What are the latest treatments for Psoriasis (Psoriasis)

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From the Guidelines

银屑病的最新药物包括生物制剂如Bimekizumab(Bimzelx)、Risankizumab(Skyrizi)和Guselkumab(Tremfya),这些药物针对银屑病中的特定炎症通路。这些生物制剂通常在初始加载剂量后每8-12周注射一次。其他最近的添加包括口服药物,如Deucravacitinib(Sotyktu),一种每天口服一次的TYK2抑制剂,以及Apremilast(Otezla),一种每天口服两次的磷酸二酯酶-4抑制剂。这些新型治疗方法相比旧的治疗方法具有更好的疗效和更少的副作用。它们通过针对驱动银屑病的特定免疫系统成分(如IL-17、IL-23或细胞内信号通路)而不是广泛抑制免疫功能来发挥作用。治疗选择取决于银屑病的严重程度、受影响的身体区域、合并症和患者的偏好。这些药物大多需要皮肤科医生的处方和监测,并需要定期进行血液检查以检查潜在的副作用。这些新型药物的保险覆盖范围差异很大,且通常很昂贵 1

银屑病治疗的选择

  • 生物制剂:Bimekizumab(Bimzelx)、Risankizumab(Skyrizi)和Guselkumab(Tremfya)
  • 口服药物:Deucravacitinib(Sotyktu)和Apremilast(Otezla)
  • 局部治疗:维生素D类似物和皮质类固醇
  • 光疗:狭谱紫外线B光疗

治疗考虑因素

  • 银屑病的严重程度
  • 受影响的身体区域
  • 合并症
  • 患者的偏好
  • 保险覆盖范围

最新研究结果

最近的研究表明,生物制剂和口服药物在治疗银屑病方面具有更好的疗效和更少的副作用。这些治疗方法通过针对驱动银屑病的特定炎症通路来发挥作用。然而,治疗选择仍然取决于个体患者的具体情况和需求。皮肤科医生的监测和定期的血液检查对于确保治疗的安全性和有效性至关重要 1

From the FDA Drug Label

银屑病最新药物没有直接的信息支持答案。 The FDA drug label does not answer the question.

From the Research

银屑病最新药物

  • 银屑病的治疗主要依靠局部治疗和全身治疗,其中局部治疗是轻度银屑病的金标准,也是中度至重度银屑病的辅助治疗2
  • 局部治疗包括皮质类固醇、维生素D类似物、视黄醇、煤焦油、蒽林、角化溶解剂和局部免疫调节剂等3
  • 皮质类固醇是银屑病治疗的主要药物,根据其强度和不良反应风险进行分类4
  • 银屑病的治疗也可以使用局部免疫调节剂、维生素D类似物和其他药物,治疗方案应根据患者的具体情况和病情进行个体化设计5, 6
  • 局部治疗的选择也取决于病变的位置、患者的个人偏好和经验2
  • 银屑病的治疗应根据病情的严重程度、患者的年龄、性别和其他因素进行选择6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Topical treatment of psoriasis vulgaris.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, 2023

Research

Topical Corticosteroids: Choice and Application.

American family physician, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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