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4例盘状红斑狼疮局部应用他克莫司治疗成功。

Successful treatment with topical tacrolimus in four cases of discoid lupus erythematosus.

作者信息

Sugano Masayoshi, Shintani Yoichi, Kobayashi Keiko, Sakakibara Noriyuki, Isomura Iwao, Morita Akimichi

机构信息

Department of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

出版信息

J Dermatol. 2006 Dec;33(12):887-91. doi: 10.1111/j.1346-8138.2006.00203.x.

DOI:10.1111/j.1346-8138.2006.00203.x
PMID:17169097
Abstract

Discoid lupus erythematosus (DLE), a cutaneous form of lupus erythematosus, is characterized as atrophic and scaly erythema and the lesions are often refractory to a wide range of topical or systemic therapies. Herein, we present four cases of DLE that were successfully treated with topical tacrolimus. Tacrolimus ointment (0.1%) was applied to DLE lesions twice daily and the erythematous plaques readily diminished after 4-8 weeks. Adverse effects, such as burning sensation or irritations, were not observed. These results indicate that topical tacrolimus might be an effective and alternative treatment to control DLE.

摘要

盘状红斑狼疮(DLE)是红斑狼疮的一种皮肤形式,其特征为萎缩性和鳞屑性红斑,并且这些皮损通常对多种局部或全身治疗均难以治愈。在此,我们报告4例使用局部他克莫司成功治疗的DLE病例。将他克莫司软膏(0.1%)每日两次涂抹于DLE皮损处,4至8周后红斑斑块迅速消退。未观察到诸如烧灼感或刺激等不良反应。这些结果表明,局部他克莫司可能是控制DLE的一种有效且可替代的治疗方法。

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J Clin Aesthet Dermatol. 2013 Jan;6(1):27-38.
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Clinical application of development of nonantibiotic macrolides that correct inflammation-driven immune dysfunction in inflammatory skin diseases.非抗生素大环内酯类药物在治疗炎症性皮肤病中纠正炎症驱动免疫功能障碍的临床应用。
Mediators Inflamm. 2012;2012:563709. doi: 10.1155/2012/563709. Epub 2012 Nov 1.
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Update on the use of topical calcineurin inhibitors in cutaneous lupus erythematosus.
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Biologics. 2011;5:21-31. doi: 10.2147/BTT.S9806. Epub 2011 Feb 14.
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Topical calcineurin inhibitors in systemic lupus erythematosus.局部钙调磷酸酶抑制剂治疗系统性红斑狼疮。
Ther Clin Risk Manag. 2010 Apr 15;6:95-101. doi: 10.2147/tcrm.s3193.