一个患有牛皮病的患者成功接受了guselkumab治疗:一个病例报告
Nana Luo1, Yi Shen1, Luxin Su1
1Department of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China.
The Journal of dermatological treatment
|August 26, 2025
概括
长期使用糖皮质类药物治疗牛皮可能导致上腺功能衰竭 (AI) 或上腺危机 (AC). 一个患有牛皮和AC的患者通过Guselkumab和葡萄皮类药物疗法成功恢复,使上腺功能正常化.
科学领域:
- 内分泌学
- 皮肤病学
- 内部医学
背景情况:
- 长期使用葡萄糖皮质类药物可以抑制下丘脑-垂体-上腺 (HPA) 轴,可能导致上腺衰竭 (AI) 或上腺危机 (AC).
- 长期服用葡萄糖皮质类药物的牛皮患者有这些HPA轴功能障碍的风险.
研究的目的:
- 报告长期使用葡萄糖皮质激素治疗后出现上腺危机并发症的病例.
- 突出诊断挑战和成功管理牛皮患者.
主要方法:
- 一个男性牛皮病患者的病例报告,
- 患者在上呼吸道感染后出现了普遍的皮肤病变和全身症状,
- 治疗包括古塞尔库马布与葡萄糖皮质类药物联合治疗牛皮和AC.
主要成果:
- 这位患者最终被诊断为患有因上腺危机 (AC) 而复杂的牛皮.
- 在用guselkumab和葡萄皮类药物治疗六个月后,皮肤病变完全消失.
- 上腺功能正常化,
结论:
- 皮肤科医生必须考虑在接受葡萄糖皮质类药物治疗的牛皮患者中AI/ AC的风险.
- 对于同时患有AI/ AC的牛皮患者,Guselkumab与葡萄糖皮质类药物结合是一种潜在的治疗选择.
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