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汲取抗肿瘤坏死因子治疗相关银屑病的经验教训。

Learning the lessons of antitumour necrosis factor therapy-associated psoriasis.

作者信息

Shale Matt, Ghosh Subrata

机构信息

Imperial College London, Hammersmith Hospital, London, United Kingdom.

出版信息

Can J Gastroenterol. 2009 Oct;23(10):674-6. doi: 10.1155/2009/514618.

DOI:10.1155/2009/514618
PMID:19826641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2776609/
Abstract

Psoriasis or psoriasiform skin lesions, as an adverse effect of treatment with antitumor necrosis factor antibody therapy, have been described relatively recently. Patients with these lesions have no personal or family history of psoriasis. In a small number of cases, an association with Chlamydia has been suggested. The skin lesions may disappear on discontinuation of therapy or, in the majority of cases, even if antitumor necrosis factor antibody therapy is continued. Therefore, withdrawal of therapy is generally not required for this adverse effect but referral to a dermatologist may be desirable for confirmation of diagnosis and treatment.

摘要

银屑病或银屑病样皮肤病变作为抗肿瘤坏死因子抗体治疗的一种不良反应,是最近才被描述的。患有这些病变的患者没有银屑病的个人或家族病史。在少数病例中,有人提出与衣原体有关。皮肤病变可能在治疗中断后消失,或者在大多数情况下,即使继续使用抗肿瘤坏死因子抗体治疗也会消失。因此,一般不需要因这种不良反应而停药,但为了确诊和治疗,最好转诊给皮肤科医生。

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2
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Med Princ Pract. 2014;23(6):561-7. doi: 10.1159/000365573. Epub 2014 Sep 3.

本文引用的文献

1
Long-term safety of infliximab for the treatment of inflammatory bowel disease: a single-centre cohort study.英夫利昔单抗治疗炎症性肠病的长期安全性:一项单中心队列研究。
Gut. 2009 Apr;58(4):501-8. doi: 10.1136/gut.2008.163642. Epub 2008 Oct 2.
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Hepatosplenic T cell lymphoma in inflammatory bowel disease.炎症性肠病中的肝脾T细胞淋巴瘤
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Rates of new-onset psoriasis in patients with rheumatoid arthritis receiving anti-tumour necrosis factor alpha therapy: results from the British Society for Rheumatology Biologics Register.接受抗肿瘤坏死因子α治疗的类风湿关节炎患者新发银屑病的发生率:来自英国风湿病学会生物制剂登记处的结果。
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Onset or exacerbation of cutaneous psoriasis during TNFalpha antagonist therapy.肿瘤坏死因子α拮抗剂治疗期间皮肤银屑病的发作或加重。
Joint Bone Spine. 2008 May;75(3):315-8. doi: 10.1016/j.jbspin.2007.06.011. Epub 2008 Feb 11.
6
Psoriasiform lesions induced by tumour necrosis factor antagonists: a skin-deep medical conundrum.肿瘤坏死因子拮抗剂诱发的银屑病样皮损:一个肤浅的医学难题。
Ann Rheum Dis. 2008 Aug;67(8):1181-3. doi: 10.1136/ard.2007.082842. Epub 2008 Feb 25.
7
Risk factors for opportunistic infections in patients with inflammatory bowel disease.炎症性肠病患者机会性感染的危险因素。
Gastroenterology. 2008 Apr;134(4):929-36. doi: 10.1053/j.gastro.2008.01.012. Epub 2008 Jan 11.
8
Manifestation of palmoplantar pustulosis during or after infliximab therapy for plaque-type psoriasis: report on five cases.英夫利昔单抗治疗斑块型银屑病期间或之后掌跖脓疱病的表现:5例报告
Arch Dermatol Res. 2008 Mar;300(3):101-5. doi: 10.1007/s00403-008-0831-8. Epub 2008 Feb 1.
9
Tumor necrosis factor-alpha inhibitor-induced psoriasis or psoriasiform exanthemata: first 120 cases from the literature including a series of six new patients.肿瘤坏死因子-α抑制剂诱发的银屑病或银屑病样疹:来自文献的首批120例病例,包括6例新患者系列。
Am J Clin Dermatol. 2008;9(1):1-14. doi: 10.2165/00128071-200809010-00001.
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Psoriasiform eruptions during anti TNF-alpha treatment: psoriasis or not?抗TNF-α治疗期间的银屑病样皮疹:是银屑病吗?
Arch Dermatol. 2007 Dec;143(12):1593-5; author reply 1595. doi: 10.1001/archderm.143.12.1593.