老年皮肤雷什曼病:对622例病例的回顾性分析
1Department of Medical Microbiology, Harran University Medical Faculty, Şanlıurfa 63000, Turkey.
Postgraduate medical journal
|April 10, 2024
概括
皮肤莱什曼病 (CL) 在年轻患者和老年患者中具有相似的临床和人口统计特征. 用美格胺抗酸盐 (MA) 治疗在所有年龄组有效且安全,包括老年人.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 皮肤莱什曼病 (CL) 在儿童中更为普遍,因为缺乏免疫力.
- 对于老年患者的CL,临床和流行病学数据有限.
- 这项研究比较了老年人与年轻成年人群中的CL特征.
研究的目的:
- 为了比较老年CL患者的临床和人口特征与年轻的成年人.
- 评估不同年龄组的治疗结果和安全性.
主要方法:
- 对622名老年 (≥65岁) 和6350名年轻 (19-64岁) 临床临床患者的回顾性分析.
- 收集的数据包括年龄,性别,病变位置,大小,持续时间和治疗.
- 寄生虫学诊断证实了所有参与者的CL.
主要成果:
- 老年患者和年轻患者在病变特征 (数量,持续时间,大小,位置,临床形式) 或治疗选择方面没有显著差异.
- 在这两组中,和斑块是常见的临床形式.
- 内溶性梅格胺抗酸 (ILMA) 是主要的治疗方法 (98.3%).
结论:
- 在年轻人和老年人中,CL表现出类似的临床和人口统计特征.
- 系统性MA治疗在两个年龄组中显示出可比的临床益处和安全性.
- 对于有系统治疗禁忌的老年患者来说,IL MA是一种可行的替代方案.
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