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乌帕替尼成功治疗难治性儿童光化性痒疹:一例报告

Refractory pediatric actinic prurigo successfully treated with upadacitinib: A case report.

作者信息

Morissette Florence, Coulombe Jérome

机构信息

Dermatology Division, Department of Medicine, CHUM, University of Montreal, QC, Canada.

Dermatology Division, Department of Pediatrics, CHU Sainte-Justine, Montreal, QC, Canada.

出版信息

SAGE Open Med Case Rep. 2025 May 13;13:2050313X251341558. doi: 10.1177/2050313X251341558. eCollection 2025.

DOI:10.1177/2050313X251341558
PMID:40371306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12075963/
Abstract

Actinic prurigo is a rare photodermatosis, usually occurring during childhood. Pruritic papulonodules on sun-exposed areas are frequently associated with cheilitis and conjunctivitis. The most widely accepted pathophysiology to date is a type IV hypersensitivity reaction triggered by ultraviolet radiation. This case report describes a 12-year-old boy suffering from refractory actinic prurigo, who was successfully treated with the janus kinase inhibitor upadacitinib.

摘要

光化性痒疹是一种罕见的光皮肤病,通常发生于儿童期。暴露于阳光下的部位出现瘙痒性丘疹结节常伴有唇炎和结膜炎。迄今为止最被广泛接受的病理生理学是由紫外线辐射引发的IV型超敏反应。本病例报告描述了一名患有难治性光化性痒疹的12岁男孩,他用JAK激酶抑制剂乌帕替尼成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdbf/12075963/7ff0badb85c7/10.1177_2050313X251341558-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdbf/12075963/7ff0badb85c7/10.1177_2050313X251341558-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdbf/12075963/7ff0badb85c7/10.1177_2050313X251341558-fig1.jpg

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本文引用的文献

1
Successful treatment of actinic prurigo with baricitinib in an 8-year-old child: A case report.日光性痒疹患儿接受巴瑞替尼治疗获得成功:病例报告。
Pediatr Dermatol. 2024 Nov-Dec;41(6):1159-1161. doi: 10.1111/pde.15643. Epub 2024 Apr 29.
2
Complete response of actinic prurigo to oral baricitinib.日光性痒疹对口服巴瑞替尼的完全缓解。
J Dtsch Dermatol Ges. 2024 Jun;22(6):837-838. doi: 10.1111/ddg.15374. Epub 2024 Apr 13.
3
Evolving cognition of the JAK-STAT signaling pathway: autoimmune disorders and cancer.JAK-STAT 信号通路的认知演变:自身免疫性疾病和癌症。
Signal Transduct Target Ther. 2023 May 19;8(1):204. doi: 10.1038/s41392-023-01468-7.
4
Correlation of serum IgE levels and clinical manifestations in patients with actinic prurigo.光化性痒疹患者血清IgE水平与临床表现的相关性
An Bras Dermatol. 2016 Jan-Feb;91(1):23-6. doi: 10.1590/abd1806-4841.20163941.
5
Inmunohistochemical detection of mastocytes in tissue from patients with actinic prurigo.光化性痒疹患者组织中肥大细胞的免疫组织化学检测
J Clin Exp Dent. 2015 Dec 1;7(5):e656-9. doi: 10.4317/jced.52823. eCollection 2015 Dec.
6
Actinic prurigo.光化性痒疹
Dermatol Clin. 2014 Jul;32(3):335-44, viii. doi: 10.1016/j.det.2014.03.010.
7
Further evidence of the role of HLA-DR4 in the genetic susceptibility to actinic prurigo.HLA-DR4在光化性痒疹遗传易感性中作用的进一步证据。
J Am Acad Dermatol. 1997 Jun;36(6 Pt 1):935-7. doi: 10.1016/s0190-9622(97)80276-9.