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白癜风治疗的临床与分子方面。

Clinical and Molecular Aspects of Vitiligo Treatments.

机构信息

Department of Dermatology, Venereology and Leprology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India.

出版信息

Int J Mol Sci. 2018 May 18;19(5):1509. doi: 10.3390/ijms19051509.

Abstract

Vitiligo is an asymptomatic but cosmetically disfiguring disorder that results in the formation of depigmented patches on skin and/or mucosae. Vitiligo can be segmental or non-segmental depending upon the morphology of the clinical involvement. It can also be classified as progressing or stable based on the activity of the disease. Further, the extent of involvement can be limited (localized disease) or extensive (generalized disease). The treatment of vitiligo therefore depends on the clinical classification/characteristics of the disease and usually comprises of 2 strategies. The first involves arresting the progression of active disease (to provide stability) in order to limit the area involved by depigmentation. The second strategy aims at repigmentation of the depigmented area. It is also important to maintain the disease in a stable phase and to prevent relapse. Accordingly, a holistic treatment approach for vitiligo should be individualistic and should take care of all these considerations. In this review, we shall discuss the vitiligo treatments and their important clinical and molecular aspects.

摘要

白癜风是一种无症状但影响美容的疾病,导致皮肤和/或粘膜出现色素脱失斑块。根据临床受累的形态,白癜风可以是节段性的或非节段性的。根据疾病的活动情况,它也可以分为进展期或稳定期。此外,受累的程度可以是有限的(局限性疾病)或广泛的(全身性疾病)。因此,白癜风的治疗取决于疾病的临床分类/特征,通常包括两种策略。第一种策略涉及阻止活动性疾病的进展(提供稳定性),以限制色素脱失所涉及的区域。第二种策略旨在使色素脱失区域重新着色。保持疾病处于稳定阶段并防止复发也很重要。因此,白癜风的整体治疗方法应该是个体化的,并应考虑到所有这些因素。在这篇综述中,我们将讨论白癜风的治疗方法及其重要的临床和分子方面。

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