利拉鲁肽4周短程治疗肥胖2型糖尿病患者斑块状银屑病疗效显著改善

S. Ramakrishnan, Mohammed Yousuf Khan, Anantharaman Ramakrishnan, Shanmugasundar Gopal, Rohit S. Warrier
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摘要

牛皮癣是一种免疫介导的慢性皮肤病,与肥胖和2型糖尿病等代谢综合征相关。此前,抗糖尿病药物,特别是胰岛素增敏剂(二甲双胍和吡格列酮)在银屑病患者中显示出积极的结果。最近,许多病例系列和纵向观察性研究表明,在随访8-12周后,GLP1激动剂治疗对牛皮癣有改善。我们报告了一例银屑病和2型糖尿病患者,在利拉鲁肽治疗下,银屑病明显改善,即使是4周的短期治疗,据我们所知,这在以前没有记录。这可能是由于我们的受试者基于相对较高的BMI和hba1c的基线特征可能是更好的GLP-1应答者。
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Remarkable Improvement in Plaque Psoriasis with a 4 week Short Course Liraglutide Therapy in an Obese Type 2 DM Patient
Psoriasis is an immune mediated chronic skin disease associated with components of metabolic syndrome like obesity and type-2 diabetes. Previously, anti-diabetic drugs especially insulin sensitizers (metformin and pioglitazone) have shown positive outcomes in subjects with psoriasis1. Recently, many case series and longitudinal observational studies previously have demonstrated improvement in psoriasis with GLP1 agonist therapy when followed up for 8-12 weeks2,3. We report a patient with psoriasis and Type2 DM in whom a marked improvement in psoriasis was seen with liraglutide therapy, even with a short course of therapy for 4 weeks, which has not been previously recorded, to the best of our knowledge. This could be due to our subject possibly being a better GLP-1 responder based on baseline characteristics of relatively higher BMI and HbA1c4.
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