Stolowy N, Zanin E, Comet A, Jurquet A-L, Benso C, Matonti F, Retornaz K, Kaplanski G, Denis D
Service d'ophtalmologie, hôpital Nord, Marseille, France.
Service de pédiatrie, hôpital Nord, Marseille, France.
J Fr Ophtalmol. 2021 Feb;44(2):252-258. doi: 10.1016/j.jfo.2020.08.003. Epub 2021 Jan 7.
Immunosuppressants are prescribed for pediatric uveitis in cases of severe involvement affecting the prognosis for vision or life, in cases of recurrent or chronic uveitis to achieve corticosteroid sparing, or in cases of corticosteroid resistance. Immunosuppressants used in children include antimetabolites (methotrexate, mycophenolate mofetil, azathioprine), cyclosporine, tacrolimus, and biologics, including infliximab, adalimumab, anakinra, canakinumab, and tocilizumab. The mechanisms of action and indications of the various immunosuppressants are described in this review.
对于严重影响视力预后或生命的小儿葡萄膜炎、复发性或慢性葡萄膜炎以减少皮质类固醇使用,或皮质类固醇抵抗的情况,会开具免疫抑制剂。儿童使用的免疫抑制剂包括抗代谢药物(甲氨蝶呤、霉酚酸酯、硫唑嘌呤)、环孢素、他克莫司以及生物制剂,包括英夫利昔单抗、阿达木单抗、阿那白滞素、卡那单抗和托珠单抗。本综述描述了各种免疫抑制剂的作用机制和适应症。