Kaszuba Andrzej
Klinika Dermatologii i Dermatologii Dzieciecej Wydziału Wojskowo-Lekarskiego Uniwersytetu Medycznego w Łodzi.
Pol Merkur Lekarski. 2003 Jun;14(84):640-6.
Antihistaminic therapy is widely used in the treatment of allergic dermatoses. Second generation antihistamines due to their pharmacokinetic mechanism depending on the wide extra-receptor anti-inflammatory and anti-allergic actions are used in the treatment of diseases, in which the main pathogenetic role is played by various allergic mechanisms and inflammatory cellular processes. The modern views on etiopathogenesis and antihistaminic treatment of allergic skin diseases are presented in this paper. The course of allergic inflammation, role of histamine and its receptors, taking into consideration the biological effects of their suppression and influence on the course of early and late phase of allergic reaction, are discussed. A review of classical and second generation antihistamines has been done, taking into account their usefulness in the treatment of acute and chronic urticaria, angioedema, atopic dermatitis, different forms of eczema and various drug-induced reactions.
抗组胺疗法广泛应用于过敏性皮肤病的治疗。第二代抗组胺药因其药代动力学机制依赖于广泛的受体外抗炎和抗过敏作用,被用于治疗主要由各种过敏机制和炎症细胞过程发挥主要致病作用的疾病。本文介绍了关于过敏性皮肤病的病因发病机制和抗组胺治疗的现代观点。讨论了过敏性炎症的过程、组胺及其受体的作用,同时考虑了抑制它们的生物学效应以及对过敏反应早期和晚期过程的影响。对经典抗组胺药和第二代抗组胺药进行了综述,考虑了它们在治疗急性和慢性荨麻疹、血管性水肿、特应性皮炎、不同形式的湿疹以及各种药物引起的反应中的有效性。