Messikh R, Atallah L, Aubin F, Humbert P
Service de Dermatologie, CHU Saint-Jacques, Université de Franche-Comté, INSERM U645, 25030 Besançon cedex.
Ann Dermatol Venereol. 2009 May;136 Suppl 4:S129-36. doi: 10.1016/S0151-9638(09)74540-5.
Botulinum toxin could represent nowadays a new treatment modality especially for cutaneous conditions in course of which conventional treatments remain unsuccessful. Besides palmar and plantar hyperhidrosis, botulinum toxin has demonstrated efficacy in different conditions associated with hyperhidrosis, such as dyshidrosis, multiple eccrine hidrocystomas, hidradenitis suppurativa, Frey syndrome, but also in different conditions worsened by hyperhidrosis such as Hailey-Hailey disease, Darier disease, inversed psoriasis, aquagenic palmoplantar keratoderma, pachyonychia congenital. Moreover, different cutaneous conditions associated with sensitive disorders and/or neurological involvements could benefit from botulinum toxin, for example anal fissures, leg ulcers, lichen simplex, notalgia paresthetica, vestibulitis. Endly, a case of cutis laxa was described where the patient was improved by cutaneous injections of botulinum toxin.
如今,肉毒杆菌毒素可能代表一种新的治疗方式,尤其适用于常规治疗仍未成功的皮肤病。除了手掌和足底多汗症外,肉毒杆菌毒素在与多汗症相关的不同病症中已显示出疗效,如汗疱疹、多发性小汗腺汗囊肿、化脓性汗腺炎、 Frey综合征,也适用于因多汗症而加重的不同病症,如黑棘皮病、毛囊角化病、反向性银屑病、水源性掌跖角化病、先天性厚甲症。此外,与敏感障碍和/或神经受累相关的不同皮肤病可能受益于肉毒杆菌毒素,例如肛裂、腿部溃疡、单纯性苔藓、感觉异常性背痛、前庭炎。最后,描述了一例皮肤松弛症患者,通过皮下注射肉毒杆菌毒素后病情得到改善。