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[线性局限性硬皮病。泼尼松龙冲击疗法和甲氨蝶呤治疗成功]

[Linear localized scleroderma. Successful treatment with prednisolone pulse therapy and methotrexate].

作者信息

Pierchalla A, Schulte K W, Homey B

机构信息

Hautklinik der Heinrich-Heine-Universität, Moorenstr. 5, 40225, Düsseldorf.

出版信息

Hautarzt. 2010 Oct;61(10):834-6. doi: 10.1007/s00105-010-2047-z.

DOI:10.1007/s00105-010-2047-z
PMID:20848071
Abstract

Linear localized scleroderma is a variant of localized scleroderma characterized by linear bands and sclerotic plaques of the skin, which can result in contractures, muscle atrophy and debilitating deformities. The etiology remains unknown and no specific therapy is available. Regimens combining pulsed high-dose corticosteroids with methotrexate therapy seem promising. Our patient responded well to intravenous prednisolone (500 mg/d) for 3 consecutive days monthly combined with an oral dose of methotrexate of (15 mg/wk).

摘要

线性局限性硬皮病是局限性硬皮病的一种变体,其特征为皮肤出现线性条带和硬化斑块,可导致挛缩、肌肉萎缩和致残性畸形。病因尚不清楚,且尚无特效疗法。将大剂量脉冲式皮质类固醇与甲氨蝶呤联合使用的治疗方案似乎很有前景。我们的患者对每月连续3天静脉注射泼尼松龙(500毫克/天)并联合口服甲氨蝶呤(15毫克/周)反应良好。

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[Linear localized scleroderma. Successful treatment with prednisolone pulse therapy and methotrexate].[线性局限性硬皮病。泼尼松龙冲击疗法和甲氨蝶呤治疗成功]
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本文引用的文献

1
[AWMF Guideline no. 013/066. Diagnosis and therapy of circumscribed scleroderma].[德国医学科学院指南第013/066号。局限性硬皮病的诊断与治疗]
J Dtsch Dermatol Ges. 2009 Sep;7 Suppl 6:S1-14. doi: 10.1111/j.1610-0387.2009.07178.x.
2
Pathogenesis and therapeutic approaches for improved topical treatment in localized scleroderma and systemic sclerosis.局限性硬皮病和系统性硬化症局部治疗改善的发病机制及治疗方法
Rheumatology (Oxford). 2009 Mar;48(3):213-21. doi: 10.1093/rheumatology/ken405. Epub 2008 Nov 20.
3
Juvenile localised scleroderma: a retrospective review of response to systemic treatment.
青少年局限性硬皮病:系统性治疗反应的回顾性研究
Ir J Med Sci. 2008 Dec;177(4):343-6. doi: 10.1007/s11845-008-0217-0. Epub 2008 Oct 21.
4
Evaluation of methotrexate and corticosteroids for the treatment of localized scleroderma (morphoea) in children.甲氨蝶呤和皮质类固醇治疗儿童局限性硬皮病(硬斑病)的评估。
Br J Dermatol. 2006 Nov;155(5):1013-20. doi: 10.1111/j.1365-2133.2006.07497.x.
5
Pulsed high-dose corticosteroids combined with low-dose methotrexate in severe localized scleroderma.脉冲高剂量皮质类固醇联合低剂量甲氨蝶呤治疗重度局限性硬皮病
Arch Dermatol. 2005 Jul;141(7):847-52. doi: 10.1001/archderm.141.7.847.
6
Methotrexate and corticosteroid therapy for pediatric localized scleroderma.甲氨蝶呤和皮质类固醇治疗儿童局限性硬皮病。
J Pediatr. 2000 Jan;136(1):91-5. doi: 10.1016/s0022-3476(00)90056-8.