针对儿童和青少年亚托皮炎的系统治疗:美国专家共识共识
Lawrence F Eichenfield1,2, Mark Boguniewicz3,4, Christine T Lauren5
1Departments of Dermatology and Pediatrics, University of California San Diego, La Jolla, California, USA.
概括
新的指导方针提供专家建议,用于管理儿童中度至重度的亚托皮炎 (AD). 这种共识侧重于全身疗法,包括新生物和小分子,以提高儿科患者的治疗疗效和安全性.
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:
- 亚托皮炎 (AD) 是一种慢性炎症性皮肤疾病.
- 目前对中度至重度阿尔茨海默病的治疗方法通常涉及系统性疗法,但存在安全问题.
- 新型向疗法提供了更好的疗效和安全性.
研究的目的:
- 制定基于共识的建议,用于适度至重度AD的儿科患者的全身药物使用.
- 为临床医生提供一种标准化的方法来评估和治疗儿科AD.
- 支持将新的治疗方案纳入临床实践.
主要方法:
- 经过修改的德尔菲过程,涉及美国专家.
- 为儿童AD系统治疗制定核心建议.
- 专注于18岁以下的中度至重度疾病患者.
主要成果:
- 确定了儿童中度至重度AD系统治疗的核心建议.
- 这些指导方针涉及常规免疫抑制剂,生物制剂和小分子药物的使用.
- 重点是优化患者评估和治疗策略.
结论:
- 该共识为通过全身疗法管理中度至重度儿科阿尔茨海默病提供了一个框架.
- 建议旨在通过结合新药来提高治疗疗效和安全性.
- 鼓励临床医生采用标准化的方法,并保持最新的治疗进展.
相关概念视频
Antiasthma Drugs: Leukotriene Modifiers
249
Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
Leukotriene modifiers work through two distinct mechanisms:
249
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
241
Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
241
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
224
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
224
Hypersensitivities
536
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...
536
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39


