Chen Tinley, Levitt Jacob, Geller Lauren
New York University, New York, NY.
Dermatol Online J. 2017 Jan 15;23(1):13030/qt15s432gx.
Recurrent erythema multiforme with oralinvolvement is therapeutically challenging.Apremilast has been used with success in resolvingthe oral aphthae of Behçet disease, prompting theuse of the drug in patients with oral erosions fromerythema multiforme. Three patients with oralerythema multiforme were given apremilast at dosesof 30-60mg daily. Complete clearance of the lesionswere observed in all three patients, including thoserefractory to other standard therapies. Apremilast maypresent an effective option for recurrent erythemamultiforme for patients who have failed trials antiviraland immunosuppressive therapies.
伴有口腔受累的复发性多形红斑在治疗上具有挑战性。阿普米拉斯已成功用于治疗白塞病的口腔溃疡,这促使其被用于患有多形红斑所致口腔糜烂的患者。三名患有口腔多形红斑的患者每日服用30 - 60毫克阿普米拉斯。所有三名患者的皮损均完全消退,包括那些对其他标准疗法无效的患者。对于抗病毒和免疫抑制治疗试验失败的复发性多形红斑患者,阿普米拉斯可能是一种有效的选择。