摘要
银屑病是一种常见的慢性炎症性皮肤病,既往研究表明,银屑病与肾损伤存在一定关联,慢性肾脏病是其共病之一。生物制剂作为一种新型治疗药物,已广泛应用于银屑病的治疗。临床试验及真实世界研究均表明,生物制剂治疗不合并肾损伤的银屑病患者在肾功能方面显示出良好的安全性。而针对合并肾损伤的银屑病患者,目前研究表明,生物制剂治疗对肾功能影响较小。但目前的研究以病例报告和小规模的回顾性研究为主,仍需多中心、大样本的研究进一步探讨生物制剂治疗在合并肾损伤的银屑病患者中的有效性及安全性。
Psoriasis is a common chronic inflammatory skin disease,and previous studies have shown a certain association between psoriasis and renal injury,with chronic kidney disease being one of its comorbidities.Biologic agents,as a novel therapeutic modality,have been widely used in its treatment.Clinical trials and real-world studies have shown that biologic agent therapy in psoriasis patients without concomitant renal injury demonstrates good safety in terms of renal function.Regarding psoriasis patients with renal injury,current studies suggest that biologic agent therapy has minimal impact on renal function.However,the existing research primarily consists of case reports and small-scale retrospective studies,and further investigations with multicenter and large sample sizes are still needed to explore the efficacy and safety of biologic agent therapy in psoriasis patients with renal injury.
作者
王澍
李航
李若瑜
王明悦
WANG Shu;LI Hang;LI Ruoyu;WANG Mingyue(Department of Dermatology and Venereology,Peking University First Hospital,Beijing Key Laboratory of Molecular Diagnosis on Dermatoses,National Clinical Research Center for Skin and Immune Diseases,NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics,Beijing 100034,China)
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2023年第9期1085-1091,共7页
The Chinese Journal of Dermatovenereology
关键词
银屑病
生物制剂
慢性肾脏病
肾功能
安全性
Psoriasis
Biological agents
Chronic kidney disease
Renal function
Safety