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FK-506软膏:治疗单侧手部坏疽性脓皮病严重病例的有效辅助疗法。

FK-506 ointment: an effective adjuvant therapy to treat a dramatic case of pyoderma gangrenosum of unilateral hand.

作者信息

Lucchina Stefano, Parvex Sandra Leoni, Biegger Paul, Fusetti Cesare

机构信息

Hand Surgery Unit, Surgical Department, Locarno's Regional Hospital, Via all'Ospedale 1 6600, Locarno, Switzerland.

出版信息

Chin J Traumatol. 2009 Jun;12(3):181-3.

PMID:19486563
Abstract

Pyoderma gangrenosum (PG) is a cutaneous ulcer developing so rapidly that may mimic a fulminating infection. The correct treatment is nonsurgical, and surgery may get the condition worse.1 FK-506 ointment (0.1% Protopic, Astellas Pharma AG, Fribourg) is usually indicated for inflammatory skin diseases, such as atopic dermatitis and psoriasis2 or for acute rejection reversal of human hand transplantation 3. A few reports of PG affecting the functions of hands can be found in the scientific literature and this report describes the first case treated by FK-506 ointment as an adjuvant therapy.

摘要

坏疽性脓皮病(PG)是一种发展迅速的皮肤溃疡,可能类似暴发性感染。正确的治疗方法是非手术治疗,手术可能会使病情恶化。1 FK-506软膏(0.1%的普特彼,安斯泰来制药公司,弗里堡)通常用于治疗炎症性皮肤病,如特应性皮炎和银屑病2,或用于逆转人类手部移植的急性排斥反应3。科学文献中可以找到一些关于PG影响手部功能的报道,本报告描述了首例使用FK-506软膏作为辅助治疗的病例。

相似文献

1
FK-506 ointment: an effective adjuvant therapy to treat a dramatic case of pyoderma gangrenosum of unilateral hand.FK-506软膏:治疗单侧手部坏疽性脓皮病严重病例的有效辅助疗法。
Chin J Traumatol. 2009 Jun;12(3):181-3.
2
An open-label study of topical tacrolimus ointment 0.1% under occlusion for the treatment of pyoderma gangrenosum.一项关于0.1%外用他克莫司软膏封包治疗坏疽性脓皮病的开放性研究。
Int J Dermatol. 2006 Nov;45(11):1383-5. doi: 10.1111/j.1365-4632.2006.03133.x.
3
Potential future dermatological indications for tacrolimus ointment.他克莫司软膏未来可能的皮肤科适应症。
Eur J Dermatol. 2003 Jul-Aug;13(4):331-42.
4
Pyoderma gangrenosum following breast reduction: treatment with topical tacrolimus and steroids.乳房缩小术后坏疽性脓皮病:外用他克莫司和类固醇治疗
Aesthet Surg J. 2014 Mar;34(3):394-9. doi: 10.1177/1090820X13520448. Epub 2014 Jan 21.
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Pustular penile pyoderma gangrenosum successfully treated with topical tacrolimus ointment.外用他克莫司软膏成功治疗脓疱性阴茎坏疽性脓皮病。
Acta Derm Venereol. 2012 Jan;92(1):104-5. doi: 10.2340/00015555-1167.
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[Pyoderma gangrenosum: successful topical therapy with tacrolimus (FK506)].坏疽性脓皮病:他克莫司(FK506)局部治疗成功
Hautarzt. 2001 Jan;52(1):47-50. doi: 10.1007/s001050051261.
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Superficial granulomatous pyoderma accompanied with ulcerative colitis successfully treated with tacrolimus ointment.
J Dermatol. 2011 Nov;38(11):1105-1108. doi: 10.1111/j.1346-8138.2011.01212.x. Epub 2011 May 4.
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Topical tacrolimus (FK 506) is effective in the treatment of pyoderma gangrenosum.外用他克莫司(FK 506)治疗坏疽性脓皮病有效。
J Am Acad Dermatol. 2000 Feb;42(2 Pt 1):304-5. doi: 10.1016/s0190-9622(00)90149-x.
9
Recalcitrant cases of pyoderma gangrenosum, responding dramatically to systemic tacrolimus.坏疽性脓皮病的难治性病例,对全身性他克莫司有显著反应。
G Ital Dermatol Venereol. 2017 Jun;152(3):308-310. doi: 10.23736/S0392-0488.17.04876-3.
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Successful treatment of severe pyoderma gangrenosum with pimecrolimus cream 1%.1%吡美莫司乳膏成功治疗重度坏疽性脓皮病。
J Eur Acad Dermatol Venereol. 2008 Jan;22(1):113-5. doi: 10.1111/j.1468-3083.2007.02280.x.

引用本文的文献

1
Topical 0.03% tacrolimus for subepithelial infiltrates secondary to adenoviral keratoconjunctivitis.局部使用 0.03%他克莫司治疗腺病毒性角结膜炎继发的上皮下浸润。
Graefes Arch Clin Exp Ophthalmol. 2014 May;252(5):811-6. doi: 10.1007/s00417-014-2611-9. Epub 2014 Apr 4.