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移植人群中的银屑病。

Psoriasis in the transplant population.

机构信息

School of Medicine, University of Utah, Salt Lake City, UT, USA.

Department of Dermatology, University of Utah, 30 North 1900 East, 4A330, Salt Lake City, UT, 84132, USA.

出版信息

Arch Dermatol Res. 2023 Jul;315(5):1109-1128. doi: 10.1007/s00403-022-02487-0. Epub 2022 Dec 2.

DOI:10.1007/s00403-022-02487-0
PMID:36459192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11199078/
Abstract

Solid organ and stem cell transplants are increasingly common, and dermatologists will more frequently encounter and need to manage common skin diseases, such as psoriasis, in transplant patients. This review explores psoriasis remission and occurrence in recipients of solid organ and stem cell transplants. Hematopoietic and mesenchymal stem cell transplants may show potential for treating psoriasis in patients with leukemia or who have other medical conditions requiring stem cell transplant. The effects of solid organ transplant are less clear, partly due to limitations in the breadth of the literature. De novo psoriasis has been reported in recipients of solid organ transplants, but the reasons for this development have yet to be fully understood. Overall, the literature on this subject is limited to primarily case reports. Feasibility of studies on the subject may be a considerable barrier to further research assessing the use of transplant for treating psoriasis, but there is potential benefit from transplant for psoriasis patients. This subject should receive further exploration to fully understand these benefits.

摘要

实体器官和干细胞移植越来越普遍,皮肤科医生将更频繁地遇到并需要管理移植患者的常见皮肤病,如银屑病。这篇综述探讨了实体器官和干细胞移植受者的银屑病缓解和发生情况。造血和间充质干细胞移植可能为白血病患者或有其他需要干细胞移植的医疗条件的患者提供治疗银屑病的潜力。实体器官移植的效果不太明确,部分原因是文献的广度有限。已报道在实体器官移植受者中出现新发银屑病,但尚未完全了解其发病原因。总体而言,关于该主题的文献主要限于病例报告。该主题的研究可行性可能是进一步研究评估移植治疗银屑病的使用的一个相当大的障碍,但移植对银屑病患者有潜在的益处。这个主题应该得到进一步的探索,以充分了解这些益处。

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Arch Dermatol Res. 2023 Jul;315(5):1109-1128. doi: 10.1007/s00403-022-02487-0. Epub 2022 Dec 2.
2
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Diagnosis and treatment of fungal infections in allogeneic stem cell and solid organ transplant recipients.异基因造血干细胞和实体器官移植受者真菌感染的诊断与治疗。
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Food allergies developing after solid organ transplant.实体器官移植后发生的食物过敏。
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引用本文的文献

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Use of ustekinumab in the treatment of severe psoriasis in a liver transplant recipient.乌司奴单抗在肝移植受者重度银屑病治疗中的应用。
An Bras Dermatol. 2025 Jul 3;100(4):501156. doi: 10.1016/j.abd.2025.501156.

本文引用的文献

1
Human umbilical cord mesenchymal stem cells for psoriasis: a phase 1/2a, single-arm study.人脐带间充质干细胞治疗银屑病:1/2a 期、单臂研究。
Signal Transduct Target Ther. 2022 Aug 5;7(1):263. doi: 10.1038/s41392-022-01059-y.
2
Psoriasis treatment using minimally manipulated umbilical cord-derived mesenchymal stem cells: A case report.使用微操作脐带间充质干细胞治疗银屑病:一例报告。
World J Clin Cases. 2021 Aug 16;9(23):6798-6803. doi: 10.12998/wjcc.v9.i23.6798.
3
The promise and challenges of cell therapy for psoriasis.细胞治疗银屑病的前景与挑战。
Br J Dermatol. 2021 Nov;185(5):887-898. doi: 10.1111/bjd.20517. Epub 2021 Jul 27.
4
Pediatric psoriasis induced by HLA-B46-Cw1 haplotype: A retrospective study of psoriasis onset after hematopoietic stem cell transplantation.儿童银屑病由 HLA-B46-Cw1 单倍型诱导:造血干细胞移植后银屑病发病的回顾性研究。
J Dermatol. 2021 Sep;48(9):1381-1385. doi: 10.1111/1346-8138.15953. Epub 2021 May 7.
5
Brodalumab in an Organ Transplant Recipient With Psoriasis.巴罗达单抗治疗银屑病器官移植受者。
Cutis. 2021 Feb;107(2):104-106. doi: 10.12788/cutis.0167.
6
Evaluation of patients diagnosed with psoriasis and multiple myeloma after autologous stem cell transplantation.评估接受自体干细胞移植后诊断为银屑病和多发性骨髓瘤的患者。
Transfus Apher Sci. 2021 Aug;60(4):103137. doi: 10.1016/j.transci.2021.103137. Epub 2021 Apr 8.
7
Use of anti-IL 17A for psoriasis is not necessarily contraindicated in organ transplantation patients.在器官移植患者中,使用抗IL - 17A治疗银屑病不一定是禁忌的。
Eur J Dermatol. 2020 Jun 1;30(3):311-313. doi: 10.1684/ejd.2020.3776.
8
Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review.银屑病的病理生理学、临床表现和治疗:综述。
JAMA. 2020 May 19;323(19):1945-1960. doi: 10.1001/jama.2020.4006.
9
Mesenchymal stem cells for the treatment of psoriasis: a comprehensive review.间充质干细胞治疗银屑病:全面综述。
Clin Exp Dermatol. 2020 Oct;45(7):824-830. doi: 10.1111/ced.14269. Epub 2020 Jun 10.
10
Successful Treatment of Plaque Psoriasis with Allogeneic Gingival Mesenchymal Stem Cells: A Case Study.同种异体牙龈间充质干细胞成功治疗斑块状银屑病:一项病例研究。
Case Rep Dermatol Med. 2020 Mar 28;2020:4617520. doi: 10.1155/2020/4617520. eCollection 2020.