Crohn's Disease (克隆氏症) | Crohn's disease 生物製劑

生物製劑目前常用infliximab、adalimumab. ☆ 新藥vedolizumab (block α4β7 integrin, resulting in gut- selective anti-inflammatory activity) 跟 ...Skiptocontent搜尋:Reviewby陳奕霖+魏亦伸+陳蕙芬+吳丞斌等醫師Crohn’sdisease(克隆氏症)簡單藥物治療結論( 如果時間有限,可以跳讀slide 右上有打星星的重點slide) ☆採取Top-downstrategy(重兵器先壓制再減量)☆分為兩階段:Inductionofremission&maintenancetherapy☆各指引建議治療有少許不同但是萬變不離其宗:(依嚴重程度及失敗後升階順序)☆5-ASA⇒Steroid+/-AZA/6-MP⇒Anti-TNF ⇒ Biologicagents/Surgery☆Budesonide目前台灣沒有☆Steroid建議Prednisolone1mg/kg/day或40~60mg/day,8周降階☆Budesonide/Steroid都不建議在maintenancetherapy中使用☆使用類固醇前請記得排除感染(HBV,HCV,TB,CMV…)☆生物製劑目前常用infliximab、adalimumab☆新藥vedolizumab(blockα4β7integrin,resultingingut-selectiveanti-inflammatoryactivity)跟 ustekinumab(IL-12,IL-23)也值得注意(Visited852times,1visitstoday)Tagged:anti-SaccharomycescerevisiaeantibodyIgA/CDAI/cobblestonepattern/Crohn'sdisease/epithelioidgranuloma/etrolizumab/faecalcalprotectin/inflammatoryboweldisease/mongersen/pyodermagangrenosum/tofacitinib/ustekinumab/vedolizumab文章導覽Previouspost:鈉-葡萄糖協同轉運蛋白2抑制劑的降尿酸機制Nextpost:加護病房內的血液動力學監測–HemodynamicmonitoringinICU登入UsernamePasswordPleaseenterananswerindigits:one×3=RememberMeRegisterLostPassword仁醫の藥書搜尋搜尋分類Archeology(內專試題考古題)Cardiology(心臟科)CaseRecord(病例討論)CriticalCareMedicine(重症醫學)Endocrinology(新陳代謝/內分泌科)Gastroenterology(肝膽腸胃科)Hematology/Oncology(血液腫瘤科)InfectiousDiseases(感染科)Lectures(教學)Nephrology(腎臟科)Neurology(神經內科)Others(其他科別)PulmonaryMedicine(胸腔科)RenalBiopsy(腎臟切片)Review(品評文獻)Rheumatology(風濕免疫科)標籤ACEIADAallopurinolantibioticsaorticdissectionARBarrhythmiaatrialfibrillationbisoprololcardiovasculardiseasecarvedilolCrohn'sdiseasedapagliflozindiabetesmellitusDPP-4ENaCfattyliverfebuxostatGLP-1goutHbA1cheartfailurehyperkalemiahypertensionhypoglycemiahypothyroidismICHinflammatoryboweldiseaseinsulinLantusmetforminmetoprololmyastheniagravisobstructivesleepapneapneumoniapyodermagangrenosumseizureSGLT-2strokesulfonylureathiozolidinedionethymomaToujeovedolizumab內專甄審FindUsAddress123MainStreetNewYork,NY10001HoursMonday—Friday:9:00AM–5:00PMSaturday&Sunday:11:00AM–3:00PMClo


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