JAK抑制剂治疗大疱性表皮松解症2例并文献复习OA
Two cases of bullous epidermolysis bullosa treated with JAK inhibitors and literature review
目的 目前大疱性表皮松解症(epidermolysis bullosa,EB)尚缺乏有效的口服药物治疗.本文报道武汉市第一医院皮肤科应用JAK抑制剂治疗EB患者的病例,并结合文献分析,总结其临床应用经验.方法 回顾性收集笔者医院皮肤科接受JAK抑制剂治疗的EB患者的临床资料及随访结果,同时系统检索国内外相关文献,按照纳入与排除标准筛选文献,合并文献报道病例与本组病例资料进行汇总与比较分析.结果 武汉市第一医院皮肤科2例EB患者经JAK抑制剂治疗后,皮疹及瘙痒显著改善;文献检索共纳入7篇报道,涉及18例使用JAK抑制剂治疗的EB患者.在合并分析的20例患者中,19例获得不同程度病情缓解,包括1例完全缓解,18例部分缓解.结论 JAK抑制剂可有效控制EB病情、缓解瘙痒症状,目前尚未见相关严重不良反应报道.
Objective Currently,there is a lack of effective oral medication for epidermolysis bullosa(EB).This article reports cases of EB patients treated with JAK inhibitors in the Department of Dermatology,Wuhan No.1 Hospital,and summarizes clinical experience based on a review of the literature.Methods Clin-ical data and follow-up results of EB patients treated with JAK inhibitors in our hospital were retrospectively col-lected.A systematic search of domestic and international literature was conducted,and relevant studies were screened according to inclusion and exclusion criteria.Data from the literature and our cases were combined for comparative analysis.Results Two EB patients treated with JAK inhibitors in the Department of Dermatology,Wuhan No.1 Hospital,showed significant improvement in skin lesions and pruritus.The literature search iden-tified seven reports involving 18 EB patients treated with JAK inhibitors.In the combined analysis of 20 patients(including our two cases),19 achieved varying degrees of disease remission,including one with complete re-mission and 18 with partial remission.Conclusion JAK inhibitors can rapidly control EB symptoms and allevi-ate pruritus,with no serious adverse events reported to date.
尹婧;凃璨;姜琨;张红梅;陈金波
430022 武汉,武汉市第一医院皮肤科430022 武汉,武汉市第一医院肾病内科430022 武汉,武汉市第一医院皮肤科430022 武汉,武汉市第一医院皮肤科430022 武汉,武汉市第一医院皮肤科
大疱性表皮松解症JAK抑制剂
epidermolysis bullosaJAK inhibitors
《中华临床免疫和变态反应杂志》 2026 (1)
43-48,6
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