儿童质状牛皮:一个更新的审查
Alexander Kc Leung1,2, Benjamin Barankin3, Joseph M Lam4,5
1Department of Pediatrics, The University of Calgary, Calgary, Alberta, Canada.
Drugs in context
|November 1, 2023
概括
肠道牛皮,在儿童中很常见,呈现为突然的,小的,的,状斑点. 虽然它可能会自发消失,但它也可以发展为慢性斑块牛皮,需要治疗.
科学领域:
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
背景情况:
- 肠道牛皮会影响0.5-2%的儿科患者.
- 它的特点是突然出现的小,分散的,眼状的,状的,红血的,的斑块和斑块.
- 经常会注意到先前的链球菌感染,Koebner现象是特征性的.
研究的目的:
- 审查状牛皮的临床表现,评估,诊断和管理.
- 为医生提供有关这种常见的儿科皮肤疾病的全面信息.
主要方法:
- 在PubMed临床查询中进行了文献搜索,使用关键词"肠"在2023年7月.
- 搜索包括观察性研究,临床试验和过去10年内发表的评论.
- 来自搜索的信息被编制为本文的综述.
主要成果:
- 肠道牛皮通常会突然出现在干部和四肢上.
- 病变可能在3-4个月内自发缓解,没有痕,间歇性复发,或在40-50%的病例中进展为慢性斑块牛皮.
- 由于或美容问题,并考虑到持续性和进展率高,可以考虑积极治疗.
结论:
- 局部皮质类固醇,通常与tazarotene或维生素D类似物等药物相结合,是轻微的性牛皮的第一线治疗方法.
- 紫外线光疗是中度至重度病例的首选一线治疗,由于实用性.
- 系统疗法只适用于严重的病例,这些病例对局部治疗或光疗无反应.
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