中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (12): 1105-1109.doi: 10.35541/cjd.20210744

• 专家笔谈 • 上一篇    下一篇

慢性荨麻疹诊治:现状与展望

赵作涛   

  1. 北京大学第一医院皮肤性病科  皮肤病分子诊断北京市重点实验室  国家皮肤与免疫疾病临床医学研究中心,北京100034 
  • 收稿日期:2021-10-12 修回日期:2021-11-17 发布日期:2021-12-01
  • 通讯作者: 赵作涛 E-mail:zhaozuotaotao@163.com
  • 基金资助:
    国家自然科学基金中德合作项目(GZ901)

Diagnosis and treatment of chronic urticaria: current status and future prospects

Zhao Zuotao#br# #br#   

  1. Department of Dermatology and Venereology, Peking University First Hospital, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, National Clinical Research Center for Skin and Immune Diseases, Beijing 100034, China

  • Received:2021-10-12 Revised:2021-11-17 Published:2021-12-01
  • Contact: Zhao Zuotao E-mail:zhaozuotaotao@163.com
  • Supported by:
    Joint Sino-German Research Project of National Natural Science Foundation of China and DFG(GZ901)

摘要: 【摘要】 慢性荨麻疹病因和发病机制复杂,传统治疗以口服抗组胺药物为主,而随着生物医学领域的不断发展,靶向治疗逐渐成为新的治疗选择。抗IgE单克隆抗体(奥马珠单抗)在慢性荨麻疹的治疗中,可以更快改善患者病情,提高患者生活质量,其临床效果和安全性逐渐得到临床证实。本文总结分析慢性荨麻疹临床诊疗现状和存在的一些常见问题,探讨相应对策,为临床管理这类患者提供参考。

关键词: 荨麻疹, 肥大细胞, 免疫球蛋白E, 组胺拮抗药, 奥马珠单抗

Abstract: 【Abstract】 The etiology and pathogenesis of chronic urticaria are complex. The main traditional treatment is oral antihistamines. With the progressive development in the biomedical field, targeted therapy has gradually become a new treatment option. Anti-immunoglobulin E monoclonal antibodies (omalizumab) can rapidly improve patients′ condition and enhance their quality of life during the treatment of chronic urticaria, and its clinical efficacy and safety have been gradually confirmed in clinical practice. This article summarizes and analyzes the current status of clinical diagnosis and treatment of chronic urticaria, discusses some common problems and corresponding strategies, and provides a reference for clinical management of these patients.

Key words: Urticaria, Mast cells, Immunoglobulin E, Histamine antagonists, Omalizumab