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他汀类药物、格列汀类药物和抗精神病药物与大疱性类天疱疮的关联:克里特岛人群的病例对照研究。

Association of statins, gliptins, and antipsychotics with bullous pemphigoid: A case-control study in the Cretan population.

作者信息

Kavvalou Eirini, Krasagakis Konstantinos, Chlouverakis Gregory, Xekouki Paraskevi, Daraki Vasiliki, Kouvidou Charikleia, Lagoudaki Eleni, Krüger-Krasagakis Sabine-Elke

机构信息

School of Medicine, University of Crete, Heraklion, Greece.

Department of Dermatology, University General Hospital of Heraklion, Heraklion, Greece.

出版信息

J Dermatol. 2025 Feb;52(2):291-298. doi: 10.1111/1346-8138.17603. Epub 2025 Jan 8.

Abstract

Bullous pemphigoid (BP) is an autoimmune blistering disorder predominantly affecting the elderly. Recently, many studies have shed light on the effect of specific drug intake and comorbidities on the development of BP. The purpose of this study was to investigate the association of specific drug class intake and comorbidities with the development of BP in the Cretan population. Significant associations with BP were found for statins (odds ratio [OR] = 4.06, 95% confidence interval [CI] 1.99-8.27, P < 0.001), gliptins (OR = 4.27, 95% CI 2.33-7.83, P < 0.001), and antipsychotics (OR = 3.33, 95% CI 1.36-8.11, P = 0.006). Higher proportions of use in the BP group vs. control group were found for atorvastatin (OR = 1.86, 95% CI 1.04-3.32, P = 0.035), linagliptin (OR = 6.63, 95% CI 2.17-20.23, P < 0.001), vildagliptin (OR = 3.20, 95% CI 1.73-5.91, P < 0.001), alogliptin (OR = 5.11, 95% CI 1.19-22.04, P = 0.016), and quetiapine (OR = 4.21, 95% CI 1.5-11.85, P = 0.004). The presence of diabetes mellitus in the absence of gliptins did not show any significant effect on BP (OR = 1.60, 95% CI 0.79-3.23, P = 0.188). Metformin intake showed no significant association with BP (OR = 0.48, 95% CI 0.18-1.28, P = 0.143). Our findings confirm and extend previous studies reporting the association of gliptins and antipsychotics on BP in other European populations. The association found for statins is new, thus more studies are needed to corroborate its validity.

摘要

大疱性类天疱疮(BP)是一种主要影响老年人的自身免疫性水疱病。最近,许多研究揭示了特定药物摄入和合并症对BP发病的影响。本研究的目的是调查在克里特岛人群中特定药物类别摄入和合并症与BP发病之间的关联。发现他汀类药物(优势比[OR]=4.06,95%置信区间[CI]1.99-8.27,P<0.001)、格列汀类药物(OR=4.27,95%CI 2.33-7.83,P<0.001)和抗精神病药物(OR=3.33,95%CI 1.36-8.11,P=0.006)与BP存在显著关联。在BP组与对照组中,阿托伐他汀(OR=1.86,95%CI 1.04-3.32,P=0.035)、利格列汀(OR=6.63,95%CI 2.17-20.23,P<0.001)、维格列汀(OR=3.20,95%CI 1.73-5.91,P<0.001)、阿格列汀(OR=5.11,95%CI 1.19-22.04,P=0.016)和喹硫平(OR=4.21,95%CI 1.5-11.85,P=0.004)的使用比例更高。在未使用格列汀类药物的情况下,糖尿病的存在对BP未显示出任何显著影响(OR=1.60,95%CI 0.79-3.23,P=0.188)。二甲双胍的摄入与BP无显著关联(OR=0.48,95%CI 0.18-1.28,P=0.143)。我们的研究结果证实并扩展了先前关于格列汀类药物和抗精神病药物与其他欧洲人群BP关联的研究。他汀类药物的关联是新发现,因此需要更多研究来证实其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6c8/11807367/94fd2db20614/JDE-52-291-g002.jpg

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