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克林霉素与利福平联合治疗化脓性汗腺炎

Clindamycin and rifampicin combination therapy for hidradenitis suppurativa.

作者信息

Mendonça C O, Griffiths C E M

机构信息

The Dermatology Centre, Hope Hospital, The University of Manchester, Salford, Manchester M6 8HD, UK.

出版信息

Br J Dermatol. 2006 May;154(5):977-8. doi: 10.1111/j.1365-2133.2006.07155.x.

DOI:10.1111/j.1365-2133.2006.07155.x
PMID:16634904
Abstract

BACKGROUND

Hidradenitis suppurativa (HS) is a chronic inflammatory condition affecting apocrine gland-bearing areas of the skin. There is currently no satisfactory treatment.

OBJECTIVES

To assess the efficacy of a 10-week course of combination clindamycin 300 mg twice daily and rifampicin 300 mg twice daily in the treatment of HS.

METHODS

Patients who had received combination therapy with clindamycin and rifampicin for HS at one U.K. Dermatology Centre between the years 1998 and 2003 were identified from pharmacy records. Their records were analysed retrospectively.

RESULTS

Fourteen patients with HS had received treatment with combination therapy. Eight of these patients achieved remission and a further two achieved remission when minocycline was substituted for clindamycin. Four patients were unable to tolerate therapy.

CONCLUSIONS

This small retrospective study indicates that combination therapy with clindamycin and rifampicin may be effective for HS. However, there is a need for a placebo-controlled trial.

摘要

背景

化脓性汗腺炎(HS)是一种影响皮肤顶泌汗腺分布区域的慢性炎症性疾病。目前尚无令人满意的治疗方法。

目的

评估为期10周、每日两次服用300毫克克林霉素与每日两次服用300毫克利福平联合治疗HS的疗效。

方法

从一家英国皮肤科中心1998年至2003年期间的药房记录中确定接受过克林霉素和利福平联合治疗HS的患者。对他们的记录进行回顾性分析。

结果

14例HS患者接受了联合治疗。其中8例患者病情缓解,另外2例在将米诺环素替代克林霉素后病情缓解。4例患者无法耐受该治疗。

结论

这项小型回顾性研究表明,克林霉素和利福平联合治疗可能对HS有效。然而,需要进行一项安慰剂对照试验。

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