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头皮银屑病与生物制剂:综述

Scalp Psoriasis and Biologic Agents: A Review.

作者信息

Papadimitriou Ilias, Bakirtzi Katerina, Katoulis Alexander, Ioannides Dimitrios

机构信息

First Dermatology and Venereology Department, School of Medicine Faculty of Health Sciences, Aristotle University, Thessaloniki, Greece.

Second Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medical School, "Attikon" University Hospital, Athens, Greece.

出版信息

Skin Appendage Disord. 2021 Nov;7(6):439-448. doi: 10.1159/000517806. Epub 2021 Aug 3.

DOI:10.1159/000517806
PMID:34901174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8613563/
Abstract

Scalp-localized psoriasis is common among patients affected with plaque psoriasis, rendering its treatment exceedingly difficult. Furthermore, the symptoms caused by the disease like scaling, erythema, and pruritus, among others, pose a major psychological impact and a significant regression in the quality of life of the affected patients. Biologics have proved their efficacy in assuaging the symptoms, in terms of Psoriasis Area and Severity Index (PASI) reduction, and offering optimum quality of life, by decreasing the Dermatology Life Quality Index (DLQI) in the patients suffering from plaque psoriasis. Herein, we sought to evaluate the efficacy of biologics and small molecules in controlling the symptoms and their ability to offer long-term maintenance in the disease activity.

摘要

头皮局限性银屑病在斑块状银屑病患者中很常见,这使得其治疗极具难度。此外,该疾病引起的症状,如脱屑、红斑和瘙痒等,对患者的心理产生重大影响,并使其生活质量显著下降。生物制剂已证明其在缓解症状方面的疗效,即降低银屑病面积和严重程度指数(PASI),并通过降低斑块状银屑病患者的皮肤病生活质量指数(DLQI),为患者提供最佳生活质量。在此,我们试图评估生物制剂和小分子药物在控制症状方面的疗效,以及它们在维持疾病缓解方面的长期能力。

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本文引用的文献

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Efficacy of brodalumab in the treatment of scalp and nail psoriasis: results from three phase 3 trials.布罗达umab 治疗头皮和甲银屑病的疗效:三项 3 期试验结果。
J Dermatolog Treat. 2022 Feb;33(1):261-265. doi: 10.1080/09546634.2020.1749546. Epub 2020 Apr 21.
2
Long-term efficacy and safety of tildrakizumab for moderate-to-severe psoriasis: pooled analyses of two randomized phase III clinical trials (reSURFACE 1 and reSURFACE 2) through 148 weeks.替拉珠单抗治疗中重度银屑病的长期疗效和安全性:两项随机III期临床试验(reSURFACE 1和reSURFACE 2)长达148周的汇总分析
Br J Dermatol. 2020 Mar;182(3):605-617. doi: 10.1111/bjd.18232. Epub 2019 Jul 18.
3
Itching for an answer: A review of potential mechanisms of scalp itch in psoriasis.瘙痒觅因:银屑病头皮瘙痒的潜在机制综述。
Exp Dermatol. 2019 Dec;28(12):1397-1404. doi: 10.1111/exd.13947. Epub 2019 May 15.
4
The IL-17 Family of Cytokines in Psoriasis: IL-17A and Beyond.白细胞介素-17 家族细胞因子在银屑病中的作用:白细胞介素-17A 及其以外的细胞因子
Front Immunol. 2018 Aug 2;9:1682. doi: 10.3389/fimmu.2018.01682. eCollection 2018.
5
Efficacy of Guselkumab Compared With Adalimumab and Placebo for Psoriasis in Specific Body Regions: A Secondary Analysis of 2 Randomized Clinical Trials.古塞单抗治疗特定身体区域银屑病的疗效与阿达木单抗和安慰剂的比较:两项随机临床试验的二次分析。
JAMA Dermatol. 2018 Jun 1;154(6):676-683. doi: 10.1001/jamadermatol.2018.0793.
6
Certolizumab pegol for the treatment of chronic plaque psoriasis: Results through 48 weeks from 2 phase 3, multicenter, randomized, double-blinded, placebo-controlled studies (CIMPASI-1 and CIMPASI-2).培塞利珠单抗治疗慢性斑块状银屑病:来自两项 3 期、多中心、随机、双盲、安慰剂对照研究(CIMPASI-1 和 CIMPASI-2)的 48 周结果。
J Am Acad Dermatol. 2018 Aug;79(2):302-314.e6. doi: 10.1016/j.jaad.2018.04.012. Epub 2018 Apr 13.
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Br J Dermatol. 2018 Jun;178(6):1315-1323. doi: 10.1111/bjd.16426. Epub 2018 May 15.
8
The Genetics of Chronic Itch: Gene Expression in the Skin of Patients with Atopic Dermatitis and Psoriasis with Severe Itch.慢性瘙痒的遗传学:特应性皮炎和银屑病重度瘙痒患者皮肤中的基因表达。
J Invest Dermatol. 2018 Jun;138(6):1311-1317. doi: 10.1016/j.jid.2017.12.029. Epub 2018 Jan 6.
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Safety and efficacy of apremilast through 104 weeks in patients with moderate to severe psoriasis who continued on apremilast or switched from etanercept treatment: findings from the LIBERATE study.在 LIBERATE 研究中,接受阿普司特治疗或从依那西普治疗转换的中重度斑块状银屑病患者中,阿普司特治疗 104 周的安全性和疗效。
J Eur Acad Dermatol Venereol. 2018 Mar;32(3):397-402. doi: 10.1111/jdv.14738. Epub 2018 Jan 29.
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The effect of secukinumab on moderate-to-severe scalp psoriasis: Results of a 24-week, randomized, double-blind, placebo-controlled phase 3b study.司库奇尤单抗治疗中重度头皮银屑病的疗效:一项 24 周、随机、双盲、安慰剂对照的 3b 期研究结果。
J Am Acad Dermatol. 2017 Oct;77(4):667-674. doi: 10.1016/j.jaad.2017.05.033. Epub 2017 Aug 2.