Tratamiento del prurigo nodular con DupilumabNuestra experiencia

  1. Aramburu-González, Aida 1
  2. Julià-Manresa, Marc 2
  3. Izu-Belloso, Rosa 2
  4. Ratón-Nieto, Juan-Antonio 1
  1. 1 Servicio Vasco de Salud-Osakidetza. Organización Sanitaria Integrada Ezkerraldea-Enkarterri-Cruces. Hospital Universitario Cruces. Servicio de Dermatología. Bilbao, España
  2. 2 Servicio Vasco de Salud-Osakidetza. Organización Sanitaria Integrada Bilbao-Basurto. Hospital Universitario Basurto. Servicio de Dermatología. Bilbao, España
Zeitschrift:
Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

ISSN: 0304-4858 2173-2302

Datum der Publikation: 2024

Ausgabe: 121

Nummer: 1

Seiten: 1-9

Art: Artikel

Andere Publikationen in: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

Zusammenfassung

Sarrera: Prurigo nodularra (PN) larruazaleko gaixotasun pruriginoso eta ahulgarri bat da, larruazaleko nodulu hiperkeratosikoak dituena. Neurodermitis bat da, eta behar terapeutiko ez-ase bat du, pazienteen bizi-kalitatean eragin nabarmena izan dezakeena.Helburuak: Estudio honen helburua dupilumab-aren eraginkortasuna beste tratamendu batzuetarako PN erregogorra duten paziente helduetan ebaluatzea da.Materiala eta metodoak: Atzera begirako estudioa  egin zen, Basurtuko Unibertsitate Ospitalean eta Gurutzetako Unibertsitate Ospitalean, PN diagnostikatutako paziente helduetan, dupilumab bidezko tratamendua 2020ko ekainetik 2021eko azarora arte hasi eta 24 asteko jarraipenarekin. PNren zorroztasuna honako hauen bidez ebaluatu zen: BSA (gorputzaren azaleraren eskala), IGA (ikertzailearen ebaluazio globalaren eskala), NRS (azkuraren kalifikazio numerikoaren eskala), insomnio-eskala eta DLQI (Dermatologiako bizi-kalitatearen indizea).Emaitzak: PN duten sei paziente (% 100 emakumeak; batez besteko adina = 52 urte; maila: 44- 66 urte) dupilumabekin tratatu ziren. Kasu guztietan hobekuntza nabarmena ikusi zen azkuraren eskalan, insomnioan, bizi-kalitatearen indizean, gorputz-azaleraren eremuan eta ikertzailearen ebaluazio-eskala globalean, dupilumab bidezko tratamenduaren ondoren.Ondorioak: Dupilumab tratamendu konbentzionaletarako PN kroniko erregogorrirako tratamendu eraginkor eta segurua izan daiteke.

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