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他克莫司治疗后白癜风光暴露部位出现色素沉着。

Hyperpigmentation in photo exposed patches of vitiligo following tacrolimus therapy.

作者信息

Sahni Kanika, Gupta Vishal, Khanna Neena

机构信息

Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian Dermatol Online J. 2014 Apr;5(2):164-6. doi: 10.4103/2229-5178.131090.

DOI:10.4103/2229-5178.131090
PMID:24860752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4030345/
Abstract

Vitiligo is an acquired pigmentary disorder, clinically characterized by depigmented macules caused by destruction of melanocytes in the affected skin. Half of all patients develop the disease in childhood and adolescence before the age of 20 years, making vitiligo an important skin disease of childhood. There are numerous studies in the literature that suggest the efficacy of topical tacrolimus in vitiligo, without serious adverse effects. We describe a case of vitiligo in a pediatric patient who developed hyperpigmentation in the periorbital lesions of vitiligo with the use of topical tacrolimus. To the best of our knowledge, this is only the second such reported occurrence in a patient with vitiligo.

摘要

白癜风是一种获得性色素沉着障碍性疾病,临床特征为受累皮肤中黑素细胞破坏导致的色素脱失斑。所有患者中有一半在20岁之前的儿童期和青少年期发病,这使得白癜风成为一种重要的儿童皮肤病。文献中有大量研究表明外用他克莫司治疗白癜风有效,且无严重不良反应。我们描述了1例儿科白癜风患者,其在使用外用他克莫司后白癜风眶周皮损出现色素沉着。据我们所知,这是白癜风患者中此类报道的第二例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f89/4030345/1a1d9196151a/IDOJ-5-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f89/4030345/da6354434ae9/IDOJ-5-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f89/4030345/1a1d9196151a/IDOJ-5-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f89/4030345/da6354434ae9/IDOJ-5-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f89/4030345/1a1d9196151a/IDOJ-5-164-g002.jpg

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本文引用的文献

1
Efficacy and safety of topical tacrolimus for the treatment of face and neck vitiligo.局部他克莫司治疗面颈部白癜风的疗效和安全性。
J Dermatol. 2010 Feb;37(2):125-9. doi: 10.1111/j.1346-8138.2009.00774.x.
2
Tacrolimus-induced hyperpigmentation in a patch of vitiligo.
Skinmed. 2008 Mar-Apr;7(2):93-4. doi: 10.1111/j.1751-7125.2008.07558.x.
3
FK506 increases pigmentation and migration of human melanocytes.FK506可增加人类黑素细胞的色素沉着和迁移。
Br J Dermatol. 2006 Nov;155(5):1037-40. doi: 10.1111/j.1365-2133.2006.07467.x.
4
FK506 promotes melanocyte and melanoblast growth and creates a favourable milieu for cell migration via keratinocytes: possible mechanisms of how tacrolimus ointment induces repigmentation in patients with vitiligo.FK506促进黑素细胞和成黑素细胞生长,并通过角质形成细胞为细胞迁移创造有利环境:他克莫司软膏诱导白癜风患者色素再生的可能机制。
Br J Dermatol. 2005 Sep;153(3):498-505. doi: 10.1111/j.1365-2133.2005.06739.x.
5
Tacrolimus ointment is safe and effective in the treatment of atopic dermatitis: results in 8000 patients.他克莫司软膏治疗特应性皮炎安全有效:8000例患者的研究结果
J Am Acad Dermatol. 2005 Aug;53(2 Suppl 2):S195-205. doi: 10.1016/j.jaad.2005.04.063.
6
Mucosal pigmentation after oral lichen planus treatment with topical tacrolimus.外用他克莫司治疗口腔扁平苔藓后的黏膜色素沉着。
Dermatology. 2005;210(3):229-32. doi: 10.1159/000083516.
7
Does topical tacrolimus induce lentigines in children with atopic dermatitis? A report of three cases.外用他克莫司会诱发特应性皮炎患儿出现雀斑样痣吗?三例报告。
Br J Dermatol. 2005 Jan;152(1):152-4. doi: 10.1111/j.1365-2133.2004.06280.x.
8
Tacrolimus ointment promotes repigmentation of vitiligo in children: a review of 57 cases.他克莫司软膏促进儿童白癜风复色:57例病例回顾
J Am Acad Dermatol. 2004 Nov;51(5):760-6. doi: 10.1016/j.jaad.2004.05.036.
9
Mucosal staining after using topical tacrolimus to treat erosive oral lichen planus.
J Am Acad Dermatol. 2004 Feb;50(2):326. doi: 10.1016/s0190-9622(03)02479-4.
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Childhood vitiligo and tacrolimus: immunomodulating treatment for an autoimmune disease.儿童白癜风与他克莫司:自身免疫性疾病的免疫调节治疗
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