类固醇戒断治疗中的困难：使用间歇性促肾上腺皮质激素和低剂量全身性环孢素治疗一名老年红皮病患者。

Difficulties in treating steroid withdrawal: intermittent ACTH and low dose systemic cyclosporin used to treat a senile erythroderma patient.

作者信息

Horiuchi Y

机构信息

Division of Dermatology, Tsukuba Memorial Hospital, Japan.

出版信息

J Dermatol. 2000 Jan;27(1):44-8. doi: 10.1111/j.1346-8138.2000.tb02117.x.

DOI:10.1111/j.1346-8138.2000.tb02117.x

PMID:10692825

Abstract

The tapering or termination of prolonged strong topical and/or systemic corticosteroid application for extensive generalized eczema has adverse effects on the body and thus presents a very difficult situation. The present case is that of a 68-year-old man with erythroderma following eczema, whose steroid withdrawal was successfully treated with intermittent ACTH and low dose systemic cyclosporin administration over a period of one year.

摘要

对于广泛的全身性湿疹，长期大量外用和/或全身性使用皮质类固醇激素后逐渐减量或停药会对身体产生不良影响，因此造成了非常棘手的情况。本病例为一名68岁男性，患有湿疹后红皮病，通过在一年时间内间断使用促肾上腺皮质激素（ACTH）和低剂量全身性给予环孢素成功实现了激素撤减。