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外用西罗莫司成功治疗红色毛发角化病:一例报告及文献复习

Keratosis pilaris rubra successfully treated with topical sirolimus: Report of a case and review of the literature.

作者信息

Eckburg Alexandra, Kazemi Tiana, Maguiness Sheilagh

机构信息

University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA.

出版信息

Pediatr Dermatol. 2022 May;39(3):429-431. doi: 10.1111/pde.14963. Epub 2022 Mar 1.

DOI:10.1111/pde.14963
PMID:35229903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9544444/
Abstract

Keratosis pilaris rubra (KPR) is a subtype of keratosis pilaris (KP) presenting with numerous "grainlike" follicular papules in a background of confluent erythema most often affecting the face and upper extremities with persistence beyond puberty. Treatment has remained challenging with inconsistent benefit from topical therapies such as emollients, keratolytics, corticosteroids, and retinoids, though case reports documenting success with pulsed dye laser therapy have been found. We present a case of KPR in a 15-year-old boy who was successfully treated with topical sirolimus 1% cream.

摘要

红色毛发角化病(KPR)是毛发角化病(KP)的一种亚型,表现为在融合性红斑背景下有许多“颗粒状”毛囊丘疹,最常累及面部和上肢,且持续至青春期后。尽管有文献记载脉冲染料激光治疗取得成功的病例报告,但外用疗法如润肤剂、角质剥脱剂、皮质类固醇和维甲酸类药物的疗效并不一致,治疗仍然具有挑战性。我们报告一例15岁男孩的KPR病例,该病例用1%西罗莫司外用乳膏成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa67/9544444/af8b55475fda/PDE-39-429-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa67/9544444/801376fe7dc5/PDE-39-429-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa67/9544444/af8b55475fda/PDE-39-429-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa67/9544444/801376fe7dc5/PDE-39-429-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa67/9544444/af8b55475fda/PDE-39-429-g001.jpg

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Off-label use of commercially available topical sirolimus for keratosis pilaris rubra faciei.市售外用西罗莫司用于面部红色毛发角化病的超说明书用药。
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本文引用的文献

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Treatment of superficial vascular anomalies with topical sirolimus: A multicenter case series.局部应用西罗莫司治疗表浅血管异常:多中心病例系列。
Pediatr Dermatol. 2020 Mar;37(2):272-277. doi: 10.1111/pde.14104. Epub 2020 Jan 19.
2
Efficacy and safety of sirolimus in the treatment of vascular anomalies: A systematic review.西罗莫司治疗血管异常的疗效和安全性:系统评价。
J Vasc Surg. 2020 Jan;71(1):318-327. doi: 10.1016/j.jvs.2019.06.217. Epub 2019 Oct 30.
3
Vascular Anomalies: Diagnosis of Complicated Anomalies and New Medical Treatment Options.
血管异常:复杂异常的诊断和新的医疗治疗选择。
Hematol Oncol Clin North Am. 2019 Jun;33(3):455-470. doi: 10.1016/j.hoc.2019.01.011.
4
Successful Treatment of Keratosis Pilaris Rubra with Pulsed Dye Laser.脉冲染料激光成功治疗红色毛发角化病
Pediatr Dermatol. 2016 Jul;33(4):443-6. doi: 10.1111/pde.12892. Epub 2016 Jun 10.
5
Keratosis pilaris rubra and keratosis pilaris atrophicans faciei treated with pulsed dye laser: report of 10 cases.红棘皮症和面部萎缩性棘皮症用脉冲染料激光治疗:10 例报告。
J Eur Acad Dermatol Venereol. 2011 Jun;25(6):710-4. doi: 10.1111/j.1468-3083.2010.03772.x. Epub 2010 Jun 21.
6
Effects of tacrolimus or sirolimus on proliferation of vascular smooth muscle and endothelial cells.他克莫司或西罗莫司对血管平滑肌细胞和内皮细胞增殖的影响。
J Cardiovasc Pharmacol. 2006 Dec;48(6):286-92. doi: 10.1097/01.fjc.0000248233.22570.8b.
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Keratosis pilaris rubra: a common but underrecognized condition.红色毛发角化病:一种常见但未得到充分认识的病症。
Arch Dermatol. 2006 Dec;142(12):1611-6. doi: 10.1001/archderm.142.12.1611.
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