牛皮癣的病因与治疗:文献综述

Saad R. Abed
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摘要

背景:牛皮癣是一种由免疫系统问题引起的非常常见的皮肤病。t细胞、树突状细胞、巨噬细胞和中性粒细胞都在角质形成细胞的增殖中发挥作用。几个遗传和环境因素涉及到这种情况的发展。目的:本研究的目的是回顾银屑病的病因和治疗方面。因此,本文献综述旨在:探讨银屑病理论及影响银屑病的因素。不同治疗方法治疗轻、中、重度牛皮癣的疗效综述。此外,有必要确定和评估治疗中度和重度牛皮癣的新疗法。方法:对国内外有关银屑病的病因、病机及治疗的文献进行综述。这些数据来自过去30年(1992年至2022年)发表的大量文章。电子数据库取自谷歌Scholar、PubMed、Medscape和南威尔士大学。结果:文献综述、系统综述、综述文章、随机对照研究、荟萃分析和比较研究共202篇。本文202篇文章中有100篇重点论述了银屑病的病因病机病理生理及治疗方法。结论:银屑病是一种多因素慢性疾病。遗传、免疫和环境因素在其发展中起重要作用。牛皮癣是一种可治疗但无法治愈的疾病,它分布广泛,对生活质量有重大影响。了解牛皮癣的病因和发病机制的进展无疑将导致发现新的治疗方法,改善患者的预后,提高患者的生活质量。
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Update Aetiopathogenesis and Treatment of Psoriasis: A Literature Review
Background: Psoriasis is a very common skin condition that is caused by an immune system problem. T-cells, dendritic cells, macrophages and neutrophils all play a role in the proliferation of keratinocytes. Several genetic and environmental factors are involved in the development of this condition. Objectives: The purpose of this study is to review aetiopathogenic causes and therapeutic aspects of psoriasis. Therefore, the literature review aims to address the following: Explore psoriasis theories and factors that influence psoriasis. Review of effectiveness of different treatment methods in the management of mild, moderate and severe psoriasis. In addition, there is a need to identify and evaluate new or novel therapies in the treatment of moderate and severe forms of psoriasis. Methods: A narrative literature review provides an overview of the extensive literature on the etiology, pathogenesis and treatment of psoriasis. The data comes from well reads articles published over the last 30 years (1992-2022). Electronic databases were taken from Google Scholar, PubMed, Medscape and the University of South Wales. Results: Two hundred two articles, which varied between literature reviews, systematic reviews, review articles, randomized controlled studies, meta-analyses and comparative studies. 100 out of 202 of the articles in this thesis focused on discussing the etiology, pathogenesis, pathophysiology and psoriasis treatments. Conclusion: Psoriasis is a multifactorial chronic disease. Genetics, immune and environmental factors play a significant role in its development. Psoriasis is a treatable but incurable disease that is widespread and has a significant impact on quality of life. Advances in understanding the etiology and pathogenesis of psoriasis will undoubtedly lead to the discovery of new treatments and better patient outcomes and improve quality of life for patients.
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