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阿普司特治疗寻常型银屑病合并HIV感染者:一例报告

Apremilast in People Living with HIV with Psoriasis Vulgaris: A Case Report.

作者信息

Shah Bela J, Mistry Deval, Chaudhary Navin

机构信息

Department of Dermatology, B J Medical College, Civil Hospital, Ahmedabad, Gujarat, India.

出版信息

Indian J Dermatol. 2019 May-Jun;64(3):242-244. doi: 10.4103/ijd.IJD_633_18.

DOI:10.4103/ijd.IJD_633_18
PMID:31148866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6537689/
Abstract

Psoriasis is a chronic papulosquamous skin disease that involves immune-mediated cutaneous inflammation and keratinocyte hyperproliferation. The associated immunosuppression in people living with HIV (PLHIV) with psoriasis poses a challenge to the clinician as therapeutic options are limited. Until now, there have been no documented case of apremilast therapy for HIV-associated psoriasis in India. Here, we report a case of HIV-associated psoriasis who achieved Psoriasis Area and Severity Index (PASI) 100 with apremilast therapy.

摘要

银屑病是一种慢性丘疹鳞屑性皮肤病,涉及免疫介导的皮肤炎症和角质形成细胞过度增殖。感染人类免疫缺陷病毒(HIV)的银屑病患者存在相关免疫抑制,这给临床医生带来了挑战,因为治疗选择有限。到目前为止,印度尚无关于阿普米司特治疗HIV相关性银屑病的病例报道。在此,我们报告一例HIV相关性银屑病患者,通过阿普米司特治疗实现了银屑病面积和严重程度指数(PASI)达到100。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/6537689/26ea874a4a31/IJD-64-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/6537689/d1146eedd420/IJD-64-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/6537689/26ea874a4a31/IJD-64-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/6537689/d1146eedd420/IJD-64-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/6537689/26ea874a4a31/IJD-64-242-g002.jpg

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本文引用的文献

1
Apremilast as therapeutic option in a HIV positive patient with severe psoriasis.阿普司特作为一名重度银屑病HIV阳性患者的治疗选择。
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Apremilast for a psoriasis patient with HIV and hepatitis C.阿普斯特用于一名合并感染艾滋病毒和丙型肝炎的银屑病患者。
阿普司特治疗伴有严重合并症的银屑病患者:病例系列及文献系统评价
Dermatol Pract Concept. 2022 Oct 1;12(4):e2022179. doi: 10.5826/dpc.1204a179. eCollection 2022 Nov.
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Novel Therapeutic Approaches to Psoriasis and Risk of Infectious Disease.银屑病的新型治疗方法与传染病风险
Biomedicines. 2022 Jan 21;10(2):228. doi: 10.3390/biomedicines10020228.
5
The Use of Apremilast in Psoriasis: An Indian Perspective on Real-World Scenarios.阿普米拉斯在银屑病治疗中的应用:印度对现实世界情况的看法。
Psoriasis (Auckl). 2021 Aug 14;11:109-122. doi: 10.2147/PTT.S320810. eCollection 2021.
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Successful treatment of ustekinumab in a severe psoriasis patient with human immunodeficiency virus infection.优特克单抗成功治疗一名患有人类免疫缺陷病毒感染的重度银屑病患者。
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HIV-associated psoriasis: pathogenesis, clinical features, and management.HIV 相关性银屑病:发病机制、临床特征及治疗。
Lancet Infect Dis. 2010 Jul;10(7):470-8. doi: 10.1016/S1473-3099(10)70101-8.
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Psoriasis vulgaris: cutaneous lymphoid tissue supports T-cell activation and "Type 1" inflammatory gene expression.寻常型银屑病:皮肤淋巴组织支持T细胞活化及“1型”炎症基因表达。
Trends Immunol. 2004 Jun;25(6):295-305. doi: 10.1016/j.it.2004.03.006.
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