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新型全身性皮肤病原体引起的结膜炎:日益令人担忧
Marcus L Turner1, Minh T Nguyen
1Department of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA.
Current opinion in ophthalmology
|August 27, 2025
概括
新型系统性治疗皮炎和牛皮,如IL-抑制剂和JAK-STAT抑制剂,可以引起眼部的副作用,如结膜炎. 早期发现和治疗是预防视力并发症的关键.
科学领域:
- 皮肤病学
- 眼科 眼科
- 药理学
背景情况:
- 新的全身疗法,包括阻断白蛋白 (IL) 的单克隆抗体和Janus 激酶-STAT (JAK-STAT) 抑制剂,已经改变了阿托皮性皮肤炎 (AD) 和牛皮的治疗方法.
- 这些先进的治疗方法虽然有效治疗皮肤疾病,但越来越多地与眼睛表面的不良事件有关.
研究的目的:
- 审查与阿尔茨海默病和牛皮新系统治疗相关的眼部表面副作用的当前知识.
- 突出眼睛并发症的范围及其管理.
主要方法:
- 对阿尔茨海默病和牛皮新型全身疗法的眼部副作用的文献综述.
- 分析与dupilumab,tralokinumab,upadacitinib和abrocitinib等药物相关的眼部不良事件,特别是结膜炎.
主要成果:
- 结膜炎是一个突出的眼部副作用,最多的病例是dupilumab引起的.
- 新出现的数据表明不同系统性药物的眼睛安全性不同.
- 眼部炎症的早期临床识别和分类对于有效的治疗至关重要,通常使用局部抗炎药物治疗.
结论:
- 随着新型全身性皮肤治疗的日益使用,眼部表面并发症是一个重大问题.
- 多学科合作和提高认识对于减轻视力威胁的风险至关重要.
- 需要进一步研究以了解病理生理学,并优化皮肤和眼睛健康的治疗方法.
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