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白癜风:一篇叙述性综述。

Vitiligo: A Narrative Review.

作者信息

Joge Rutuja R, Kathane Piyush U, Joshi Shiv H

机构信息

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.

Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, IND.

出版信息

Cureus. 2022 Sep 18;14(9):e29307. doi: 10.7759/cureus.29307. eCollection 2022 Sep.

Abstract

Vitiligo, a common depigmenting cutaneous condition, is thought to affect 0.5%-2% of the world's population. During this condition, melanocytes are selectively lost, resulting in non-scaly, chalky-white macules. Achromic macules and patches are side effects of the multifaceted disease vitiligo, defined as the absence of epidermal pigmentation. The causes of this disaster are three significant factors. A suppressed reaction to touch allergens is one of many abnormal activities of the hypopigmented epidermis, which has also been observed in hypopigmented rats. The white epidermis of people with albinism, which is the same color as vitiligo, is more vulnerable to skin carcinoma; the white epidermis of people with vitiligo does not develop non-melanoma skin carcinoma. The overall etiology of vitiligo, which is now categorically recognized as an immunological illness, has made significant strides in recent years. Even though vitiligo is frequently dismissed as an esthetic issue, it can have serious mental consequences and significantly interfere with daily life. A global consensus in 2011 classified segmental vitiligo separately from all other types of vitiligo. The term vitiligo has been repurposed to refer to various types of nonsegmental vitiligo. There are numerous pharmaceutical procedures available on the market that aim to stop the development of and induce epidermal repigmentation. Variable levels of skin pigmentation have been observed with such therapies, either alone or in combination, and their predominance was safe and efficient. There are few vitiligo treatments available, and none of them can reliably cause repigmentation in every individual. Individualized management is required depending on geography, physical appearance, and the presence of illness activities. The preceding study aims to provide insight into the potential prospects of vitiligo medication while also summarizing the current body of knowledge on the condition.

摘要

白癜风是一种常见的皮肤色素脱失性疾病,据认为全球有0.5%-2%的人口受其影响。在这种疾病中,黑素细胞会选择性丧失,导致出现无鳞屑的灰白色斑疹。色素脱失斑和斑块是多方面疾病白癜风的副作用,其定义为表皮色素沉着缺失。造成这种疾病的原因有三个重要因素。对接触性过敏原的反应受到抑制是色素减退表皮众多异常活动之一,这在色素减退大鼠中也有观察到。白化病患者的白色表皮与白癜风颜色相同,更容易患皮肤癌;而白癜风患者的白色表皮不会发展为非黑素瘤皮肤癌。白癜风的整体病因目前已被明确认定为一种免疫性疾病,近年来有了重大进展。尽管白癜风常常被视为一个美观问题而被忽视,但它可能会产生严重的心理影响,并严重干扰日常生活。2011年全球达成共识,将节段性白癜风与所有其他类型的白癜风区分开来。“白癜风”一词已被重新用于指代各种类型的非节段性白癜风。市场上有许多药物治疗方法旨在阻止白癜风的发展并诱导表皮色素再生。单独或联合使用这些疗法时,观察到了不同程度的皮肤色素沉着,且它们大多安全有效。目前可用的白癜风治疗方法很少,而且没有一种能可靠地使每个患者都实现色素再生。需要根据地理位置、外貌和疾病活动情况进行个体化管理。上述研究旨在深入了解白癜风药物治疗的潜在前景,同时总结目前关于该疾病的知识体系。

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Vitiligo: A focus on pathogenesis and its therapeutic implications.白癜风:聚焦发病机制及其治疗意义。
J Dermatol. 2021 Mar;48(3):252-270. doi: 10.1111/1346-8138.15743. Epub 2021 Jan 6.
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Vitiligo: A Review.白癜风:综述。
Dermatology. 2020;236(6):571-592. doi: 10.1159/000506103. Epub 2020 Mar 10.
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Safety of the current drug treatments for vitiligo.当前治疗白癜风药物治疗的安全性。
Expert Opin Drug Saf. 2020 Apr;19(4):499-511. doi: 10.1080/14740338.2020.1729737. Epub 2020 Mar 16.
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Disorders of Hypopigmentation.色素减退性疾病
J Drugs Dermatol. 2019 Mar 1;18(3):s115-s116.
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Therapeutic management of vitiligo.白癜风的治疗管理。
J Dtsch Dermatol Ges. 2018 Nov;16(11):1309-1313. doi: 10.1111/ddg.13680. Epub 2018 Oct 18.
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Current and emerging treatments for vitiligo.白癜风的现有和新兴治疗方法。
J Am Acad Dermatol. 2017 Jul;77(1):17-29. doi: 10.1016/j.jaad.2016.11.010.
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