过敏接触性皮肤炎含有米诺西德的局部制剂:系统性审查和个人参与者数据的元分析
Rungsima Kiratiwongwan1, Waranya Boonchai1, Silada Kanokrungsee1
1From the Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Dermatitis : contact, atopic, occupational, drug
|June 17, 2024
概括
局部使用的米诺西迪尔可以引起过敏性接触性皮肤炎 (ACD). 这项审查发现,米诺克西迪尔本身是主要的过敏原,其次是甘醇,需要进行特定的贴片测试以进行准确的诊断.
科学领域:
- 皮肤病学 皮肤病学
- 过敏学 过敏学
- 药理学 药理学是指药理学的学科.
背景情况:
- 局部用米诺克西迪尔广泛用于脱发.
- 很少报告过敏性接触性皮肤炎 (ACD) 对米诺克西迪尔配方的情况.
- 需要精确识别过敏原和最佳测试度.
研究的目的:
- 在患有ACD的患者中鉴定局部氧化的初级过敏原.
- 为了确定适当的贴片测试度和载体的氧化.
主要方法:
- 系统审查和个人参与者数据的元分析.
- 在PubMed,Scopus和Embase搜索了关于米诺克西德和接触性皮肤炎/过敏/湿疹的研究.
- 包括46项研究,其中99名患者得到了补丁测试ACD的确认.
主要成果:
- 在74.7%的患者中,米诺西迪尔是主要的过敏原.
- 烯基醇是第二个最常见的过敏原 (17.1%).
- 乙烯糖醇中2%的米诺西迪尔在补丁测试中显示出100%的阳性.
结论:
- 米诺西迪尔是其局部产品的ACD反应中占主导地位的过敏原.
- 烯糖醇是一种重要的二次过敏原.
- 建议使用2%的乙烯甘醇中氧化的补丁测试,以及对常见成分的单独测试,以进行诊断.
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