNG sorption onto MCM-48 were 1.89 kJ mol(-1) and 79.0 J mol(-1).K(-1), indicating the endothermic nature of the TNG sorption onto MCM-48. When MCM-48 was heated at 540 degrees C for 5 h, the resulting calcined material (absence of the surfactant) did not sorb TNG, suggesting that the surfactant component of the nanomaterial was responsible for TNG sorption. Finally, we found that MCM-48 lost approximately 30% of its original sorption capacity after five sorption-desorption cycles. In conclusion, the nanostructured silica based sorbent, with high sorption capacity and remarkable reusability, should constitute the basis for the development of an effective technology for the removal of TNG from contaminated water.
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PMID:Sorptive removal of trinitroglycerin (TNG) from water using nanostructured silica-based materials. 2017 31