Zaresharifi Shirin, Niroomand Mahtab, Borran Sarina, Dadkhahfar Sahar
Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Internal Medicine Department, Endocrinology Division, Shahid Beheshti University of Medical Science, Tehran, Iran.
Clin Diabetes Endocrinol. 2024 Mar 25;10(1):6. doi: 10.1186/s40842-024-00165-w.
Dipeptidyl peptidase-4 (DPP-4) inhibitors are a class of drugs that enhance the incretin-insulin pathway and offer effective glycemic control in type 2 diabetes mellitus. However, these drugs may be associated with various dermatological side effects, ranging from mild to severe. This review article summarizes the current literature on the dermatological side effects of DPP-4 inhibitors, including bullous pemphigoid, severe cutaneous adverse drug reactions, fixed drug eruptions, and other mucocutaneous reactions. The review also discusses the possible mechanisms, risk factors, diagnosis, and management of these side effects. This review aims to increase the awareness and vigilance of healthcare providers in recognizing and managing the dermatological side effects of DPP-4 inhibitors and to emphasize the need for further research and surveillance to optimize diabetes care and patient safety.
二肽基肽酶-4(DPP-4)抑制剂是一类增强肠促胰岛素途径并在2型糖尿病中实现有效血糖控制的药物。然而,这些药物可能会伴有从轻度到重度的各种皮肤副作用。这篇综述文章总结了关于DPP-4抑制剂皮肤副作用的当前文献,包括大疱性类天疱疮、严重皮肤药物不良反应、固定性药疹和其他黏膜皮肤反应。该综述还讨论了这些副作用的可能机制、危险因素、诊断和管理。本综述旨在提高医疗保健提供者对识别和管理DPP-4抑制剂皮肤副作用的认识和警惕性,并强调需要进一步研究和监测以优化糖尿病护理和患者安全。