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[外用糖皮质激素与外用钙调神经磷酸酶抑制剂]

[Topical corticosteroids versus topical inhibitors of calcineurin].

作者信息

Niedner R

机构信息

Klinik für Dermatologie, Klinikum Ernst von Bergmann gGmbH, Potsdam.

出版信息

Hautarzt. 2003 Apr;54(4):338-41. doi: 10.1007/s00105-003-0488-3. Epub 2003 Feb 28.

DOI:10.1007/s00105-003-0488-3
PMID:12669205
Abstract

Topical corticosteroids (TCC) have significantly shaped dermatological therapy for five decades. A few months ago the TCC were joined by competition, the topical inhibitors of calcineurin (TIC), wrongly termed topical immunomodulators. The present paper reviews the pharmacological effects and clinical efficacy of TIC, compares the risks, benefits and costs of those two groups of topical drugs and develops a position on the use of TIC. While TIC have ushered in a new era of topical anti-inflammatory therapy, the age of TCC is far from over.

摘要

外用皮质类固醇(TCC)在过去五十年中显著地塑造了皮肤病治疗的格局。几个月前,TCC迎来了竞争,即钙调神经磷酸酶外用抑制剂(TIC),但它被错误地称为外用免疫调节剂。本文回顾了TIC的药理作用和临床疗效,比较了这两类外用药物的风险、益处和成本,并就TIC的使用表明了立场。虽然TIC开启了外用抗炎治疗的新时代,但TCC的时代远未结束。

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引用本文的文献

1
[Systemic therapy of atopic dermatitis].[特应性皮炎的全身治疗]
Hautarzt. 2003 Oct;54(10):937-45. doi: 10.1007/s00105-003-0605-3.

本文引用的文献

1
[Pimecrolimus (SDZ ASM 981). Current state of research].[吡美莫司(SDZ ASM 981)。研究现状]
Dtsch Med Wochenschr. 2002 May 31;127(22):1199-203. doi: 10.1055/s-2002-31941.
2
Topical pimecrolimus: a review of its clinical potential in the management of atopic dermatitis.局部用吡美莫司:其在特应性皮炎治疗中的临床潜力综述
Drugs. 2002;62(5):817-40. doi: 10.2165/00003495-200262050-00007.
3
Safety and efficacy of pimecrolimus (ASM 981) cream 1% in the treatment of mild and moderate atopic dermatitis in children and adolescents.
1%吡美莫司乳膏(ASM 981)治疗儿童及青少年轻中度特应性皮炎的安全性和有效性。
J Am Acad Dermatol. 2002 Apr;46(4):495-504. doi: 10.1067/mjd.2002.122187.
4
Efficacy and safety of tacrolimus ointment compared with that of hydrocortisone butyrate ointment in adult patients with atopic dermatitis.他克莫司软膏与丁酸氢化可的松软膏治疗成人特应性皮炎的疗效及安全性比较。
J Allergy Clin Immunol. 2002 Mar;109(3):547-55. doi: 10.1067/mai.2002.121832.
5
Topical tacrolimus for chronic actinic dermatitis.外用他克莫司治疗慢性光化性皮炎。
J Am Acad Dermatol. 2002 Feb;46(2):321-3. doi: 10.1067/mjd.2002.118357.
6
Tacrolimus and pimecrolimus: from clever prokaryotes to inhibiting calcineurin and treating atopic dermatitis.他克莫司和吡美莫司:从聪明的原核生物到抑制钙调神经磷酸酶及治疗特应性皮炎
J Am Acad Dermatol. 2002 Feb;46(2):228-41. doi: 10.1067/mjd.2002.120942.
7
Topical tacrolimus (FK506) and mometasone furoate in treatment of dyshidrotic palmar eczema: a randomized, observer-blinded trial.外用他克莫司(FK506)与糠酸莫米松治疗汗疱疹性掌部湿疹:一项随机、观察者盲法试验。
J Am Acad Dermatol. 2002 Jan;46(1):73-7. doi: 10.1067/mjd.2002.117856.
8
Management of recalcitrant ulcerative oral lichen planus with topical tacrolimus.外用他克莫司治疗顽固性溃疡性口腔扁平苔藓
J Am Acad Dermatol. 2002 Jan;46(1):35-41. doi: 10.1067/mjd.2002.120535.
9
Topical tacrolimus in the treatment of symptomatic oral lichen planus: a series of 13 patients.外用他克莫司治疗有症状的口腔扁平苔藓:13例患者系列研究
J Am Acad Dermatol. 2002 Jan;46(1):27-34. doi: 10.1067/mjd.2002.119648.
10
Tacrolimus ointment for the treatment of steroid-induced rosacea: a preliminary report.他克莫司软膏治疗激素诱导的玫瑰痤疮:初步报告。
J Am Acad Dermatol. 2001 Jun;44(6):995-8. doi: 10.1067/mjd.2001.114739.