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在中重度银屑病成人患者中使用外用疗法(卡泊三醇和倍他米松二丙酸酯泡沫剂)的真实世界经验

Real-World Experience Using Topical Therapy-Calcipotriol and Betamethasone Dipropionate Foam in Adults with Beyond-Mild Psoriasis.

作者信息

Aschoff Roland, Martorell Antonio, Anger Tobias, Chayer Diane, Bewley Anthony

机构信息

Department of Dermatology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Dermatology and Venereology Service, Hospital de Manises, Valencia, Spain.

出版信息

Dermatol Ther (Heidelb). 2021 Apr;11(2):555-569. doi: 10.1007/s13555-021-00501-3. Epub 2021 Mar 15.

DOI:10.1007/s13555-021-00501-3
PMID:33723715
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8018991/
Abstract

INTRODUCTION

Determining optimal treatment for moderate plaque psoriasis can be challenging. Recent studies have demonstrated the effectiveness of calcipotriol and betamethasone dipropionate (Cal/BD) foam in patients with moderate-to-severe plaque psoriasis.

METHODS

This research explored the use of Cal/BD foam in patients with beyond-mild psoriasis (defined as patients eligible for topical treatment, systemic treatment, or combined topical/systemic treatments) using an online questionnaire, retrospective medical-record review, and by capturing the attitudes and treatment approaches of dermatology specialists.

RESULTS

Data from 409 patients with beyond-mild psoriasis treated with Cal/BD foam were provided by 120 dermatology specialists from Germany, Spain, and the UK. Cal/BD foam was prescribed as monotherapy for most (58%) patients and was considered to be effective. Cal/BD foam was infrequently used in combination with biologics (7%) in this segment; 26% of patients received Cal/BD foam in combination with a non-biologic systemic treatment. Cal/BD foam prescribers generally use topical agents to bridge the waiting time to non-biologic/biologic systemic treatment, and as an add-on to systemic treatment for residual lesions.

CONCLUSIONS

In patients with beyond-mild psoriasis, the most commonly prescribed topical medication was Cal/BD foam, which was regarded as an effective treatment. Further research is needed to determine optimal use of Cal/BD foam in these patients.

摘要

引言

确定中度斑块状银屑病的最佳治疗方案可能具有挑战性。最近的研究表明,卡泊三醇倍他米松二丙酸酯(Cal/BD)泡沫对中重度斑块状银屑病患者有效。

方法

本研究通过在线问卷、回顾性病历审查以及了解皮肤科专家的态度和治疗方法,探讨了Cal/BD泡沫在非轻度银屑病患者(定义为有资格接受局部治疗、全身治疗或局部/全身联合治疗的患者)中的应用。

结果

来自德国、西班牙和英国的120名皮肤科专家提供了409例接受Cal/BD泡沫治疗的非轻度银屑病患者的数据。大多数(58%)患者将Cal/BD泡沫作为单一疗法使用,且被认为有效。在这部分患者中,Cal/BD泡沫很少与生物制剂联合使用(7%);26%的患者接受Cal/BD泡沫与非生物全身治疗联合使用。开具Cal/BD泡沫处方的医生通常使用局部用药来填补等待非生物/生物全身治疗的时间,并作为全身治疗残余皮损的附加治疗。

结论

在非轻度银屑病患者中,最常开具的局部用药是Cal/BD泡沫,它被视为一种有效的治疗方法。需要进一步研究以确定Cal/BD泡沫在这些患者中的最佳使用方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/60e5080d84c2/13555_2021_501_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/9aef19532f8c/13555_2021_501_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/29405d29e682/13555_2021_501_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/48ebf86b16d8/13555_2021_501_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/60e5080d84c2/13555_2021_501_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/9aef19532f8c/13555_2021_501_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/29405d29e682/13555_2021_501_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/1c254d25251d/13555_2021_501_Fig3a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/48ebf86b16d8/13555_2021_501_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00bf/8018991/60e5080d84c2/13555_2021_501_Fig5_HTML.jpg

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