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最被忽视的寄生虫病皮肤利什曼病的非药物替代治疗方案:叙述性综述

Alternative Non-Drug Treatment Options of the Most Neglected Parasitic Disease Cutaneous Leishmaniasis: A Narrative Review.

作者信息

Orabi Mohamed A A, Lahiq Ahmed A, Awadh Ahmed Abdullah Al, Alshahrani Mohammed Merae, Abdel-Wahab Basel A, Abdel-Sattar El-Shaymaa

机构信息

Department of Pharmacognosy, College of Pharmacy, Najran University, P.O. Box 1988, Najran 66454, Saudi Arabia.

Department of Pharmaceutics, College of Pharmacy, Najran University, P.O. Box 1988, Najran 66454, Saudi Arabia.

出版信息

Trop Med Infect Dis. 2023 May 14;8(5):275. doi: 10.3390/tropicalmed8050275.


DOI:10.3390/tropicalmed8050275
PMID:37235323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10223966/
Abstract

With more than 12 million cases worldwide, leishmaniasis is one of the top 10 neglected tropical diseases. According to the WHO, there are approximately 2 million new cases each year in foci in around 90 countries, of which 1.5 million are cutaneous leishmaniasis (CL). Cutaneous leishmaniasis (CL) is a complex cutaneous condition that is caused by a variety of species, including () , () () , () () , and () . The disease imposes a significant burden on those who are affected since it typically results in disfiguring scars and extreme social stigma. There are no vaccines or preventive treatments available, and chemotherapeutic medications, including antimonials, amphotericin B, miltefosine, paromomycin, pentamidine, and antifungal medications, have a high price tag, a significant risk of developing drug resistance, and a variety of systemic toxicities. To work around these limitations, researchers are continuously looking for brand-new medications and other forms of therapy. To avoid toxicity with systemic medication use, high cure rates have been observed using local therapy techniques such as cryotherapy, photodynamic therapy, and thermotherapy, in addition to some forms of traditional therapies, including leech and cauterization therapies. These CL therapeutic strategies are emphasized and assessed in this review to help with the process of locating the appropriate species-specific medicines with fewer side effects, lower costs, and elevated cure rates.

摘要

利什曼病在全球范围内有超过1200万例病例,是十大被忽视的热带病之一。据世界卫生组织称,每年在约90个国家的疫源地有大约200万新病例,其中150万例为皮肤利什曼病(CL)。皮肤利什曼病(CL)是一种复杂的皮肤疾病,由多种物种引起,包括(此处原文括号内容缺失)。该疾病给患者带来了沉重负担,因为它通常会导致毁容性疤痕和极大的社会耻辱感。目前没有可用的疫苗或预防性治疗方法,化疗药物,包括锑剂、两性霉素B、米替福新、巴龙霉素、喷他脒和抗真菌药物,价格高昂,产生耐药性的风险很大,且有多种全身毒性。为克服这些局限性,研究人员不断在寻找全新的药物和其他治疗形式。为避免全身用药带来的毒性,除了一些传统疗法,如水蛭疗法和烧灼疗法外,使用冷冻疗法、光动力疗法和热疗法等局部治疗技术已观察到较高的治愈率。本综述强调并评估了这些CL治疗策略,以帮助寻找副作用更少、成本更低且治愈率更高的合适的物种特异性药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9de/10223966/ab002469fe75/tropicalmed-08-00275-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9de/10223966/ab002469fe75/tropicalmed-08-00275-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9de/10223966/ab002469fe75/tropicalmed-08-00275-g001.jpg

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Alternative Non-Drug Treatment Options of the Most Neglected Parasitic Disease Cutaneous Leishmaniasis: A Narrative Review.

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[1]
Radiotherapy, photodynamic therapy, and cryoablation-induced abscopal effect: Challenges and future prospects.

Cancer Innov. 2023-2-23

[2]
The novel treatments based on tissue engineering, cell therapy and nanotechnology for cutaneous leishmaniasis.

Int J Pharm. 2023-2-25

[3]
Efficacy of malachite green mediated photodynamic therapy on treatment of Cutaneous Leishmaniasis: In vitro study.

Photodiagnosis Photodyn Ther. 2022-12

[4]
Current and future strategies against cutaneous parasites.

Pharm Res. 2022-4

[5]
Combination of infra-red light with nanogold targeting macrophages in the treatment of Leishmania major infected BALB/C mice.

Cutan Ocul Toxicol. 2022-3

[6]
Treatment options for leishmaniasis.

Clin Exp Dermatol. 2022-3

[7]
Heat therapy for cutaneous leishmaniasis: A literature Review.

J Res Med Sci. 2021-2-27

[8]
Fractional CO laser-assisted topical rifamycin drug delivery in the treatment of pediatric cutaneous leishmaniasis.

Pediatr Dermatol. 2021-5

[9]
An overview of the treatment of cutaneous leishmaniasis.

Fac Rev. 2020-12-22

[10]
Therapeutic Response to Thermotherapy in Cutaneous Leishmaniasis Treatment Failures for Sodium Stibogluconate: A Randomized Controlled Proof of Principle Clinical Trial.

Am J Trop Med Hyg. 2021-1-25

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