Department of Dermatology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Department of Medicine, Tulane University Medical School, New Orleans, Louisiana, USA.
Dermatology. 2021;237(6):872-877. doi: 10.1159/000512189. Epub 2020 Dec 17.
Parkinson's disease (PD) is a neurodegenerative disorder associated with multiple comorbidities, including seborrheic dermatitis (SD), which develops in more than half of PD patients. SD in patients with PD can be severe and frequently intractable by traditional topical therapy. Cannabinoids possess anti-inflammatory and neuromodulatory properties working within the intrinsic endocannabinoid system, the activation of which may alleviate the motor symptoms of PD. The effect of cannabinoids on SD is unknown. Here we explore the pathophysiological mechanisms and possible therapeutic role of oral cannabinoids in PD patients with SD, and review speculative mechanisms underlying the association of PD and SD. Current data supporting the use of cannabinoids in both PD and SD, as well as oral cannabinoid safety and tolerability, are presented. Cannabinoids may provide the possibility of simultaneous treatment of both SD and PD. Specific SD studies and additional safety data on oral cannabinoids are needed.
帕金森病(PD)是一种与多种合并症相关的神经退行性疾病,包括脂溢性皮炎(SD),超过一半的 PD 患者会发展为 SD。PD 患者的 SD 可能很严重,并且经常对传统的局部治疗方法具有难治性。大麻素具有抗炎和神经调节特性,可在内在的内源性大麻素系统内发挥作用,其激活可能缓解 PD 的运动症状。大麻素对 SD 的作用尚不清楚。在这里,我们探讨了口服大麻素在 SD 的 PD 患者中的病理生理机制和可能的治疗作用,并回顾了 PD 和 SD 之间关联的推测机制。目前支持在 PD 和 SD 中使用大麻素的数据,以及口服大麻素的安全性和耐受性,都被呈现出来。大麻素可能为同时治疗 SD 和 PD 提供了可能性。需要针对 SD 的具体研究和关于口服大麻素的更多安全性数据。