Department of Dermatology, University of Lübeck, Germany.
Clin Dermatol. 2012 Jan-Feb;30(1):84-94. doi: 10.1016/j.clindermatol.2011.03.014.
Treatment of pemphigus patients is still challenging and, in some cases, conventional therapy with systemic corticosteroids in combination with adjuvant corticosteroid-sparing immunosuppressive drugs is not sufficient to induce clinical remission. More recently, high-dose intravenous immunoglobulins, immunoadsorption, and the monoclonal anti-CD20 antibody, rituximab, have been established as additional successful therapeutic options. This contribution covers both conventional therapies and most current treatment strategies for pemphigus.
治疗天疱疮患者仍然具有挑战性,在某些情况下,联合使用全身性皮质类固醇激素和辅助性皮质类固醇激素节省型免疫抑制药物的常规治疗并不足以诱导临床缓解。最近,大剂量静脉注射免疫球蛋白、免疫吸附和单克隆抗 CD20 抗体利妥昔单抗已被确立为额外的成功治疗选择。本贡献涵盖了天疱疮的常规治疗和当前大多数治疗策略。