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问题 12. 有可能停止白癜风 进展吗?

2019-3-1 13:02| 发布者: admin| 查看: 692| 评论: 1

摘要: 问题 12. 有可能停止白癜风 进展吗?

 

Question12. Is it possible to stop the progression of vitiligo?

 

问题 12. 有可能停止白癜风 进展吗?


 

Key points

要点

   Localized vitiligo usually stops its progression in 1-2 years after its first manifestation.

 

局限型白癜风通常在发病后 1 2 年停止 进展。

 

Generalized vitiligo is progressive in 73% of the cases.

 

73%的泛发型白癜风病例呈进展性。

 

  Administration of oral or intravenous corticosteroids may lead to the cessation of disease progression in 85% of cases.

 

85%的病例口服或静脉给予皮质类固醇激 素可停止疾病的进展。

 

Vitiligo progression could be stopped in 4 out of 5 cases by the use of potent systemic corticosteroids, but due to possible relevant side effects, the decision must be taken by expert dermatologists after careful evaluation.

 

4/5 白癜风病例可在系统应用皮质激素后 停止进展,但是由于存在相关副作用,系 统应用激素治疗必须由专业皮肤科医师仔 细评估后再采用。

Answer

解答

 

Vitiligo is progressive in 73% of cases and regressive in 1.3%. We usually explain to the patients that progression depends on how the disease spreads: localized or generalized forms have different behavior. In 89% of localized vitiligo cases, disease activity ceases after 1-2 years of rapid spreading over the affected skin area, while generalized vitiligo shows less progression only when it starts on the face (52% of the cases).

 

 

白癜风病例中,73%是进展的,1.3%是减退 者解释其病累及范围:局限型和泛发型有不同的表 现。89%局限型白癜风的病例,在快速扩散 1-2 年活动性停止;52%泛发型白癜风病 现在面部展可 能性较小。

 

In 89% of cases we can arrest patch extension in widespread vitiligo with oral minipulse corticosteroid therapy (5 mg  betamethasone on 2 consecutive days per week) . Use of corticosteroid methylprednisolone 8 mg/Kg intravenously for 3 consecutive days in patients with generalized vitiligo led to temporary cessation to the disease progression in 85% of cases and repigmentation in 71% of cases. Other steroids used intravenously showed a similar degree of  limiting  the disease progression.

 

 

 

89% 的病例我们可通过口服小剂量激素治

两天 5 毫克倍他米松止广 泛扩脉应 用甲泼尼松(8mg/Kg)治疗泛发型白癜风, 可以使 85%患者疾病进展短暂停止和 71% 例的复色固醇激素了相似的限制疾病进展的效果。


 

 

Thus, it is true that vitiligo progression could be stopped in 4 out of 5 cases by the use of potent systemic corticosteroids. However, systemic corticosteroids might have possible relevant side effects, hence, the decision for their use in limiting vitiligo progression must be taken by expert dermatologists and after careful evaluation of the individual clinical situation.

 

 

因此,通过系统应用强效激素,4/5 患者白 癜风抑制但是素 可能以对癜 风进展期肤科医师仔 细评否应 用系统激素治疗。


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引用 甜橙58 2019-3-23 10:55
一年多了,还算可以没有发展太迅速,希望赶紧控制住

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