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S3 银屑病治疗指南,更新版- 第二部分短版-特殊患者人群和治疗情况。

S3 Guideline for the treatment of psoriasis vulgaris, update - Short version part 2 - Special patient populations and treatment situations.

机构信息

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venereology und Allergy, Division of Evidence-Based Medicine (dEBM).

Fachklinik Bad Bentheim [Bad Bentheim Specialist Hospital].

出版信息

J Dtsch Dermatol Ges. 2018 Jun;16(6):806-813. doi: 10.1111/ddg.13538.

Abstract

The German guideline for the treatment of psoriasis vulgaris was updated using GRADE methodology. The guideline is based on a systematic literature review completed on December 1, 2016, and on a formal consensus and approval process. The second part of this short version of the guideline covers the following special patient populations and treatment situations: tuberculosis screening before and during psoriasis treatment, choice of psoriasis treatment for individuals wishing to have children, as well as during pregnancy and breast-feeding, and patients with joint involvement and vaccinations. In addition, recommendations on the choice of treatment are presented for patients with the following comorbidities: hepatitis and other hepatic impairment, HIV, malignancies, neurological and psychiatric disorders, ischemic heart disease and congestive heart failure, diabetes mellitus, renal impairment and inflammatory bowel disease.

摘要

德国寻常型银屑病治疗指南采用 GRADE 方法进行了更新。该指南基于 2016 年 12 月 1 日完成的系统文献回顾以及正式的共识和审批过程。本指南简本的第二部分涵盖了以下特殊患者人群和治疗情况:在银屑病治疗前和治疗期间进行结核病筛查、有生育意愿者的银屑病治疗选择,以及妊娠和哺乳期的银屑病治疗选择,以及有关节受累和接种疫苗的患者。此外,还针对伴有以下合并症的患者提出了治疗选择建议:肝炎和其他肝损伤、HIV、恶性肿瘤、神经和精神障碍、缺血性心脏病和充血性心力衰竭、糖尿病、肾功能不全和炎症性肠病。

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