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Summer 2014, Vol. 22 No. 2

Hong Kong J. Dermatol. Venereol. (2014) 22, 66-74


Paediatric Dermatology Column: Review Article

The use of systemic therapy in childhood eczema: a review and our Australian experience

系統性治療在兒童濕疹之應用:澳洲的經驗回顧

VM Palmer and D Orchard

Abstract

Topical therapies and patient education are the mainstays of treatment for atopic dermatitis, being effective for the majority of children who have limited disease of mild to moderate severity. More severe, widespread, or recalcitrant disease may necessitate systemic therapy. Treatment modalities may be divided into education, topical therapies, antihistamines, antimicrobials, systemic vitamin D, phototherapy, systemic steroids and systemic immunomodulatory agents. This review will focus mainly on the more commonly used systemic therapies in paediatric dermatology and also give advice based on our experience.

外用藥物治療和患者教育是治療異位性皮膚炎的基石,對大多數輕微至中度嚴重性的兒童異位性皮膚炎皆為有效。但更嚴重的、廣泛的或頑固的病情,便可能要考慮系統性治療。治療方法一般可分為病者教育、外用療法、抗組織胺、抗微生物藥物 、口服維生素D、光療、系統性類固醇激素和系統性免疫調節劑。本回顧文章將主要集中在小兒皮膚科中比較常用的系統性治療藥物,並根據我們的經驗提出用法建議。

Keywords: Atopic dermatitis, paediatric, systemic treatment

關鍵詞: 異位性皮膚炎、小兒科、系統性治療