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皮肤T细胞淋巴瘤中的瘙痒及其管理

Pruritus in Cutaneous T-Cell Lymphoma and Its Management.

作者信息

Serrano Linda, Martinez-Escala Maria Estela, Zhou Xiaolong A, Guitart Joan

机构信息

Department of Dermatology, Northwestern University, Feinberg School of Medicine, 645 North Michigan Avenue, Suite 1050, Chicago, IL 60611, USA.

Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1765, Chicago, IL 60611, USA.

出版信息

Dermatol Clin. 2018 Jul;36(3):245-258. doi: 10.1016/j.det.2018.02.011.

Abstract

Pruritus is a common symptom in cutaneous T-cell lymphoma (CTCL) and critically affects the quality of life of patients. Understanding the pruritogenesis has led to development of new therapeutic agents with promising outcomes in management of this recalcitrant symptom. Clinical assessments are warranted to aid in evaluation of treatment response or disease recurrence. Severe pruritus scores may require further investigation of emotional distress for a better patient approach. Dermatologists play a key role in the treatment of CTCL-pruritus by guiding the patient in the importance of preserving the integrity of the skin barrier.

摘要

瘙痒是皮肤T细胞淋巴瘤(CTCL)的常见症状,严重影响患者的生活质量。对瘙痒发生机制的了解促使开发出了新的治疗药物,在管理这一顽固症状方面取得了有前景的成果。有必要进行临床评估以辅助评估治疗反应或疾病复发情况。严重的瘙痒评分可能需要进一步调查情绪困扰,以便更好地治疗患者。皮肤科医生在CTCL瘙痒的治疗中发挥关键作用,指导患者认识到保持皮肤屏障完整性的重要性。

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