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白癜风的发病机制与治疗

The Pathogenesis and Management of Vitiligo.

作者信息

Albelowi Lama M, Alhazmi Rema M, Ibrahim Sara

机构信息

Medicine, Taibah University, Al-Madinah al-Munawarah, SAU.

Physiology, Taibah University, Al-Madinah al-Munawarah, SAU.

出版信息

Cureus. 2024 Dec 17;16(12):e75859. doi: 10.7759/cureus.75859. eCollection 2024 Dec.

Abstract

Vitiligo is a common autoimmune disease that progressively destroys melanocytes in the skin, resulting in the appearance of patchy depigmentation. The aim of this review is to increase awareness towards vitiligo by providing insight on the pathogenesis and management options. Vitiligo is an acquired pigmentary skin disease, which can appear with one or a few macules. Based on the distribution pattern, vitiligo is classified into three different types: segmental, non-segmental, and unclassified. Oxidative stress, autoimmunity, and genetic factors are the main theories contributing to the cause of vitiligo, although the exact cause remains unknown. Various management methods depend on the type, severity, and progression of the disease. This dermatological condition is prevalent globally and shows a slightly higher incidence in females. Multiple hypotheses explain the complex mechanisms of vitiligo, with current research focusing on the roles of oxidative stress, genetic predisposition, and autoimmune responses in its development. Effective treatments include topical corticosteroids and phototherapy.

摘要

白癜风是一种常见的自身免疫性疾病,会逐渐破坏皮肤中的黑素细胞,导致出现片状色素脱失。本综述的目的是通过深入探讨其发病机制和治疗方案,提高对白癜风的认识。白癜风是一种后天性色素性皮肤病,可表现为一个或几个斑片。根据分布模式,白癜风可分为三种不同类型:节段型、非节段型和未分类型。氧化应激、自身免疫和遗传因素是导致白癜风发病的主要理论,尽管确切病因尚不清楚。各种治疗方法取决于疾病的类型、严重程度和进展情况。这种皮肤病在全球范围内普遍存在,女性发病率略高。多种假说解释了白癜风的复杂机制,目前的研究重点是氧化应激、遗传易感性和自身免疫反应在其发病过程中的作用。有效的治疗方法包括外用皮质类固醇和光疗。

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本文引用的文献

1
Consensus on the treatment of vitiligo - Brazilian Society of Dermatology.白癜风治疗共识 - 巴西皮肤病学会
An Bras Dermatol. 2020 Nov-Dec;95 Suppl 1(Suppl 1):70-82. doi: 10.1016/j.abd.2020.05.007. Epub 2020 Oct 10.
2
The enigma and challenges of vitiligo pathophysiology and treatment.白癜风病理生理学和治疗的奥秘和挑战。
Pigment Cell Melanoma Res. 2020 Nov;33(6):778-787. doi: 10.1111/pcmr.12878. Epub 2020 Apr 12.
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Vitiligo: A Review.白癜风:综述。
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4
HSP70i-Encoding DNA Repigments Vitiligo Lesions in Sinclair Swine.HSP70i 编码 DNA 使 Sinclair 猪的白癜风病变复色。
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7
Vitiligo Pathogenesis and Emerging Treatments.白癜风的发病机制与新兴治疗方法
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Chemical-Induced Vitiligo.化学诱导性白癜风
Dermatol Clin. 2017 Apr;35(2):151-161. doi: 10.1016/j.det.2016.11.006.
10
The psychosocial impact of acne, vitiligo, and psoriasis: a review.痤疮、白癜风和银屑病的心理社会影响:综述
Clin Cosmet Investig Dermatol. 2016 Oct 20;9:383-392. doi: 10.2147/CCID.S76088. eCollection 2016.

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