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外用钙调神经磷酸酶抑制剂在特应性皮炎中的应用
Application of Topical Calcineurin Inhibitors in the Treatment of Atopic Dermatitis
【摘要】 特应性皮炎(AD)是最常见的慢性炎症性皮肤病,反复发作且以儿童发病多见,长期管理是治疗关键,外用抗炎药物是AD发作期治疗的核心环节。经过十余年长期观察和多个大规模临床研究已经证实外用钙调磷酸酶抑制剂作为首个非激素类外用抗炎药,因其抗炎治疗的有效性和用于对糖皮质激素治疗抵抗、敏感部位、儿童患者以及长期主动间歇治疗中的安全性,被公认是对传统的外用糖皮质激素治疗的重大突破,开启了AD治疗的新纪元。
【Abstract】 Atopic dermatitis is the most common chronic inflammatory skin disease that predominantly affects children,characterized by relapsing and remitting course. Key point of AD treatment is long-term management and topical anti-inflammatory medications remain the mainstay of AD flare treatment. Through decades’ surveillance and according to many RCTs,it is demonstrated that topical calcineurin inhibitors( TCIs) as the first non-steroids anti-inflammatory topicalsmay be considered as a true breakthrough inconventional topical corticosteroids( TCs) therapy. TCIs are indicated for the use in patients recalcitrant to TCs,of sensitive areas and for long-term use in proactive maintenance therapy because of its highly valuable efficacy and safety.
【Key words】 Atopic dermatitis; Children; Topical calcineurin inhibitors; Topical corticosteroids; Treatment;
- 【文献出处】 中国医学文摘(皮肤科学) ,China Medical Abstract of Dermatology , 编辑部邮箱 ,2016年02期
- 【分类号】R758.2
- 【被引频次】7
- 【下载频次】347