Colchicine for epidermolysis bullosa acquisita

被引:61
作者
Cunningham, BB
Kirchmann, TTT
Woodley, D
机构
[1] NORTHWESTERN UNIV, SCH MED, DEPT DERMATOL, CHICAGO, IL 60611 USA
[2] STANFORD UNIV, SCH MED, DEPT DERMATOL, PALO ALTO, CA 94304 USA
关键词
D O I
10.1016/S0190-9622(96)90013-4
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Epidermolysis bullosa acquisita (EBA) is a chronic subepidermal blistering disease that is difficult to treat. Recently one patient with severe EBA was described who responded dramatically to colchicine. Objective: Our purpose was to determine the efficacy of colchicine in the treatment of EBA. Methods: Four patients with severe EBA refractory to conventional therapy were treated with colchicine 0.6 to 1.5 mg a day for up to 4 years. Results: In all four patients the lessening of skin fragility and the decrease in spontaneous blister formation were dramatic; few side effects were noted. Conclusion: Colchicine should be considered in the treatment of EBA.
引用
收藏
页码:781 / 784
页数:4
相关论文
共 15 条
[1]  
ANTOINE JC, 1980, J IMMUNOL, V125, P1939
[2]   COLCHICINE-INDUCED MODULATION OF COLLAGENASE IN HUMAN-SKIN FIBROBLAST-CULTURES .1. STIMULATION OF ENZYME-SYNTHESIS IN NORMAL-CELLS [J].
BAUER, EA ;
VALLE, KJ .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1982, 79 (06) :398-402
[3]  
BERBIS P, 1989, ANN DERMATOL VENER, V116, P301
[4]   CLEARING OF EPIDERMOLYSIS BULLOSA-ACQUISITA WITH CYCLOSPORINE [J].
CROW, LL ;
FINKLE, JP ;
GAMMON, WR ;
WOODLEY, DT .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1988, 19 (05) :937-942
[5]   EPIDERMOLYSIS BULLOSA ACQUISITA - SIGN OF CICATRICIAL PEMPHIGOID [J].
DAHL, MGC .
BRITISH JOURNAL OF DERMATOLOGY, 1979, 101 (04) :475-484
[6]   EFFECT OF COLCHICINE ON POLYMORPHONUCLEAR LEUKOCYTE CHEMOTAXIS IN HUMAN VOLUNTEERS [J].
EHRENFELD, M ;
LEVY, M ;
BARELI, M ;
GALLILY, R ;
ELIAKIM, M .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1980, 10 (03) :297-300
[7]   EPIDERMOLYSIS BULLOSA-ACQUISITA - A PEMPHIGOID-LIKE DISEASE [J].
GAMMON, WR ;
BRIGGAMAN, RA ;
WOODLEY, DT ;
HEALD, PW ;
WHEELER, CE .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1984, 11 (05) :820-832
[8]   DIFFERENTIATING ANTI-LAMINA LUCIDA AND ANTI-SUBLAMINA DENSA ANTI-BMZ ANTIBODIES BY INDIRECT IMMUNOFLUORESCENCE ON 1.0M SODIUM CHLORIDE-SEPARATED SKIN [J].
GAMMON, WR ;
BRIGGAMAN, RA ;
INMAN, AO ;
QUEEN, LL ;
WHEELER, CE .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1984, 82 (02) :139-144
[9]   DIFFERENCES IN COMPLEMENT-DEPENDENT CHEMOTACTIC ACTIVITY GENERATED BY BULLOUS PEMPHIGOID AND EPIDERMOLYSIS BULLOSA-ACQUISITA IMMUNE-COMPLEXES - DEMONSTRATION BY LEUKOCYTIC ATTACHMENT AND ORGAN-CULTURE METHODS [J].
GAMMON, WR ;
INMAN, AO ;
WHEELER, CE .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1984, 83 (01) :57-61
[10]   EPITOPE MAPPING OF TYPE-VII COLLAGEN - IDENTIFICATION OF DISCRETE PEPTIDE SEQUENCES RECOGNIZED BY SERA FROM PATIENTS WITH ACQUIRED EPIDERMOLYSIS-BULLOSA [J].
LAPIERE, JC ;
WOODLEY, DT ;
PARENTE, MG ;
IWASAKI, T ;
WYNN, KC ;
CHRISTIANO, AM ;
UITTO, J .
JOURNAL OF CLINICAL INVESTIGATION, 1993, 92 (04) :1831-1839