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光疗在生物制剂时代治疗银屑病。

Phototherapy for Psoriasis in the Age of Biologics.

机构信息

Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

Department of Dermatology, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115, USA.

出版信息

Dermatol Clin. 2024 Jul;42(3):399-404. doi: 10.1016/j.det.2024.02.002. Epub 2024 Mar 15.

DOI:10.1016/j.det.2024.02.002
PMID:38796271
Abstract

Phototherapy has utility as a psoriatic therapy, given its relatively high clinical efficacy, low side effect profile, and lower cost compared to newer effective treatments like biologics and small molecules. Phototherapy has shown Psoriasis Area and Severity Index (PASI)-75 and PASI-90 rates comparable to those of biologics and small molecules, with similarly rapid onsets of action, rates of remission, and quality of life scores. Certain patients may particularly benefit from phototherapy, such as those with localized disease or contraindications to systemic immunomodulatory medication. Phototherapy can be more cost-effective than biologics and conveniently administered at home, making it a valuable therapeutic option for the right patient.

摘要

光疗作为一种银屑病治疗方法具有一定的作用,因为它的临床疗效较高,副作用较低,与生物制剂和小分子药物等新型有效治疗方法相比,成本更低。光疗在银屑病面积和严重程度指数(PASI)75 和 PASI90 方面的疗效与生物制剂和小分子药物相当,起效迅速,缓解率和生活质量评分也相当。某些患者可能特别受益于光疗,例如那些患有局部疾病或对全身免疫调节药物有禁忌症的患者。光疗比生物制剂更具成本效益,且方便在家中进行,因此对于合适的患者来说,是一种有价值的治疗选择。

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1
Phototherapy for Psoriasis in the Age of Biologics.光疗在生物制剂时代治疗银屑病。
Dermatol Clin. 2024 Jul;42(3):399-404. doi: 10.1016/j.det.2024.02.002. Epub 2024 Mar 15.
2
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[Analysis of the cost effectiveness of home-based phototherapy with narrow-band UV-B radiation compared with biological drugs for the treatment of moderate to severe psoriasis].[与生物药物相比,窄谱中波紫外线家庭光疗治疗中重度银屑病的成本效益分析]
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Narrow-band ultraviolet B phototherapy versus broad-band ultraviolet B or psoralen-ultraviolet A photochemotherapy for psoriasis.窄谱中波紫外线光疗与宽谱中波紫外线或补骨脂素-紫外线A光化学疗法治疗银屑病的对比
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Home versus outpatient ultraviolet B phototherapy for mild to severe psoriasis: pragmatic multicentre randomised controlled non-inferiority trial (PLUTO study).家庭式与门诊式紫外线B光疗治疗轻至重度银屑病:实用多中心随机对照非劣效性试验(冥王星研究)
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Efficacy of psoralen plus ultraviolet A therapy vs. biologics in moderate to severe chronic plaque psoriasis: retrospective data analysis of a patient registry.补骨脂素加紫外线 A 疗法与生物制剂治疗中重度慢性斑块状银屑病的疗效比较:患者登记处的回顾性数据分析。
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