中国麻风皮肤病杂志 ›› 2020, Vol. 36 ›› Issue (9): 537-540.doi: 10.12144/zgmfskin202009537

• 短篇论著 • 上一篇    下一篇

司库奇尤单抗治疗七例银屑病疗效评价

何江曼,张江安,辛伍艳,袁梦瑾,于建斌,孙莉婷,孙钰桢   

  1. 郑州大学第一附属医院皮肤科,河南郑州,450052
  • 出版日期:2020-09-15 发布日期:2020-08-21
  • 通讯作者: 张江安, E-mail: zja816@163.com

Efficacy assessment of secukinumab in the treatment of the patients with psoriasis

HE Jiangman, ZHANG Jiang'an, XIN Wuyan, YUAN Mengjin, YU Jianbin, SUN Liting, SUN Yuzhen   

  1. Department of Dermatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Online:2020-09-15 Published:2020-08-21
  • Contact: ZHANG Jiang'an, E-mail: zja816@163.com

摘要: 目的:评价司库奇尤单抗治疗银屑病的疗效和安全性。方法:选取中重度斑块状银屑病患者及泛发性脓疱型银屑病患者,给予司库奇尤单抗,300 mg/次,0~4周每周一次,后每4周一次,并分别于治疗前、1周后、4周后、8周后记录斑块状银屑病患者的银屑病皮损面积和严重度指数(PASI)、泛发性银屑病患者银屑病症状量表(PSS)评分。结果:共治疗6例斑块状银屑病和1例脓疱型银屑病患者,所选的患者均接受至少8周的司库奇尤单抗治疗,起效时间为(1.6±0.73)天;治疗4周时,6例斑块状银屑病患者中全部达到PASI 75,3例达到PASI 90;脓疱型患者PSS评分为2。治疗8周时6例斑块状银屑病患者均达到PASI 100;脓疱型患者PSS评分为0。所有患者治疗期间均未出现严重的药物不良反应。结论:司库奇尤单抗治疗中重度银屑病起效迅速,疗效显著,不良反应少。

关键词: 司库奇尤单抗, 斑块状银屑病, 脓疱型银屑病

Abstract: Objective: To evaluate the safety and efficacy of secukinumab in the treatment of the patients with psoriasis. Methods: The patients with moderate to severe plaque psoriasis and generalized pustular psoriasis were selected and treated with secukinumab 300 mg, once a week for 5 weeks, then 300 mg every four weeks for at least 4 weeks. The psoriasis area and severity index (PASI) in the plaque psoriasis patients and PSS score in the generalized pustular psoriasis patient were assessed before treatment and at week one, four, and eight of the treatment. Results: Six patients with plaque psoriasis and one patient with generalized pustular psoriasis were treated with secukinumab. Out of the 6 patients with plaque psoriasis, PASI 75 was achieved in all patients, PASI 90 was achieved in 3 patients, and PSS 2 was achieved at week 4 after the treatment. The PASI 100 was achieved in all plaque psoriasis patients and PSS 0 was achieved in the pustular psoriasis patient at week 8 after the treatment. All patients had no serious adverse drug reactions such as severe infection or malignancy. Conclusion: Secukinumab is effective and less adverse reactions for treating moderate to severe psoriasis.

Key words: secukinumab, plaque psoriasis, pustular psoriasis