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斑秃管理现行国际指南比较——全面综述

Comparison of Current International Guidelines for the Management of Alopecia Areata-Comprehensive Review.

作者信息

Kropidłowska Julia, Kvinen Alexandra, Lewandowski Miłosz, Nowicki Roman J, Barańska-Rybak Wioletta

机构信息

Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdansk, Smoluchowskiego 17, 80-214 Gdansk, Poland.

Practical and Experimental Dermatology Student Scientific Association, Faculty of Medicine, Medical University of Gdansk, Smoluchowskiego 17, 80-214 Gdansk, Poland.

出版信息

Int J Mol Sci. 2025 Sep 4;26(17):8632. doi: 10.3390/ijms26178632.

DOI:10.3390/ijms26178632
PMID:40943550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12429261/
Abstract

Alopecia areata is a persistent autoimmune-mediated disease with a complicated pathophysiology and a prevalence of approximately 2%. The exact pathogenesis is yet to be identified; nevertheless, environmental factors, autoimmune mechanisms and genetic factors among others all contribute to the multifactorial etiopathogenesis of the disease. Even though alopecia areata is frequently self-limiting and recovery can occur on its own, it can cause esthetic challenges that might precipitate psychosocial disorders. This article aims to provide a clinical update on alopecia areata comparing the most important international guidelines, with particular emphasis on current treatment options and comorbidities.

摘要

斑秃是一种持续的自身免疫介导性疾病,其病理生理学复杂,患病率约为2%。确切的发病机制尚未明确;然而,环境因素、自身免疫机制和遗传因素等都促成了该疾病的多因素病因。尽管斑秃通常具有自限性,可自行恢复,但它会引发美观问题,可能导致心理社会障碍。本文旨在提供斑秃的临床最新情况,比较最重要的国际指南,尤其着重于当前的治疗选择和合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4cf/12429261/878c14a52fa9/ijms-26-08632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4cf/12429261/878c14a52fa9/ijms-26-08632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4cf/12429261/878c14a52fa9/ijms-26-08632-g001.jpg

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本文引用的文献

1
Co-regulatory mechanisms and potential markers of oxidative stress-related genes in vitiligo and alopecia areata.氧化应激相关基因在白癜风和斑秃中的共调控机制及潜在标志物。
Skin Res Technol. 2024 Aug;30(8):e70001. doi: 10.1111/srt.70001.
2
The efficacy of adipose stem cell-derived exosomes in hair regeneration based on a preclinical and clinical study.基于临床前和临床研究的脂肪干细胞衍生外泌体在毛发再生中的功效。
Int J Dermatol. 2024 Sep;63(9):1212-1220. doi: 10.1111/ijd.17406. Epub 2024 Aug 18.
3
The emerging role of exosomes in the treatment of hair loss.
外泌体在脱发治疗中的新兴作用。
Int J Dermatol. 2024 Sep;63(9):1124-1125. doi: 10.1111/ijd.17426. Epub 2024 Aug 1.
4
Comparative efficacy of oral Janus kinase inhibitors and biologics in adult alopecia areata: A systematic review and Bayesian network meta-analysis.口服 JAK 抑制剂和生物制剂治疗成人斑秃的疗效比较:系统评价和贝叶斯网络荟萃分析。
J Eur Acad Dermatol Venereol. 2024 May;38(5):835-843. doi: 10.1111/jdv.19797. Epub 2024 Jan 26.
5
European expert consensus statement on the systemic treatment of alopecia areata.欧洲斑秃系统性治疗专家共识声明。
J Eur Acad Dermatol Venereol. 2024 Apr;38(4):687-694. doi: 10.1111/jdv.19768. Epub 2024 Jan 2.
6
Treatments for alopecia areata: a network meta-analysis.斑秃治疗方法的网状荟萃分析。
Cochrane Database Syst Rev. 2023 Oct 23;10(10):CD013719. doi: 10.1002/14651858.CD013719.pub2.
7
Serum Zinc Concentration in Patients with Alopecia Areata.斑秃患者血清锌浓度。
Acta Derm Venereol. 2023 Oct 3;103:adv13358. doi: 10.2340/actadv.v103.13358.
8
Diagnosis and Management of Alopecia Areata: A Saudi Expert Consensus Statement (2023).斑秃的诊断与管理:沙特专家共识声明(2023年)
Dermatol Ther (Heidelb). 2023 Oct;13(10):2129-2151. doi: 10.1007/s13555-023-00991-3. Epub 2023 Aug 9.
9
Psychological Stress-Induced Pathogenesis of Alopecia Areata: Autoimmune and Apoptotic Pathways.斑秃的心理应激发病机制:自身免疫和细胞凋亡途径。
Int J Mol Sci. 2023 Jul 20;24(14):11711. doi: 10.3390/ijms241411711.
10
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