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口服8-甲氧基补骨脂素及长波紫外线治疗银屑病

Treatment of psoriasis with orally administered 8-methoxypsoralen and long-wavelength ultraviolet radiation.

作者信息

Wasserman G A, Llewellyn M W, Ramsay C A, Haberman H F

出版信息

Can Med Assoc J. 1978 Jun 10;118(11):1379-83.

PMID:657030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1818391/
Abstract

Between May 1976 and September 1977, 51 patients with severe psoriasis were treated with orally administered 8-methoxypsoralen followed by exposure to high-intensity long-wavelength ultraviolet radiation. Clearing of psoriasis occurred in 40 patients (78%) and marked improvement in 5 (10%). Of the remaining patients three (6%), who had generalized erythroderma, failed to respond to this therapy. The mean number of treatments required for clearing was 37.5. No serious side effects were noted clinically, by ophthalmologic examination or by laboratory testing. This therapy has some advantages over conventional types of treatment now used for severe psoriasis, but also has limitations. It appears to be an effective method of treatment for ambulatory patients. Further long-term follow-up studies are required to evaluate its side effects.

摘要

1976年5月至1977年9月期间,51例重度银屑病患者接受口服8-甲氧基补骨脂素治疗,随后接受高强度长波紫外线照射。40例患者(78%)银屑病皮损消退,5例(10%)显著改善。其余患者中,3例(6%)患有全身性红皮病,对该治疗无反应。皮损消退所需的平均治疗次数为37.5次。临床、眼科检查或实验室检测均未发现严重副作用。该疗法与目前用于治疗重度银屑病的传统疗法相比有一些优势,但也有局限性。它似乎是一种适用于门诊患者的有效治疗方法。需要进一步进行长期随访研究以评估其副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad45/1818391/e9407022f9cb/canmedaj01423-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad45/1818391/e9407022f9cb/canmedaj01423-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad45/1818391/e9407022f9cb/canmedaj01423-0042-a.jpg

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本文引用的文献

1
Erythema and tumor formation in methoxsalen-treated mice exposed to flourescent light.接受甲氧沙林治疗的小鼠在暴露于荧光灯下时出现红斑和肿瘤形成。
Arch Dermatol. 1960 Oct;82:572-7. doi: 10.1001/archderm.1960.01580040090016.
2
Clinical experiences with methoxsalen in the treatment of vitiligo.甲氧沙林治疗白癜风的临床经验。
J Invest Dermatol. 1959 Feb;32(2, Part 2):311-3. doi: 10.1038/jid.1959.50.
3
Clinical and laboratory tolerance studies in volunteers given oral methoxsalen.给予志愿者口服甲氧沙林的临床及实验室耐受性研究。
Can Med Assoc J. 1981 Apr 15;124(8):1016-8.
J Invest Dermatol. 1959 Feb;32(2, Part 2):277-80. doi: 10.1038/jid.1959.47.
4
Effect of methoxsalen on liver function.甲氧沙林对肝功能的影响。
J Am Med Assoc. 1958 Jul 26;167(13):1586-9. doi: 10.1001/jama.1958.02990300012003.
5
The effect of oxypsoralen upon ultraviolet carcinogenesis in albino mice.补骨脂素对白化病小鼠紫外线致癌作用的影响。
Cancer Res. 1957 Oct;17(9):911-6.
6
Reactivation of acute inflammation by methotrexate.甲氨蝶呤引发急性炎症复发。
J Invest Dermatol. 1969 May;52(5):437-41. doi: 10.1038/jid.1969.75.
7
The Goeckerman treatment of psoriasis.戈克曼银屑病疗法。
Arch Dermatol. 1968 Aug;98(2):178-82.
8
Photosensitization of the eye by 8-methoxypsoralen.8-甲氧基补骨脂素对眼睛的光敏作用。
J Invest Dermatol. 1969 Dec;53(6):449-53.
9
Psoralen plus black light inhibits epidermal DNA synthesis.补骨脂素加黑光可抑制表皮DNA合成。
Arch Dermatol. 1973 Jun;107(6):861-5.
10
Photochemotherapy in the treatment of psoriasis.光化学疗法治疗银屑病。
Br J Dermatol. 1977 Jun;96(6):587-94. doi: 10.1111/j.1365-2133.1977.tb05201.x.