Department of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.
Department of Dermatology, University Hospital of Brest, Brest, France.
Front Immunol. 2019 Jun 21;10:1303. doi: 10.3389/fimmu.2019.01303. eCollection 2019.
Pruritus in autoimmune and inflammatory dermatoses is a common symptom that can be severe and affect the quality of life of patients. In some diseases, pruritus is related to disorders activity and severity or may occur independent of the disease. Despite the high prevalence, the symptom is still underrated and there are only a few trials investigating the efficacy of drugs for disease-specific pruritus. In this review, the characteristics and possible pathomechanisms of pruritus in various dermatoses like autoimmune bullous diseases, connective tissue diseases as well as autoimmune-associated dermatoses (atopic dermatitis, psoriasis vulgaris) is illustrated. Additionally, studies analyzing the antipruritic treatment are discussed. Summarizing, the prevalence of pruritus in these diseases demonstrates the importance for symptom recognition and the need for an efficient antipruritic therapy.
瘙痒是自身免疫性和炎症性皮肤病的常见症状,可严重影响患者的生活质量。在某些疾病中,瘙痒与疾病活动度和严重程度有关,或者可能独立于疾病发生。尽管瘙痒的患病率很高,但它仍然被低估了,而且只有少数试验研究了针对特定疾病瘙痒的药物疗效。在这篇综述中,我们阐述了自身免疫性大疱性疾病、结缔组织疾病以及自身免疫相关性皮肤病(特应性皮炎、寻常型银屑病)等各种皮肤病中瘙痒的特征和可能的发病机制。此外,还讨论了分析止痒治疗的研究。总之,这些疾病中瘙痒的患病率表明了对症状识别的重要性,以及对有效止痒治疗的需求。