Lugo-Somolinos A, Sánchez J L, Haddock L
Department of Dermatology, University of Puerto Rico, School of Medicine, San Juan 00936-5067.
Bol Asoc Med P R. 1990 Oct;82(10):450-3.
Several reports have appeared in the literature suggesting that Vitamin D metabolites and analogues may be useful for the treatment of psoriasis. This is a report of an open study in which the efficacy of 1, Alpha-25-dihydroxyvitamin D (Calcitriol) is evaluated in cases of moderate to severe psoriasis. Study of ten cases showed moderate improvement in four when using calcitriol at a daily dose of 0.5 microgram for a period of three months. All Vitamin D metabolites were within normal limits during and after the trial. Further trials with calcitriol as an adjuvant therapy to topical steroids or photochemotherapy, as well as the development of topical Vitamin D analogues may be the future of this novel therapeutic alternative for psoriasis.
文献中已有多篇报道表明维生素D代谢物及类似物可能对银屑病的治疗有用。本文报告一项开放性研究,该研究评估了1,α-25-二羟基维生素D(骨化三醇)对中重度银屑病患者的疗效。对10例患者的研究显示,每日服用0.5微克骨化三醇,持续3个月,4例患者病情有中度改善。试验期间及试验后,所有维生素D代谢物均在正常范围内。将骨化三醇作为局部类固醇或光化学疗法的辅助治疗进行进一步试验,以及开发局部维生素D类似物,可能是银屑病这种新型治疗选择的未来发展方向。