口腔黏膜寻常型天疱疮的口服糖皮质激素治疗：不良反应与对策
Adverse effects and their management—treating oral pemphigus vulgaris with systemic glucocorticoid therapy

摘要： 糖皮质激素是治疗寻常型天疱疮的首选药物。但糖皮质激素治疗可能引起血糖升高、血压升高、脂质代谢异常、钙的吸收代谢及骨形成异常、感染、肾上腺皮质功能减退、心血管问题,及糖尿病、高血压、骨质疏松、骨坏死等不良反应。因此,了解糖皮质激素的不良反应并掌握相应的应对手段对临床治疗口腔寻常型天疱疮十分必要。本文将综述口服糖皮质激素治疗口腔寻常型天疱疮过程中可能出现的不良反应及其应对策略。
Abstract: Systemic glucocorticoid therapy has been the main therapy for the treatment of many diseases, including pemphigus vulgaris. However, roughly two-thirds of these patients experience at least one glucocorticoid-induced adverse event. Therefore, understanding the side effects of glucocorticoids and managing them properly is critical for treating pemphigus vulgaris. This paper reviews the adverse events and relevant treatments during glucocorticoid interventions of pemphigus vulgaris.
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