皮炎患者的感染和治疗的影响
Maddalena Napolitano1, Maria Esposito2,3, Maria Concetta Fargnoli4
1Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
American journal of clinical dermatology
|February 6, 2025
概括
患有阿托皮炎 (AD) 的患者面临着由细菌和病毒引起的皮肤感染的更高风险,原因是免疫力和皮肤屏障受损. 有效的AD管理是预防和治疗这些感染的关键.
科学领域:
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 亚托皮炎 (AD) 是一种慢性T助手2介导的炎症性皮肤疾病.
- 患有阿尔茨海默病的患者经常出现皮肤和器官感染,疾病严重程度恶化.
研究的目的:
- 审查目前关于亚托皮性皮肤炎患者感染的原因,机制,治疗和预防的证据.
- 突出感染对阿尔茨海默病的影响,并为治疗选择提供信息.
主要方法:
- 在PubMed的系统文献搜索中搜索到2023年2月为止的英语文章.
- 关键词包括"皮炎"和与感染相关的术语.
- 包括研究文章,评论,元分析和指导方针.
主要成果:
- 由于皮肤屏障和免疫反应受损,阿尔茨海默病患者患有细菌 (金黄色葡萄球菌),病毒 (简单疹病毒) 和真菌感染的风险增加.
- 常见的感染包括疹疹,疹炎和毛囊炎,对诸如败血症等全身感染的易感性增加.
- 系统性AD治疗 (例如,JAK抑制剂) 可以提高病毒感染风险.
结论:
- 预防和管理AD的感染需要一个全面的战略:局部/全身抗菌药物,勤奋的皮肤护理,和强大的AD症状控制,以减轻-痕周期.
- 感染风险是选择适当的皮炎治疗方法的关键因素.
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