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成人特应性皮炎评估与管理方法:一份共识文件。第一部分:特应性皮炎的病理生理学及其对全身治疗的意义。

Approach to the Assessment and Management of Adult Patients With Atopic Dermatitis: A Consensus Document. Section I: Pathophysiology of Atopic Dermatitis and Implications for Systemic Therapy.

作者信息

Kirchhof Mark G, Landells Ian, Lynde Chuck W, Gooderham Melinda J, Hong Chih-Ho

出版信息

J Cutan Med Surg. 2018 Nov/Dec;22(1_suppl):6S-9S. doi: 10.1177/1203475418803626.

DOI:10.1177/1203475418803626
PMID:30439299
Abstract

Atopic dermatitis (AD) is a chronic, relapsing, and remitting inflammatory skin disease whose onset typically occurs early in life. AD pathophysiology includes genetic, immune, and environmental factors contributing to chronic inflammation. A rapidly evolving understanding of the pathogenesis of AD has led to the development of several treatment options for AD in adults, including topicals, phototherapy, and systemic therapies. Here, we provide a concise summary of AD pathophysiology with a focus on implications for systemic therapy.

摘要

特应性皮炎(AD)是一种慢性、复发性、缓解性炎症性皮肤病,其发病通常始于生命早期。AD的病理生理学包括导致慢性炎症的遗传、免疫和环境因素。对AD发病机制的快速深入了解已促使开发出多种针对成人AD的治疗方案,包括局部用药、光疗和全身治疗。在此,我们简要总结AD的病理生理学,重点关注其对全身治疗的影响。

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1
Approach to the Assessment and Management of Adult Patients With Atopic Dermatitis: A Consensus Document. Section I: Pathophysiology of Atopic Dermatitis and Implications for Systemic Therapy.成人特应性皮炎评估与管理方法:一份共识文件。第一部分:特应性皮炎的病理生理学及其对全身治疗的意义。
J Cutan Med Surg. 2018 Nov/Dec;22(1_suppl):6S-9S. doi: 10.1177/1203475418803626.
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Approach to the Assessment and Management of Adult Patients With Atopic Dermatitis: A Consensus Document. Section IV: Treatment Options for the Management of Atopic Dermatitis.成人特应性皮炎评估与管理方法:一份共识文件。第四章:特应性皮炎管理的治疗选择。
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Approach to the Assessment and Management of Adult Patients With Atopic Dermatitis: A Consensus Document. Section V: Consensus Statements on the Assessment and Management of Adult Patients With Moderate-to-Severe Atopic Dermatitis.成人特应性皮炎评估与管理方法:一份共识文件。第五节:关于中重度成人特应性皮炎评估与管理的共识声明。
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Approach to the Assessment and Management of Adult Patients With Atopic Dermatitis: A Consensus Document.成人特应性皮炎患者的评估与管理方法:一份共识文件。
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Approach to the Assessment and Management of Pediatric Patients With Atopic Dermatitis: A Consensus Document. Section III: Treatment Options for Pediatric Atopic Dermatitis.特应性皮炎患儿评估和管理方法:共识文件。第三节:特应性皮炎患儿的治疗选择。
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引用本文的文献

1
Canadian Consensus Guidelines for the Management of Atopic Dermatitis with Topical Therapies.加拿大外用疗法治疗特应性皮炎的共识指南。
Dermatol Ther (Heidelb). 2025 Jun;15(6):1467-1485. doi: 10.1007/s13555-025-01386-2. Epub 2025 Apr 25.
2
Global Guidelines in Dermatology Mapping Project (GUIDEMAP), a systematic review of atopic dermatitis clinical practice guidelines: are they clear, unbiased, trustworthy and evidence based (CUTE)?全球皮肤病学图谱项目(GUIDEMAP)中关于特应性皮炎临床实践指南的系统评价:这些指南是否清晰、无偏倚、可信且基于证据(CUTE)?
Br J Dermatol. 2022 May;186(5):792-802. doi: 10.1111/bjd.20972.
3
Clinical and sociodemographic features and quality of life in patients with atopic dermatitis who attended dermatology teaching clinics in Medellín, Antioquia and its metropolitan area.
在麦德林、安蒂奥基亚及其大都市区的皮肤科教学诊所就诊的特应性皮炎患者的临床和社会人口学特征及生活质量。
Biomedica. 2021 Dec 15;41(4):676-691. doi: 10.7705/biomedica.5978.
4
Consensus on the Clinical Approach to Moderate-to-Severe Atopic Dermatitis in Spain: A Delphi Survey.西班牙中重度特应性皮炎临床治疗方法的共识:德尔菲调查
Dermatol Res Pract. 2020 Apr 7;2020:1524293. doi: 10.1155/2020/1524293. eCollection 2020.