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治疗与自身免疫性结缔组织疾病相关的皮肤钙化病。

Treatment of calcinosis cutis associated with autoimmune connective tissue diseases.

机构信息

Department of Dermatology, Massachusetts General Hospital, 50 Staniford Street, Suite 200, Boston, MA, 02114, USA.

Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.

出版信息

Arch Dermatol Res. 2024 Jun 15;316(7):390. doi: 10.1007/s00403-024-03148-0.

DOI:10.1007/s00403-024-03148-0
PMID:38878086
Abstract

Calcinosis cutis is a condition that is commonly associated with autoimmune connective tissue diseases. It is characterized by the deposition of insoluble calcium salts in the skin and subcutaneous tissue, which can cause pain, impair function, and have significant impacts on quality of life. Calcinosis cutis is difficult to manage because there is no generally accepted treatment: evidence supporting treatments is mostly comprised of case reports and case series, sometimes yielding mixed findings. Both pharmacologic and procedural interventions have been proposed to improve calcinosis cutis, and each may be suited to different clinical scenarios. This review summarizes current treatment options for calcinosis cutis, with discussion of recommendations based on patient-specific factors and disease severity.

摘要

皮肤钙化病是一种常见于自身免疫性结缔组织疾病的病症。其特征是不溶性钙盐在皮肤和皮下组织中的沉积,可引起疼痛、功能障碍,并对生活质量产生重大影响。皮肤钙化病难以治疗,因为目前尚无被普遍接受的治疗方法:支持治疗的证据主要来自病例报告和病例系列,有时结果也不一致。已经提出了药物和程序干预措施来改善皮肤钙化病,每种方法可能适用于不同的临床情况。本综述总结了皮肤钙化病的当前治疗选择,并根据患者具体情况和疾病严重程度讨论了推荐建议。

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引用本文的文献

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Treatment of Calcinosis in Dermatomyositis-Case Report and Review.皮肌炎中钙质沉着症的治疗——病例报告及综述
J Clin Med. 2024 Oct 18;13(20):6234. doi: 10.3390/jcm13206234.

本文引用的文献

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Subcutaneous calcinosis: Is it different between systemic sclerosis and dermatomyositis?皮下钙质沉着症:系统性硬化症和皮肌炎之间有差异吗?
J Scleroderma Relat Disord. 2022 Feb;7(1):7-23. doi: 10.1177/23971983211053245. Epub 2021 Oct 28.
2
Bisphosphonates for the Treatment of Calcinosis Cutis-A Retrospective Single-Center Study.双膦酸盐治疗皮肤钙质沉着症——一项回顾性单中心研究
Biomedicines. 2021 Nov 16;9(11):1698. doi: 10.3390/biomedicines9111698.
3
A pilot study to evaluate the safety and efficacy of treprostinil in the treatment of calcinosis in systemic sclerosis.
一项评估曲前列尼尔治疗系统性硬化症钙沉积安全性和有效性的初步研究。
Rheumatology (Oxford). 2022 May 30;61(6):2441-2449. doi: 10.1093/rheumatology/keab810.
4
Dystrophic calcinosis cutis successfully treated with extracorporeal shockwave lithotripsy.体外冲击波碎石术成功治疗营养不良性皮肤钙化症。
Clin Exp Dermatol. 2021 Dec;46(8):1656-1658. doi: 10.1111/ced.14857. Epub 2021 Sep 9.
5
Efficacy of intralesional sodium thiosulfate for the treatment of dystrophic calcinosis cutis: A double-blind, placebo-controlled pilot study.病灶内注射硫代硫酸钠治疗营养不良性皮肤钙化症的疗效:一项双盲、安慰剂对照的初步研究。
JAAD Int. 2020 Aug 6;1(2):114-120. doi: 10.1016/j.jdin.2020.07.002. eCollection 2020 Dec.
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Calcinosis in refractory dermatomyositis improves with tofacitinib monotherapy: a case series.托法替布单药治疗可改善难治性皮肌炎的钙质沉着:病例系列
Rheumatology (Oxford). 2021 Nov 3;60(11):e387-e388. doi: 10.1093/rheumatology/keab421.
7
Resolution of calcinosis using bisphosphonates in overlap syndrome - a case report.双膦酸盐用于重叠综合征治疗钙质沉着症的病例报告
BMC Rheumatol. 2021 Feb 26;5(1):6. doi: 10.1186/s41927-021-00176-5.
8
Calcinosis is associated with ischemic manifestations and increased disability in patients with systemic sclerosis.钙沉积与系统性硬化症患者的缺血表现和残疾增加有关。
Semin Arthritis Rheum. 2020 Oct;50(5):891-896. doi: 10.1016/j.semarthrit.2020.06.007. Epub 2020 Jun 17.
9
Novel treatment of calcifications from dermatomyositis with picosecond and carbon dioxide laser.皮秒激光和二氧化碳激光治疗皮肌炎钙化的新方法。
JAAD Case Rep. 2020 Jun 22;6(9):852-853. doi: 10.1016/j.jdcr.2020.06.022. eCollection 2020 Sep.
10
A striking treatment option for recalcitrant calcinosis in juvenile dermatomyositis: tofacitinib citrate.青少年皮肌炎中难治性钙质沉着症的一种显著治疗选择:枸橼酸托法替布。
Rheumatology (Oxford). 2020 Dec 1;59(12):e140-e141. doi: 10.1093/rheumatology/keaa360.