临床荟萃
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摘要: 干燥综合征(SS)是一组高度异质性的系统性自身免疫病,以口干眼干为特征,并常伴有腺体外的器官受 累。目前对于SS尚无标准的治疗方案,局部治疗以替代治疗为主,当有重要脏器受累时则需要全身应用糖皮质激素 和免疫抑制剂。随着生物制剂在类风湿关节炎的治疗上获得极大成功,以B细胞清除为主的靶向治疗越来越多地被 用来治疗SS,也显示出良好的疗效和应用前景。本文将重点回顾SS规范化治疗现状和近年来在治疗学上取得的进 展,以期能够指导SS治疗的临床实践。
关键词: 干燥综合征, 自身抗体, 免疫抑制剂, 替代治疗
Abstract:
Sjogren syndrome(SS) is a set of heterogeneous systemic autoimmune diseases characterized by dry mouth and dry eyes. There is often systemic involvement(extraglandular manifestications). A variety of topical and systemic drugs are available to treat SS, although no evidencebased therapeutic guidelines are available. The therapeutic management of pSS is based on symptomatic treatment of glandular manifestations and on the use of diseasemodifying drugs for systemic involvement. Because mounting evidence points to a central pathophysiologic role for B cells, Bcell depletion is being evaluated as a treatment of SS. This review focuses on the major therapeutic discoveries of the last few years to offer practical methods for the treatment of patients with SS.
Key words: sjogren's syndrome, autoantibody, immunosuppressant, replacement therapy
张风肖. 干燥综合征的治疗现状及进展[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2016.05.004.
Zhang Fengxiao. Treatment of Sjogren syndrome: the old and the new[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2016.05.004.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2016.05.004
https://huicui.hebmu.edu.cn/CN/Y2016/V31/I5/482