【过敏性皮炎的过敏原免疫治疗】。

4区 医学 Q3 Medicine
Hautarzt Pub Date : 2021-12-01 Epub Date: 2021-11-18 DOI:10.1007/s00105-021-04909-y
Stephan Traidl, Thomas Werfel
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引用次数: 1

摘要

自从110年前Noon等人首次报道过敏原特异性免疫疗法(AIT)以来,已经进行了大量的临床和体外研究,以确定唯一治疗过敏症的效果。然而,在特应性皮炎(AD),最普遍的皮肤病之一,很少使用它,尽管有证据表明,空气过敏原可促进疾病恶化。本文综述了有关AD患者AIT的研究、荟萃分析和当前指南建议。在研究设计、不同的过敏原和应用形式、终点和患者队列方面存在明显的异质性,这阻碍了研究的可比性。几项试验描述了AIT对AD患者的有益作用,表明至少有一个亚组患者可以从治疗中受益。在AIT领域的进一步发展可能提倡在AD患者中更广泛的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Allergen immunotherapy for atopic dermatitis].

[Allergen immunotherapy for atopic dermatitis].

Since the first report of allergen-specific immunotherapy (AIT) by Noon et al. 110 years ago, a multitude of clinical and in vitro studies have been performed to identify the effects of the only curative treatment for allergies. However, in atopic dermatitis (AD), one of the most prevalent skin diseases, it is rarely used, despite evidence showing that aeroallergens can contribute to disease exacerbation. This review gives an overview about the studies, meta-analyses, and current guideline recommendations regarding AIT in AD patients. There is a distinct heterogeneity in the study designs, different allergens and application forms, endpoints and patient cohorts, which hinders the comparability of studies. Several trials depict a beneficial effect of AIT in AD patients suggesting that at least a subgroup of patients can benefit from treatment. Further developments in the field of AIT may advocate broader use in AD patients.

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来源期刊
Hautarzt
Hautarzt 医学-皮肤病学
CiteScore
1.40
自引率
0.00%
发文量
93
审稿时长
4-8 weeks
期刊介绍: Der Hautarzt is an internationally recognized journal informing all dermatologists working in practical or clinical environments about important developments in the field of dermatology including allergology, venereology and related areas. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.
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