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Biologic Response Modifiers and Pediatric Psoriasis

机译:生物反应调节剂和小儿牛皮癣

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摘要

The efficacy and safety of biologic response modifiers such as etanercept, adalimumab, infliximab, and ustekinumab have been demonstrated in the treatment of psoriasis in adults, but none are currently approved for the treatment of psoriasis in children in the United States, and only etanercept is approved for the treatment of psoriasis in children in the European Union. Through case reports, case series, and a large clinical trial of the use of etanercept, the literature supports the use of these agents to treat psoriasis in children. Data on the use of the tumor necrosis factor- antagonists etanercept, adalimumab, and infliximab in the treatment of other inflammatory diseases in childrennamely Crohn's disease, juvenile arthritis, and uveitissupport their safety profile in children.
机译:生物反应调节剂如etanercept,阿达木单抗,英夫利昔单抗和ustekinumab的疗效和安全性已在成人牛皮癣的治疗中得到证实,但目前美国尚无批准用于治疗儿童牛皮癣的方法,只有etanercept可以已获欧盟批准用于治疗儿童牛皮癣。通过案例报告,案例系列以及使用依那西普的大型临床试验,文献支持使用这些药物治疗儿童牛皮癣。关于肿瘤坏死因子拮抗剂依那西普,阿达木单抗和英夫利昔单抗用于治疗儿童其他炎性疾病(即克罗恩病,青少年关节炎和葡萄膜炎)的数据支持了它们在儿童中的安全性。

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