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天疱疮121例临床分析
引用本文:曾抗,贺朝霞,孙乐栋,周再高. 天疱疮121例临床分析[J]. 岭南皮肤性病科杂志, 2010, 17(6): 411-413,418
作者姓名:曾抗  贺朝霞  孙乐栋  周再高
作者单位:南方医科大学南方医院皮肤科,广东,广州,510515
摘    要:
目的:加强对天疱疮的认识,提高治疗水平。方法:回顾性分析121例天疱疮患者的临床资料。结果:大部分天疱疮患者通过激素及免疫抑制剂的治疗均能获得临床缓解,免疫抑制剂、血浆置换、大剂量丙种免疫球蛋白冲击治疗等"辅助疗法"能减少激素用量及其所产生的远期并发症,自体外周血造血干细胞移植有望根治难治性天疱疮。结论:目前天疱疮的治疗药物仍以激素为主,但由于其副作用,一些新型的治疗方案的研究正积极展开。

关 键 词:天疱疮  皮质类固醇激素  免疫抑制剂  辅助疗法  干细胞移植

Clinical Analysis of 121 Cases with Pemphigus
ZENG Kang,HE Zhao-xia,SUN Le-dong,ZHOU Zai-gao. Clinical Analysis of 121 Cases with Pemphigus[J]. Southern China Journal of Dermato-Venereology, 2010, 17(6): 411-413,418
Authors:ZENG Kang  HE Zhao-xia  SUN Le-dong  ZHOU Zai-gao
Affiliation:(Department of Dermatology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
Abstract:
Objective:To enhance the understanding of pemphigus and improve the response of treatment. Methods:Retrospective analysis of clinical data in 121 cases with pemphigus.Results:The majority of patients with pemphigus might get clinical remission by glucocorticoid and immunosuppressive agents,"adjuvant therapy" such as immunosuppressive agents,plasma exchange,intravenous immunoglobulin rituximab can decrease the dose of glucocorticoid and long-term complications caused by steroids mostly.Autologous peripheral blood stem cell transplantation is expected to be used in treatment of refractory pemphigus.Conclusion:At present,glucocorticoid is still the main therapy of pemphigus,but some new therapy research is actively carried out because of side effects.
Keywords:Pemphigus  Immunosuppressive agents  Adjuvant therapy  Stem cell transplantation
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