专家建议将银屑病共病纳入银屑病常规随访|欧美大成色WWW永久网站婷
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中新网上海10月26日电 (记者 陈静)银屑病俗称"牛皮癣",是一种由遗传因素与外部环境共同作用诱发的慢性、系统性、免疫介导的疾病。
中华医学会皮肤性病学分会,银屑病生物治疗研究中心主任梁燕华26日在此间对记者表示:“我们建议将银屑病共病,尤其是对关节症状评估纳入银屑病常规随访,鼓励多学科协同关注、协作联动,实现从皮损清除到全身健康的‘至净新生’。”
世界银屑病日将至,今年世界银屑病日的主题是“银屑病及共病”。中国银屑病患者人数众多,长期饱受疾病本身及共病的困扰。异常的免疫炎症反应不仅仅作用于皮肤,还会波及全身多个器官和组织,引发银屑病关节炎、血脂异常、糖尿病等多种银屑病共病。
梁燕华解释,银屑病关节炎是银屑病最常见的共病之一,近30%银屑病患者会发生银屑病关节炎,且银屑病关节炎具有易复发、易进展的特点,如果不及时治疗,其引起的长期炎症会给关节带来不可逆的损伤,甚至会造成关节畸形和残疾,严重影响患者生活质量。
随着医学的进步以及医学界对银屑病病理机制研究的不断深入,IL-17A被证实是驱动银屑病病理进程的核心因子。作为一种关键的炎症介质,IL-17A不仅参与银屑病发病的核心环节,同时在银屑病关节炎、强直性脊柱炎等自身免疫性疾病的进展中扮演着重要角色。据介绍, IL-17A抑制剂凭借对促炎因子的有效抑制,在多种自身免疫性疾病的治疗中展现出独特优势。临床实践表明,患者坚持使用生物制剂这类创新疗法进行规范治疗后,不仅能有效预防和治疗银屑病共病,还能显著改善自身健康状况与生活质量。
据悉,对于银屑病这类兼具炎症属性与全身性影响的疾病诊疗,与对大自然生态系统进行综合治理的模式类似,需要从整体视角出发,由单一治疗转向综合管理,为患者提供在医疗、心理、社会支持等多个维度的支持。(完)
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