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[白癜风作为一种美学问题。白癜风的非侵入性治疗方法]

[Vitiligo as an aesthetic problem. Noninvasive therapeutic methods in vitiligo].

作者信息

Popko Magdalena, Kacalak-Rzepka Anna, Bielecka-Grzela Stanisława, Wesołowska Jolanta, Klimowicz Adam, Maleszka Romuald

机构信息

Katedra i Klinika Chorób Skórnych i Wenerycznych Pomorskiego Uniwersytetu Medycznego w Szczecinie, al. Powstańców Wlkp. 72, 70-111 Szczecin.

出版信息

Ann Acad Med Stetin. 2011;57(3):23-7.

PMID:23383544
Abstract

Vitiligo is an idiopathic chronic skin disease that is notable for depigmented macules forming by destruction of melanocytes mediated by cells of the immune system. Vitiligo occurs in 1-2% of the population irrespective of race and without predilection to gender or age. The dynamics and extent of the disease vary widely, ranging from stable cases with isolated minor foci to states showing rapid progression and occupying large areas of the skin. For many patients, the disease represents a serious cosmetic defect which limits their activities in various spheres of life. There are many noninvasive methods of treatment but none of them offers a guarantee of complete therapeutic success. PUVA- and UVB-therapy are recognized as the most effective and most commonly used methods. The management of vitiligo should also include education, cosmetic correction options, and psychotherapy in some cases.

摘要

白癜风是一种特发性慢性皮肤病,其显著特征是由免疫系统细胞介导的黑素细胞破坏形成色素脱失斑。白癜风在1%-2%的人群中发病,与种族无关,无性别或年龄倾向。该病的动态变化和范围差异很大,从仅有孤立小病灶的稳定病例到显示快速进展且累及大面积皮肤的状态。对许多患者而言,该病是一种严重的美容缺陷,限制了他们在生活各个领域的活动。有许多非侵入性治疗方法,但没有一种能保证完全治愈成功。补骨脂素加紫外线A照射疗法(PUVA)和紫外线B照射疗法被认为是最有效且最常用的方法。白癜风的治疗还应包括教育、美容矫正选择,以及在某些情况下的心理治疗。

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1
[Vitiligo as an aesthetic problem. Noninvasive therapeutic methods in vitiligo].[白癜风作为一种美学问题。白癜风的非侵入性治疗方法]
Ann Acad Med Stetin. 2011;57(3):23-7.
2
Vitiligo therapy: where are we now?白癜风治疗:我们目前处于什么阶段?
J Drugs Dermatol. 2003 Aug;2(4):404-8.
3
Management of vitiligo.白癜风的管理
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A large scale analytical study on efficacy of different photo(chemo)therapeutic modalities in the treatment of psoriasis, vitiligo and mycosis fungoides.一项关于不同光(化)疗方式治疗银屑病、白癜风和蕈样肉芽肿疗效的大规模分析研究。
Dermatol Ther. 2010 Jul-Aug;23(4):428-34. doi: 10.1111/j.1529-8019.2010.01345.x.
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Therapeutic evaluation of UVB-targeted phototherapy in vitiligo that affects less than 10% of the body surface area.针对累及体表面积不到10%的白癜风患者的紫外线B光疗法的疗效评估
Int J Dermatol. 2009 May;48(5):529-34. doi: 10.1111/j.1365-4632.2009.03928.x.
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Epithelial grafting for vitiligo requires ultraviolet A phototherapy to increase success rate.白癜风的上皮移植需要紫外线A光疗以提高成功率。
J Cosmet Dermatol. 2007 Jun;6(2):119-24. doi: 10.1111/j.1473-2165.2007.00307.x.
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Phototherapy for vitiligo, what's new?白癜风的光疗,有哪些新进展?
G Ital Dermatol Venereol. 2017 Oct;152(5):474-488. doi: 10.23736/S0392-0488.17.05721-2.
8
Psoralen and ultraviolet A and narrow-band ultraviolet B in inducing stability in vitiligo, assessed by vitiligo disease activity score: an open prospective comparative study.通过白癜风疾病活动评分评估补骨脂素与紫外线A及窄谱中波紫外线诱导白癜风病情稳定的效果:一项开放性前瞻性对照研究
J Eur Acad Dermatol Venereol. 2007 Nov;21(10):1381-5. doi: 10.1111/j.1468-3083.2007.02283.x.
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Phototherapy and Combination Therapies for Vitiligo.白癜风的光疗及联合治疗
Dermatol Clin. 2017 Apr;35(2):171-192. doi: 10.1016/j.det.2016.11.008.
10
Randomized double-blind trial of treatment of vitiligo: efficacy of psoralen-UV-A therapy vs Narrowband-UV-B therapy.白癜风治疗的随机双盲试验:补骨脂素 - 紫外线A疗法与窄谱中波紫外线疗法的疗效比较
Arch Dermatol. 2007 May;143(5):578-84. doi: 10.1001/archderm.143.5.578.