与甲基酸相比,用氧化治疗皮肤肌炎患者的皮肤不良反应的几率更高
Astia Allenzara1, Alison Hollis1, Carolina Álvarez1
1University of North Carolina at Chapel Hill.
ACR open rheumatology
|September 25, 2023
概括
与甲醇 (MTX) 相比,氧化 (HCQ) 可能会增加皮肤不良反应在皮肤肌炎 (DM) 患者. 在开始HCQ治疗的年轻DM患者中,这种风险更高.
科学领域:
- 皮肤病学 皮肤病学
- 类风湿病学 类风湿病学
- 药物监督 药物监督 药物监督
背景情况:
- 皮质神经炎 (DM) 治疗通常涉及氧化 (HCQ) 或甲状腺素 (MTX).
- 之前的观察表明,HCQ可能与DM患者的皮肤不良反应有关.
研究的目的:
- 为了比较HCQ和MTX使用者与DM之间的不良皮肤反应和住院病例的发生率.
- 评估HCQ与MTX在DM管理的现实环境中的安全概况.
主要方法:
- 使用保险注册数据 (TriNetX) 的回顾性队列研究.
- 包括DM患者,新处方的HCQ或MTX.
- 评估结果:不良皮肤反应和处方后4个月内入院.
主要成果:
- 在HCQ和MTX组之间的住院率没有显著差异.
- 与MTX使用者相比,接受HCQ的患者出现皮肤不良反应的几率高出30%.
- 在DM诊断时的年龄较小改变了这种关联,增加了HCQ的皮肤反应风险.
结论:
- 与MTX相比,在DM患者中使用HCQ与皮肤不良反应的可能性更高.
- 与HCQ相关的皮肤不良事件的风险在年轻的DM患者中显得更明显.
更多相关视频
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
186
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
186
Skin Diseases and Disorders
3.9K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
3.9K
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
144
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
144
Hypersensitivities
718
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
718
Drugs for Treatment of Ulcerative Colitis in IBD
164
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
164
Pulmonary Tuberculosis I
257
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
257


