在患有 Vulvar Lichen Sclerosus 的患者中患有类固醇恐惧症
Emily Delpero, Abi Sriharan1, Amanda Selk2
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Journal of lower genital tract disease
|June 7, 2023
概括
类固醇恐惧症在状样硬化 (vLS) 患者中很常见,导致局部皮质类固醇 (TCS) 不合格. 医生和药剂师的保证是改善TCS治疗患者舒适度的关键.
科学领域:
- 皮肤病学 皮肤病学
- 心理学 心理学 心理学
- 患者的坚持 患者的坚持
背景情况:
- 类固醇恐惧症与皮肤病的局部皮质类固醇 (TCS) 不遵守有关.
- Vulvar lichen sclerosus (vLS) 需要终身的TCS维护,但这种人群中尚未研究过类固醇恐惧症.
- 在vLS的不遵守可以恶化生活质量和疾病的进展,包括癌的风险.
研究的目的:
- 测量诊断为vLS的患者中类固醇恐惧症的患病率和严重程度.
- 为患者确定关于TCS使用的最可靠信息来源,以指导未来的干预.
主要方法:
- 调整并使用经过验证的12项TOPICOP尺度来评估类固醇恐惧症.
- 通过社交媒体和个人在机构对临床或活检证明的vLS患者进行匿名调查.
主要成果:
- 在865个在线和31个面对面的响应中,观察到全球平均类固醇恐惧症得分为43.02%.
- 大约40%的参与者报告推迟TCS使用和过早停止治疗.
- 医生和药剂师的保证被认为比在线资源更有影响力,以改善患者对TCS的舒适度.
结论:
- 类固醇恐惧症是状样硬化症患者中普遍存在的问题.
- 医疗保健提供者,特别是医生和药剂师,在解决患者担忧和改善对局部皮质类固醇的坚持方面发挥着至关重要的作用.
相关概念视频
Disorders of the Female Reproductive System
421
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
421
Drugs for Treatment of Diarrhea-Predominant IBS
219
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
219
Allergic Drug Reactions
900
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
900
Drugs for Treatment of Constipation-Predominant IBS
236
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
236
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
316
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
316
Antiasthma Drugs: Leukotriene Modifiers
375
Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
Leukotriene modifiers work through two distinct mechanisms:
375


