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斑块状银屑病的局部治疗——聚焦芳烃受体调节的综述及病例系列讨论

Topical Management of Plaque Psoriasis-A Review and Case Series Discussion with Focus on Aryl Hydrocarbon Receptor Modulation.

作者信息

Bruno Matthew, Strober Bruce, Del Rosso James Q

机构信息

Dermatology and Skin Cancer Surgery Center, Allen, Texas.

Clinical Professor of Dermatology, Yale University School of Medicine, New Haven, Connecticut, and Central Connecticut Dermatology, Cromwell, Connecticut.

出版信息

J Clin Aesthet Dermatol. 2023 Sep;16(9 Suppl 1):S3-S12.

PMID:38496799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939505/
Abstract

While corticosteroids and a limited number of nonsteroidal agents have formed the basis for United States Food and Drug Administration (FDA)-approved topical treatments of plaque psoriasis, there remains a need for efficacious nonsteroidal topical therapies in patients with psoriasis who cannot tolerate, do not respond well to, or wish to avoid topical corticosteroid therapy. Aryl hydrocarbon receptor (AhR) modulation has been shown to be an effective mechanism of action in the topical treatment of psoriasis. Currently there is only one FDA-approved, nonsteroidal, topical AhR modulating agent for the treatment of psoriasis. This educational activity seeks to broaden the treatment knowledge of the practicing dermatology community and inform them on the use of topical AhR modulating therapy as an addition to the advancing treatment armamentarium for patients with psoriasis.

摘要

虽然皮质类固醇和少数非甾体类药物构成了美国食品药品监督管理局(FDA)批准的斑块状银屑病局部治疗的基础,但对于那些无法耐受、对局部皮质类固醇治疗反应不佳或希望避免局部皮质类固醇治疗的银屑病患者,仍需要有效的非甾体类局部治疗方法。芳烃受体(AhR)调节已被证明是银屑病局部治疗的一种有效作用机制。目前,FDA仅批准了一种用于治疗银屑病的非甾体类局部AhR调节剂。本次教育活动旨在拓宽皮肤科执业人员的治疗知识,并告知他们局部AhR调节疗法可作为银屑病患者不断增加的治疗手段之一。

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本文引用的文献

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Rapid Improvements in Itch with Tapinarof Cream 1% Once Daily in Two Phase 3 Trials in Adults with Mild to Severe Plaque Psoriasis.在两项针对轻至重度斑块状银屑病成人患者的3期试验中,每日一次使用1%他扎罗芬乳膏可迅速改善瘙痒症状。
Dermatol Ther (Heidelb). 2024 Jan;14(1):201-211. doi: 10.1007/s13555-023-01068-x. Epub 2023 Dec 21.
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Patient Perspectives on Psoriatic Disease Burden: Results from the Global Psoriasis and Beyond Survey.患者对银屑病负担的看法:来自全球银屑病及其他疾病调查的结果。
Dermatology. 2023;239(4):621-634. doi: 10.1159/000528945. Epub 2023 Apr 19.
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Cancer risk with topical calcineurin inhibitors, pimecrolimus and tacrolimus, for atopic dermatitis: a systematic review and meta-analysis.外用钙调磷酸酶抑制剂(吡美莫司和他克莫司)治疗特应性皮炎的癌症风险:系统评价和荟萃分析。
Lancet Child Adolesc Health. 2023 Jan;7(1):13-25. doi: 10.1016/S2352-4642(22)00283-8. Epub 2022 Nov 10.
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Effect of Roflumilast Cream vs Vehicle Cream on Chronic Plaque Psoriasis: The DERMIS-1 and DERMIS-2 Randomized Clinical Trials.罗氟司特乳膏与赋形剂乳膏治疗慢性斑块状银屑病的效果:DERMIS-1 和 DERMIS-2 随机临床试验。
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One-year safety and efficacy of tapinarof cream for the treatment of plaque psoriasis: Results from the PSOARING 3 trial.他卡西醇乳膏治疗斑块状银屑病 1 年的安全性和疗效:PSOARING 3 试验结果。
J Am Acad Dermatol. 2022 Oct;87(4):800-806. doi: 10.1016/j.jaad.2022.06.1171. Epub 2022 Jun 27.
6
The Role of Helper T Cells in Psoriasis.辅助性 T 细胞在银屑病中的作用。
Front Immunol. 2021 Dec 15;12:788940. doi: 10.3389/fimmu.2021.788940. eCollection 2021.
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Phase 3 Trials of Tapinarof Cream for Plaque Psoriasis.他卡西醇乳膏治疗斑块状银屑病的 3 期临床试验。
N Engl J Med. 2021 Dec 9;385(24):2219-2229. doi: 10.1056/NEJMoa2103629.
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