Department of Dermatology, St. Vincent's Hospital, The Skin and Cancer Foundation Inc, Victoria, Australia; The Royal Children's Hospital, Victoria, Australia.
Department of Dermatology, Henri Mondor Hospital, Creteil, France; EpiDermE, Universite Paris-Est, Creteil, France.
J Am Acad Dermatol. 2017 Jul;77(1):17-29. doi: 10.1016/j.jaad.2016.11.010.
Clinicians should be aware that vitiligo is not merely a cosmetic disease and that there are safe and effective treatments available for vitiligo. It is important to recognize common and uncommon presentations and those with active disease, as well as their implications for clinical management; these were discussed in the first article in this continuing medical education series. Existing treatments include topical and systemic immunosuppressants, phototherapy, and surgical techniques, which together may serve to halt disease progression, stabilize depigmented lesions, and encourage repigmentation. We discuss how to optimize the currently available treatments and highlight emerging treatments that may improve treatment efficacy in the future.
临床医生应该意识到,白癜风不仅仅是一种美容疾病,而且有安全有效的治疗方法可供选择。识别常见和不常见的表现形式以及活动性疾病非常重要,因为这会对临床管理产生影响;这些在本继续教育系列的第一篇文章中进行了讨论。现有的治疗方法包括局部和全身免疫抑制剂、光疗和手术技术,这些方法可以共同阻止疾病进展、稳定色素脱失病灶,并促进色素再生。我们讨论了如何优化现有的治疗方法,并强调了未来可能提高治疗效果的新兴治疗方法。