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Update on the therapy of Behçet disease.白塞病治疗的最新进展。
Ther Adv Chronic Dis. 2014 May;5(3):112-34. doi: 10.1177/2040622314523062.
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本文引用的文献

1
Targeted resequencing implicates the familial Mediterranean fever gene MEFV and the toll-like receptor 4 gene TLR4 in Behçet disease.靶向重测序提示家族性地中海热基因 MEFV 和 Toll 样受体 4 基因 TLR4 与贝赫切特病有关。
Proc Natl Acad Sci U S A. 2013 May 14;110(20):8134-9. doi: 10.1073/pnas.1306352110. Epub 2013 Apr 30.
2
Successful treatment with infliximab for Behçet disease during pregnancy.妊娠期应用英夫利昔单抗治疗贝赫切特病获得成功。
Ocul Immunol Inflamm. 2013 Aug;21(4):321-3. doi: 10.3109/09273948.2013.781655. Epub 2013 Apr 25.
3
Behçet's syndrome.白塞综合征。
Rheum Dis Clin North Am. 2013 May;39(2):245-61. doi: 10.1016/j.rdc.2013.02.010. Epub 2013 Mar 14.
4
Lack of efficacy of tocilizumab in mucocutaneous Behcet's syndrome: report of two cases.托珠单抗治疗黏膜皮肤型白塞病无效:两例报告
Rheumatology (Oxford). 2013 Oct;52(10):1923-4. doi: 10.1093/rheumatology/ket130. Epub 2013 Apr 4.
5
Identification of multiple independent susceptibility loci in the HLA region in Behçet's disease.在白塞病的 HLA 区域中鉴定多个独立的易感位点。
Nat Genet. 2013 Mar;45(3):319-24. doi: 10.1038/ng.2551. Epub 2013 Feb 10.
6
Genome-wide association study identifies GIMAP as a novel susceptibility locus for Behcet's disease.全基因组关联研究鉴定 GIMAP 为贝赫切特病的一个新的易感位点。
Ann Rheum Dis. 2013 Sep 1;72(9):1510-6. doi: 10.1136/annrheumdis-2011-200288. Epub 2012 Oct 6.
7
Refractory neuro-Behçet treated by tocilizumab: a case report.托珠单抗治疗难治性神经白塞病 1 例报告
Clin Exp Rheumatol. 2012 May-Jun;30(3 Suppl 72):S73-5. Epub 2012 Sep 27.
8
A case of intestinal Behçet's disease treated with infliximab monotherapy who successfully maintained clinical remission and complete mucosal healing for six years.1例采用英夫利昔单抗单药治疗的肠道白塞病患者成功维持临床缓解和完全黏膜愈合达6年。
Intern Med. 2012;51(16):2125-9. doi: 10.2169/internalmedicine.51.8005. Epub 2012 Aug 15.
9
Two-stage association study in Chinese Han identifies two independent associations in CCR1/CCR3 locus as candidate for Behçet's disease susceptibility.中国汉族人群两阶段关联研究发现 CCR1/CCR3 基因座中的两个独立关联与白塞病易感性相关。
Hum Genet. 2012 Dec;131(12):1841-50. doi: 10.1007/s00439-012-1200-4. Epub 2012 Jul 25.
10
Intravitreal infliximab for sight-threatening relapsing uveitis in Behçet disease: a pilot study in 15 patients.玻璃体腔内注射英夫利昔单抗治疗 Behçet 病致威胁视力的葡萄膜炎:15 例患者的初步研究。
Am J Ophthalmol. 2012 Sep;154(3):534-541.e1. doi: 10.1016/j.ajo.2012.03.035. Epub 2012 Jul 11.

白塞病治疗的最新进展。

Update on the therapy of Behçet disease.

作者信息

Saleh Zeinab, Arayssi Thurayya

机构信息

Tufts Medical Center, Boston, MA, USA.

Weill Cornell Medical College-Qatar, Education City, PO Box 24144, Doha, Qatar.

出版信息

Ther Adv Chronic Dis. 2014 May;5(3):112-34. doi: 10.1177/2040622314523062.

DOI:10.1177/2040622314523062
PMID:24790727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3992825/
Abstract

Behçet disease is a chronic inflammatory systemic disorder, characterized by a relapsing and remitting course. It manifests with oral and genital ulcerations, skin lesions, uveitis, and vascular, central nervous system and gastrointestinal involvement. The main histopathological finding is a widespread vasculitis of the arteries and veins of any size. The cause of this disease is presumed to be multifactorial involving infectious triggers, genetic predisposition, and dysregulation of the immune system. As the clinical expression of Behçet disease is heterogeneous, pharmacological therapy is variable and depends largely on the severity of the disease and organ involvement. Treatment of Behçet disease continues to be based largely on anecdotal case reports, case series, and a few randomized clinical trials.

摘要

白塞病是一种慢性炎症性全身性疾病,其特点是病情呈复发和缓解过程。临床表现为口腔和生殖器溃疡、皮肤病变、葡萄膜炎以及血管、中枢神经系统和胃肠道受累。主要组织病理学发现是任何大小的动脉和静脉广泛发生血管炎。该疾病的病因被认为是多因素的,涉及感染诱因、遗传易感性和免疫系统失调。由于白塞病的临床表型具有异质性,药物治疗方法各异,很大程度上取决于疾病的严重程度和器官受累情况。白塞病的治疗目前仍主要基于轶事性病例报告、病例系列以及少数随机临床试验。