Werth V P, Murrell D F, Joly P, Ardeleanu M, Hultsch V
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA.
J Eur Acad Dermatol Venereol. 2025 Feb;39(2):290-300. doi: 10.1111/jdv.20313. Epub 2024 Sep 19.
Bullous pemphigoid (BP) is an autoimmune blistering disease that can have a profound negative impact on quality of life. BP most often affects the elderly, a population with a high medical burden and special safety concerns. In this review, we outline the BP disease course, diagnosis, epidemiology and comorbidities, and describe tools commonly used to assess BP disease activity and severity and the impact of BP on health-related quality of life. We also outline biologic treatments currently under investigation for the treatment of BP and highlight the importance of considering safety when treating elderly patients.
大疱性类天疱疮(BP)是一种自身免疫性水疱病,会对生活质量产生严重负面影响。BP最常影响老年人,这是一个医疗负担重且有特殊安全问题的人群。在本综述中,我们概述了BP的病程、诊断、流行病学和合并症,并描述了常用于评估BP疾病活动度和严重程度的工具以及BP对健康相关生活质量的影响。我们还概述了目前正在研究用于治疗BP的生物治疗方法,并强调在治疗老年患者时考虑安全性的重要性。