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白癜风的进展:医学与外科治疗的最新情况

Advances in Vitiligo: An Update on Medical and Surgical Treatments.

作者信息

Dillon Alexander B, Sideris Andrew, Hadi Ali, Elbuluk Nada

机构信息

The Ronald O. Perelman Department of Dermatology, New York University, New York, New York.

出版信息

J Clin Aesthet Dermatol. 2017 Jan;10(1):15-28. Epub 2017 Jan 1.

PMID:28210378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5300730/
Abstract

Vitiligo is one of the most common cutaneous disorders of depigmentation. Although its underlying causes are still being studied and no definitive cure currently exists, recent research has provided insight into pathogenic mechanisms and new treatment options. The aim of this paper is to provide a comprehensive overview of the medical and surgical therapies for vitiligo with emphasis on the most recent treatment modalities. This review was conducted through a literature search using PubMed and the National institutes of Health's clinicalTrials.gov databases from January 2010 to July 2015. This yielded 86 studies, 12 of which were excluded, and 74 of which were reviewed. Recent studies and ongoing clinical trials indicate that there are many promising new medical and surgical treatment modalities for this chronic condition. A combination of traditional and newer treatments may work synergistically to provide additional improvement in patients' disease state and quality of life.

摘要

白癜风是最常见的色素脱失性皮肤病之一。尽管其潜在病因仍在研究中,目前尚无确切的治愈方法,但最近的研究已深入了解其发病机制并提供了新的治疗选择。本文旨在全面概述白癜风的医学和外科治疗方法,重点介绍最新的治疗方式。本综述通过使用PubMed和美国国立卫生研究院的clinicalTrials.gov数据库进行文献检索,检索时间为2010年1月至2015年7月。共获得86项研究,其中12项被排除,74项被纳入综述。最近的研究和正在进行的临床试验表明,对于这种慢性病有许多有前景的新医学和外科治疗方式。传统治疗与新治疗方法相结合可能会产生协同作用,进一步改善患者的病情和生活质量。

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1
Advances in Vitiligo: An Update on Medical and Surgical Treatments.白癜风的进展:医学与外科治疗的最新情况
J Clin Aesthet Dermatol. 2017 Jan;10(1):15-28. Epub 2017 Jan 1.
2
Therapeutic options in vitiligo with special emphasis on immunomodulators: A comprehensive update with review of literature.白癜风的治疗选择,特别强调免疫调节剂:文献综述的全面更新
Dermatol Ther. 2020 Mar;33(2):e13215. doi: 10.1111/dth.13215. Epub 2020 Jan 12.
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Vitiligo: a comprehensive overview Part II: treatment options and approach to treatment.白癜风:全面概述 第二部分:治疗选择和治疗方法。
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Vitiligo surgical, laser, and alternative therapies: a review and case series.白癜风的手术、激光及替代疗法:综述与病例系列
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JBI Libr Syst Rev. 2010;8(29):1169-1201. doi: 10.11124/01938924-201008290-00001.
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Update on skin repigmentation therapies in vitiligo.白癜风皮肤复色疗法的最新进展。
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Synthetic drugs for the treatment of vitiligo: a patent review (2010-2015).用于治疗白癜风的合成药物:专利综述(2010 - 2015年)
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Interventions for treating oro-antral communications and fistulae due to dental procedures.治疗牙科手术引起的口腔-鼻窦相通和瘘管的干预措施。
Cochrane Database Syst Rev. 2018 Aug 16;8(8):CD011784. doi: 10.1002/14651858.CD011784.pub3.

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Canadian Consensus Guidelines for the Management of Vitiligo.加拿大白癜风管理共识指南
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Knowledge, attitude, and practice toward vitiligo among vitiligo patients: a mediation analysis.白癜风患者对白癜风的知识、态度和行为:一项中介分析
Sci Rep. 2025 Feb 8;15(1):4741. doi: 10.1038/s41598-025-89346-w.
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The Treatment of Refractory Vitiligo With Autologous Cultured Epithelium Grafting: A Real-World Retrospective Cohort Study.自体培养表皮移植治疗难治性白癜风:真实世界回顾性队列研究。
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Surgical Treatment of Vitiligo.白癜风的外科治疗。
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The Role of MicroRNAs in Vitiligo: Regulators and Therapeutic Targets.微小RNA在白癜风中的作用:调节因子与治疗靶点
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本文引用的文献

1
Rapid skin repigmentation on oral ruxolitinib in a patient with coexistent vitiligo and alopecia areata (AA).一名同时患有白癜风和斑秃(AA)的患者口服鲁索替尼后皮肤迅速重新色素沉着。
J Am Acad Dermatol. 2016 Feb;74(2):370-1. doi: 10.1016/j.jaad.2015.09.073. Epub 2015 Dec 11.
2
A Randomized Comparative Study of Oral Corticosteroid Minipulse and Low-Dose Oral Methotrexate in the Treatment of Unstable Vitiligo.口服皮质类固醇微脉冲与低剂量口服甲氨蝶呤治疗不稳定型白癜风的随机对照研究
Dermatology. 2015;231(3):286-90. doi: 10.1159/000433424. Epub 2015 Aug 8.
3
Effects of a preceding fractional carbon dioxide laser on the outcome of combined local narrowband ultraviolet B and topical steroids in patients with vitiligo in difficult-to-treat areas.前期二氧化碳点阵激光对难治疗部位白癜风患者联合局部窄谱中波紫外线及外用糖皮质激素治疗效果的影响
Lasers Surg Med. 2016 Feb;48(2):197-202. doi: 10.1002/lsm.22389. Epub 2015 Jul 14.
4
Tofacitinib Citrate for the Treatment of Vitiligo: A Pathogenesis-Directed Therapy.枸橼酸托法替布治疗白癜风:一种针对发病机制的治疗方法。
JAMA Dermatol. 2015 Oct;151(10):1110-2. doi: 10.1001/jamadermatol.2015.1520.
5
Suction blister grafting for vitiligo: efficacy and clinical predictive factors.白癜风的吸疱移植术:疗效及临床预测因素
Dermatol Surg. 2015 May;41(5):633-9. doi: 10.1097/DSS.0000000000000341.
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Triple combination treatment with fractional CO2 laser plus topical betamethasone solution and narrowband ultraviolet B for refractory vitiligo: a prospective, randomized half-body, comparative study.二氧化碳点阵激光联合外用倍他米松溶液及窄谱中波紫外线三联疗法治疗难治性白癜风:一项前瞻性、随机半体对照研究
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Triple combination of systemic corticosteroids, excimer laser, and topical tacrolimus in the treatment of recently developed localized vitiligo.全身性皮质类固醇、准分子激光和外用他克莫司三联疗法治疗近期发生的局限性白癜风。
Ann Dermatol. 2015 Feb;27(1):104-7. doi: 10.5021/ad.2015.27.1.104. Epub 2015 Feb 3.
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Indications and limitations of afamelanotide for treating vitiligo.阿法美拉酮治疗白癜风的适应症及局限性
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Vitiligo.白癜风。
Lancet. 2015 Jul 4;386(9988):74-84. doi: 10.1016/S0140-6736(14)60763-7. Epub 2015 Jan 15.
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The effect of latanoprost on vitiligo: a preliminary comparative study.拉坦前列素对白癜风的影响:一项初步比较研究。
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