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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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ソーリアシスの現在のおよび将来の管理
Alan Menter1, Christopher Em Griffiths2
1Baylor Research Institute and Southwestern Medical School, Dallas, Texas, 75246, USA.
Lancet (London, England)
|July 31, 2007
まとめ
効果的なの管理には,病気の範囲を評価し,生活の質を考慮する必要があります. 証拠に基づいたアプローチは,局所薬から重症の牛皮病の先進的な生物学的治療法まで,治療の選択を導く.
科学分野:
- 皮膚病学と免疫学について
- 根拠に基づいた医学は,証拠に基づいた医療です.
背景:
- 牛皮の管理には,疾患の重症度および患者特有の要因を評価することが必要です.
- 心理社会的障害と生活の質に対処する全体的なアプローチが不可欠です.
- 特定の病気の場所 (手のひら,足底,顔,爪) と,牛皮質関節炎は,治療の選択に影響します.
研究 の 目的:
- 牛皮病の現在のエビデンスベースの治療戦略の概要を述べる.
- 新規の生物学的薬剤を含むソーリアーシス治療法の進化を強調する.
- 総合的で個別化された治療計画の必要性を強調する.
主な方法:
- 牛皮病の現在の治療選択肢のレビュー.
- 異なる治療方法を支持する証拠の分析.
- 病気の範囲,場所,および患者の併発性疾患を考慮する.
主要な成果:
- 局所薬は,軽度の牛皮病および再発性病変の治療に主として使用されます.
- フォトセラピーは中程度の病気に適しています.
- 光化学療法,経口薬,および生物学的薬を含む全身療法が,重度の牛皮病の治療に不可欠であり,生物学的薬はケアに革命をもたらします.
結論:
- 証拠に基づいた,総合的なアプローチは,最適な牛皮病管理に不可欠です.
- 現在の治療法は,局所薬から高度な全身的および生物学的治療法まで様々です.
- 現在進行中の研究は,安全で長期にわたるソーリアーシス制御戦略を開発することを目的としています.
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