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犬类常见瘙痒性皮肤病防治中止痒药物使用的临床指南

Clinical Guidelines for the Use of Antipruritic Drugs in the Control of the Most Frequent Pruritic Skin Diseases in Dogs.

作者信息

Bruet Vincent, Mosca Marion, Briand Amaury, Bourdeau Patrick, Pin Didier, Cochet-Faivre Noëlle, Cadiergues Marie-Christine

机构信息

Veterinary Dermatology Referral Services, 44100 Nantes, France.

Université de Lyon, VetAgro Sup, Interactions Cells Environment, UPSP 2016.A104, 69280 Marcy l'Etoile, France.

出版信息

Vet Sci. 2022 Mar 22;9(4):149. doi: 10.3390/vetsci9040149.

DOI:10.3390/vetsci9040149
PMID:35448647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9030482/
Abstract

Pruritus is a common clinical sign in many skin disorders and is currently the main complaint in canine dermatology. Pruritic skin diseases can affect the quality of life of dogs and their owners. Several families of antipruritic drugs are available to help control pruritus in dogs. The aim of this review is to help practitioners select the most appropriate symptomatic treatment in the most frequent situations of dermatological pruritus in dogs. The molecules reviewed here are systemic and topical glucocorticoids, antihistamines, ciclosporin, oclacitinib and lokivetmab. A level of evidence (1, 2 or 3) has been established according to a detailed algorithm for each individual study in the literature published between 1990 and March 2021. The guidelines result from evidence grading using the strength of recommendation taxonomy (SoRT) and clinical recommendations using a thorough methodology.

摘要

瘙痒是许多皮肤疾病常见的临床症状,目前是犬类皮肤病学的主要诉求。瘙痒性皮肤病会影响犬只及其主人的生活质量。有几类止痒药物可用于帮助控制犬只的瘙痒。本综述的目的是帮助从业者在犬类皮肤瘙痒最常见的情况下选择最合适的对症治疗方法。这里所综述的药物分子包括全身性和局部用糖皮质激素、抗组胺药、环孢素、奥克拉替尼和洛维单抗。根据1990年至2021年3月发表的文献中每项单独研究的详细算法确定了证据水平(1、2或3)。这些指南是通过使用推荐强度分类法(SoRT)进行证据分级以及采用全面方法进行临床推荐而得出的。

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本文引用的文献

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Cytokine production and the effects of oclacitinib in three canine mast cell tumour cell lines.三种犬肥大细胞瘤细胞系中细胞因子的产生和奥卡西替尼的作用。
Vet Dermatol. 2022 Apr;33(2):159-e46. doi: 10.1111/vde.13046. Epub 2021 Dec 9.
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Lokivetmab improved pruritus in a dog with cutaneous epitheliotropic lymphoma.洛维昔单抗改善了一只患有皮肤上皮瘤样淋巴瘤的犬的瘙痒症状。
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A masked, randomised clinical trial evaluating the efficacy and safety of lokivetmab compared to saline control in client-owned dogs with allergic dermatitis.一项针对过敏性皮炎患犬的、戴口罩的、随机临床试验,评估 lokivetmab 相对于生理盐水对照的疗效和安全性。
Vet Dermatol. 2021 Oct;32(5):477-e131. doi: 10.1111/vde.12984. Epub 2021 Jun 27.
7
Treatment of canine cutaneous epitheliotropic T-cell lymphoma with oclacitinib: a case report.采用奥卡西替尼治疗犬皮肤上皮样 T 细胞淋巴瘤:一例病例报告。
Vet Dermatol. 2021 Aug;32(4):398-e113. doi: 10.1111/vde.12976. Epub 2021 May 25.
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The Association Between the Use of Oclacitinib and Antibacterial Therapy in Dogs With Allergic Dermatitis: A Retrospective Case-Control Study.奥克拉替尼的使用与过敏性皮炎犬抗菌治疗之间的关联:一项回顾性病例对照研究。
Front Vet Sci. 2021 Feb 15;8:631443. doi: 10.3389/fvets.2021.631443. eCollection 2021.
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Sensitivity and specificity of a shortened elimination diet protocol for the diagnosis of food-induced atopic dermatitis (FIAD).短程排除饮食方案诊断食物诱发特应性皮炎(FIAD)的敏感性和特异性。
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Use of oclacitinib as antipruritic drug during sarcoptic mange infestation treatment.在治疗疥螨感染时使用奥卡西替尼作为止痒药物。
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