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[间擦疹型银屑病]

[Intertriginous psoriasis].

作者信息

Thomas C, Matthies M, Homey B, Meller S

机构信息

Klinik für Dermatologie, Medizinische Fakultät, Heinrich-Heine-Universität, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

出版信息

Hautarzt. 2020 Apr;71(4):263-268. doi: 10.1007/s00105-020-04558-7.

DOI:10.1007/s00105-020-04558-7
PMID:32144441
Abstract

Intertriginous psoriasis is a variant of psoriasis that is associated with inflammatory lesions in skin folds. Patients often feel ashamed, are subjected to stigmatization, social isolation, or experience mental health issues. There is no general consensus on the definition of intertriginous psoriasis. Depending on the definition used, the prevalence varies substantially. Due to the particular location of skin lesions, therapeutic management is very challenging. Mild symptoms can be treated with topical corticosteroids or topical immunomodulators. There are encouraging data demonstrating the efficacy of ixekizumab, possibly charting the way for it to become a systemic treatment option.

摘要

间擦部位银屑病是银屑病的一种变体,与皮肤褶皱处的炎症性病变相关。患者常感到羞愧,遭受污名化、社会孤立,或出现心理健康问题。对于间擦部位银屑病的定义尚无普遍共识。根据所使用的定义,患病率差异很大。由于皮肤病变的特殊位置,治疗管理极具挑战性。轻度症状可用外用糖皮质激素或外用免疫调节剂治疗。有令人鼓舞的数据证明了司库奇尤单抗的疗效,这可能为其成为一种全身治疗选择指明方向。

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2
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本文引用的文献

1
Biological therapy in genital psoriasis in women.女性生殖器银屑病的生物治疗。
Dermatol Ther. 2020 Jan;33(1):e13110. doi: 10.1111/dth.13110. Epub 2019 Dec 4.
2
Genital Psoriasis: Impact on Quality of Life and Treatment Options.生殖器银屑病:对生活质量的影响和治疗选择。
Am J Clin Dermatol. 2019 Oct;20(5):639-646. doi: 10.1007/s40257-019-00447-5.
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Crisaborole 2% ointment for the treatment of intertriginous, anogenital, and facial psoriasis: A double-blind, randomized, vehicle-controlled trial.2% 克霉唑软膏治疗皱褶部、肛门生殖器和面部银屑病:一项双盲、随机、对照试验。
J Am Acad Dermatol. 2020 Feb;82(2):360-365. doi: 10.1016/j.jaad.2019.06.1288. Epub 2019 Jul 3.
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Ixekizumab Improved Patient-Reported Genital Psoriasis Symptoms and Impact of Symptoms on Sexual Activity vs Placebo in a Randomized, Double-Blind Study.依奇珠单抗改善患者报告的生殖器银屑病症状,与安慰剂相比,在一项随机、双盲研究中改善症状对性行为的影响。
J Sex Med. 2018 Nov;15(11):1645-1652. doi: 10.1016/j.jsxm.2018.09.004.
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Update of calcineurin inhibitors to treat inverse psoriasis: A systematic review.钙调磷酸酶抑制剂治疗反向银屑病的更新:系统评价。
Dermatol Ther. 2018 Nov;31(6):e12728. doi: 10.1111/dth.12728. Epub 2018 Oct 8.
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Efficacy and safety of ixekizumab in a randomized, double-blinded, placebo-controlled phase IIIb study of patients with moderate-to-severe genital psoriasis.在一项随机、双盲、安慰剂对照的 IIIb 期研究中,评估 ixekizumab 在中重度生殖器银屑病患者中的疗效和安全性。
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Underdiagnosed and undertreated psoriasis: Nuances of treating psoriasis affecting the scalp, face, intertriginous areas, genitals, hands, feet, and nails.未被诊断和治疗不足的银屑病:治疗影响头皮、面部、皱褶部位、生殖器、手部、足部和指甲的银屑病的细微差别。
Dermatol Ther. 2018 May;31(3):e12589. doi: 10.1111/dth.12589. Epub 2018 Mar 6.
8
Tacrolimus for the management of psoriasis: clinical utility and place in therapy.他克莫司用于银屑病的治疗:临床应用及在治疗中的地位。
Psoriasis (Auckl). 2016 Dec 7;6:153-163. doi: 10.2147/PTT.S101233. eCollection 2016.
9
Comparative evaluation of efficacy and safety of calcipotriol versus tacalcitol ointment, both in combination with NBUVB phototherapy in the treatment of stable plaque psoriasis.卡泊三醇与他卡西醇软膏联合窄谱中波紫外线光疗治疗稳定期斑块状银屑病的疗效及安全性比较评估
Photodermatol Photoimmunol Photomed. 2017 Sep;33(5):275-281. doi: 10.1111/phpp.12324. Epub 2017 Jul 5.
10
Prevalence of Candida Species in Patients with Psoriasis.银屑病患者念珠菌属的患病率。
Acta Dermatovenerol Croat. 2016 Aug;24(3):209-13.