A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Thalidomide is primarily used for the acute treatment and maintenance therapy to prevent and suppress the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL).
NO.3 Hospital of the Chinese People's Liberation Army, Nanjing, Guangxi, China
Seoul National University Hospital, Seoul, Korea, Republic of
Department of Gastroenterology, Guangzhou, Guangdong, China
Bezirkskrankenhaus Kufstein, Innere Medizin, Interne II u. onkologische Tagesklinik, Kufstein, Austria
Univ.Klinikum Krems, Klin. Abt. f. Innere Medizin 2, Mitterweng, Austria
Ordensklinikum Linz - Elisabethinen, I. Interne Abt. Haemato-Onkologie, Linz, Austria
Beijing Cancer Hospital, Beijin, Beijing, China
Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China
Tongji Hospital of Tongji Medical College,Huazhong University of Science and Technology, Wuhan, Hubei, China
Shuhua Yi, Tianjin, China
Shuhua Yi, Tianjin, China
XZhang, Zhengzhou, Henan, China
Gastroenterology department; Ren Ji Hospital, Shanghai, Shanghai, China
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