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局部用皮质类固醇或保湿剂:顺序重要吗?

Topical steroids or emollients: does order matter?

机构信息

Eastern Virginia Medical School, Kripa Raj Ahuja, 825 Fairfax Avenue, Norfolk, VA, 23507, USA.

Department of Dermatology, Northwestern University, Chicago, IL, USA.

出版信息

Arch Dermatol Res. 2024 Mar 15;316(4):104. doi: 10.1007/s00403-024-02837-0.

Abstract

Topical corticosteroids, topical steroid-sparing agents, and emollients are all used to treat atopic dermatitis. However, there are no formal guidelines dictating the order and timing in which these topical modalities should be applied. Additionally, the order of application may change drug absorption, efficacy, and distribution. This is especially important for patients with atopic dermatitis. These patients have a dysfunctional skin barrier, which can lead to greater systemic absorption of drugs. Moreover, children already have an increased rate of systemic absorption due to a higher ratio of body surface area to body weight. Thus, the order of application of topical regimens is of the utmost importance in pediatric dermatology. This manuscript presents an updated review of the literature with a focus on guiding clinicians toward the best practices from the available resources.

摘要

局部皮质类固醇、局部皮质类固醇节约剂和保湿剂均可用于治疗特应性皮炎。然而,目前尚无正式指南规定这些局部治疗方法的应用顺序和时间。此外,应用顺序可能会改变药物的吸收、疗效和分布。这对于特应性皮炎患者尤为重要。这些患者的皮肤屏障功能障碍,可导致药物的全身吸收增加。此外,由于儿童的体表面积与体重之比更高,因此他们的全身吸收率已经增加。因此,在儿科皮肤病学中,局部治疗方案的应用顺序至关重要。本文对文献进行了更新回顾,重点从现有资源中为临床医生提供最佳实践指导。

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