[翻译文章] 免疫介导的皮肤反应瘤坏死α抑制剂:对30例病例的审查
M Sin-Soler1, J Romaní2, M Gamissans1
1Servicio de Dermatología, Hospital Universitari Parc Taulí, Sabadell, Barcelona, Spain.
Actas dermo-sifiliograficas
|November 3, 2023
概括
由于瘤坏死因子 (TNF) 抑制剂 (如牛皮) 的皮肤反应具有悖论性,通常可以在不停止治疗的情况下进行管理. 对于持久的病例,切换到不同的生物点可能更有效.
科学领域:
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 瘤亡因子 (TNF) 抑制剂广泛用于炎症性疾病.
- 虽然这些生物制剂通常是安全的,但可以引发矛盾的免疫中介反应.
- 矛盾反应需要谨慎的管理策略.
研究的目的:
- 在接受TNF抑制剂的患者中分析矛盾性皮肤反应的临床表现和管理结果.
- 评估继续,切换或改变生物治疗目标的疗效.
主要方法:
- 在TNF抑制剂治疗中经历矛盾性皮肤反应的30名患者的回顾性审查.
- 收集了关于反应类型,涉及TNF抑制剂和治疗修改的数据.
- 对治疗结果的分析,包括病变的解决.
主要成果:
- 牛皮是最常见的反应 (90%),其次是脱发和中性恋性皮肤炎.
- 阿达利马布和因弗利西马布是最常见的涉及TNF抑制剂.
- 持续使用TNF抑制剂与局部/全身治疗导致92.3%的病例得到解决.
- 切换到不同的生物标显示出比切换到另一个TNF抑制剂更高的疗效.
结论:
- 矛盾的皮肤反应并不总是需要停止TNF抑制剂治疗.
- 在许多患者中,局部和/或全身治疗可以消除病变.
- 对于耐火病例来说,切换到具有不同点的生物药物是一种更有效的策略.
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