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[托法替布治疗下的肉芽肿性酒渣鼻样皮炎]

[Granulomatous rosacea-like dermatitis under therapy with tofacitinib].

作者信息

Neumann Kristina, Terheyden Patrick, Thaçi Diamant

机构信息

Exzellenzzentrum Entzündungsmedizin, Universitätsklinikum Schleswig-Holstein - Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein - Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

出版信息

Hautarzt. 2021 Nov;72(11):1000-1002. doi: 10.1007/s00105-021-04793-6. Epub 2021 Mar 24.

DOI:10.1007/s00105-021-04793-6
PMID:33760960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8536633/
Abstract

The case of a 32-year-old female with ulcerative colitis who developed severe papulopustular dermatitis while undergoing treatment with the Janus kinase (JAK) inhibitor tofacitinib. Despite intensive topical therapy, treatment with oral corticosteroids and oral doxycycline was unable to achieve sufficient improvement. Hence, tofacitinib treatment needed to be discontinued. It is well known that the class of JAK inhibitors can cause infectious and allergic cutaneous side effects. However, sterile papulopustular dermatitis as a side-effect has rarely been reported to date.

摘要

一名32岁患有溃疡性结肠炎的女性患者,在接受Janus激酶(JAK)抑制剂托法替布治疗时出现了严重的丘疹脓疱性皮炎。尽管进行了强化局部治疗,但口服皮质类固醇和口服强力霉素治疗仍未能取得足够的改善。因此,需要停用托法替布治疗。众所周知,JAK抑制剂类药物可引起感染性和过敏性皮肤副作用。然而,迄今为止,作为副作用的无菌性丘疹脓疱性皮炎很少被报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40c/8536633/25781c9f24f9/105_2021_4793_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40c/8536633/11f4492558b7/105_2021_4793_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40c/8536633/25781c9f24f9/105_2021_4793_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40c/8536633/11f4492558b7/105_2021_4793_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40c/8536633/25781c9f24f9/105_2021_4793_Fig2_HTML.jpg

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本文引用的文献

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N Engl J Med. 2018 Oct 4;379(14):1313-1321. doi: 10.1056/NEJMoa1806382. Epub 2018 Sep 11.
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Benefit-risk profile of tofacitinib in patients with moderate-to-severe chronic plaque psoriasis: pooled analysis across six clinical trials.托法替尼治疗中重度慢性斑块型银屑病患者的获益-风险特征:六项临床试验的汇总分析。
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青蒿琥酯通过抑制 JAK/STAT 信号通路对酒渣鼻的治疗作用。
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Systemic eight-cycle anti-CD20 monoclonal antibody (rituximab) therapy in primary cutaneous B-cell lymphomas--an applicational observation.原发性皮肤B细胞淋巴瘤的全身性八周期抗CD20单克隆抗体(利妥昔单抗)治疗——一项应用观察
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