病理生理学,临床表现和银病的治疗:一篇综述
April W Armstrong1, Charlotte Read1,2
1Keck School of Medicine, Department of Dermatology, University of Southern California Los Angeles.
JAMA
|May 20, 2020
概括
全球有1.25亿人患有牛皮, 针对特定细胞因子的新生物治疗为中度至重度斑块性牛皮提供了先进的选择,改善了患者的生活质量.
科学领域:
- 皮肤病学和免疫学
- 炎症性皮肤疾病
- 伴随性疾病研究
背景情况:
- 牛皮是一种慢性炎症性皮肤病,
- 它与严重的发病率有关,包括牛皮关节炎,心脏代谢疾病和精神健康障碍,显著降低了生活质量.
- 斑块性牛皮,最常见的形式,已经看到快速进步了解其发病,遗传学,并发症和治疗.
研究的目的:
- 审查目前对斑块性牛皮的理解和治疗.
- 突出生物和口服治疗中度至重度斑块性牛皮的进展.
- 强调管理相关疾病的重要性.
主要方法:
- 目前关于斑块性牛皮病发病,遗传学和并发病的文献的审查.
- 根据已确定的指导方针,分析局部,生物和口服治疗方案.
- 检查各种治疗剂的疗效和安全性.
主要成果:
- 局部药物仍然是轻度牛皮的主要治疗方法.
- 针对瘤死因α (TNF-α),IL-12/23,IL-17和IL-23的生物疗法对中度至严重的斑块性牛皮有效.
- 针对TNF-α,IL-12/23和IL-17的生物药物也适用于牛皮关节炎的治疗.
结论:
- 牛皮是一种复杂的炎症性疾病,
- 局部治疗是轻微病例的基础,而先进的生物药物和口服药物代表了更严重的疾病的显著治疗进展.
- 治疗牛皮需要采取综合方法,既应对皮肤表现,也应对相关疾病,以改善患者的治疗结果和生活质量.
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