特应性皮炎的新型外用疗法

José Miguel Ingelmo Calvo, José Ruiz Cobo, M. Allam
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引用次数: 0

摘要

治疗特应性皮炎(AD)的主要方法是将外用皮质类固醇激素作为一线治疗手段。虽然高浓度外用皮质类固醇激素已被证明是有效的,但它们会增加局部不良反应的风险,在极少数情况下还会增加全身不良反应的风险。此外,患者通常会经历复发和缓解的过程。最近,西班牙工业、贸易和旅游部批准了一种治疗银屑病和 AD 的革命性局部疗法的专利。这种创新的治疗方法以乳液的形式出现,包括氯倍他索、盐酸木瓜碱、螺内酯、牛奶肽复合物和丙二醇的组合。一名 18 岁的女性颈部和头皮后部出现 AD。患者既往无重大病史,主要诉说 AD 病变部位剧烈瘙痒。在我们的指导下,患者使用了我们最近获得专利的洗剂 Psorisbye,每天一次,连续使用 5 天。4 天共使用了 50 毫升 Psorisbye。第五天,患者在门诊接受了检查。患者表示瘙痒感明显好转,鳞屑也有所减少。在对患者进行评估后,对比使用外用药 4 天前后的皮损情况发现,SCORAD 指数有了明显改善,从 49.95 降至 0。虽然 Psorisbye 在本病例中的治疗效果很好,但关键是要进行样本量更大、随访时间更长的进一步研究,以验证本病例报告中的研究结果。
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New Topical Treatment for Atopic Dermatitis
The primary approach for managing atopic dermatitis (AD) involves the use of topical corticosteroids as the first-line treatment.While high-potency topical corticosteroids have shown to be effective, they come with an increased risk of local and, rarely, systemic adverse effects. Additionally, patients often experience a relapsing and remitting course. A revolutionary topical treatment for psoriasis and AD has recently received patent approval from the Spanish Ministry of Industry, Trade, and Tourism. This innovative treatment, presented in the form of a lotion, includes a combination of clobetasol, papaverine hydrochloride, spironolactone, a milk-peptide complex, and propylene glycol. An 18-year-old female presented with AD on the back of her neck and scalp. The patient had no significant past medical history and primarily complained of intense pruritus in the AD lesions. The patient received guidance to apply our recently patented lotion, Psorisbye, once a day for 5 days. In total, 50 ml of Psorisbye was utilized over 4 days. On the fifth day, the patient underwent an examination at the outpatient clinic. The patient reported a significant improvement in pruritus sensations and observed a reduction in scaled lesions. Upon evaluating our patient, a comparison of the lesions before and after applying the topical treatment for 4 days revealed a notable improvement in the SCORAD index, decreasing from 49.95 to 0. While the results of Psorisbye in this case show promise, it is crucial to conduct further studies with larger sample sizes and extended follow-up periods to validate the findings presented in our case report.
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