A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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
Hospital das Clinicas da Faculdade de Medicina da USP, São Paulo, Brazil
Memorial Sloan Kettering Monmouth, Middletown, New Jersey, United States
Memorial Sloan Kettering Commack, Commack, New York, United States
Memorial Sloan Kettering Westchester, Harrison, New York, United States
Qilu hospital of Shandong University, Jinan, Shandong, China
Ru Feng, Guangzhou, Guangdong, China
University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
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
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