What does dermatomyositis best treatment method have

summary

Elder brother often feels tired and weak recently. Sometimes his hands and feet are stiff for no reason, and he has fever. He went to the hospital and was told that it was dermatomyositis. Now let me introduce the best treatment for dermatomyositis.

What does dermatomyositis best treatment method have

First: topical drug therapy. Topical use of glucocorticoids, such as skin rash with pruritus, local use of glucocorticoids is effective; if patients with DM only have limited skin rash, local use of glucocorticoids can be considered; for thinner skin, low effective glucocorticoids (such as hydrocortisone) are recommended.

Second: oral medication. Antimalarial drug hydroxychloroquine: DM rash for hydroxychloroquine treatment is effective; for DM photoallergic dermatitis treatment effect is better, methotrexate: local medication and hydroxychloroquine can not control the rash, methotrexate can be selected. Mycophenolate mofetil: MMF for the treatment of DM rash is mainly based on a small number of case series studies and retrospective review.

Third: the treatment of DM refractory rash. IVIG: randomized controlled trials and open studies have confirmed that IVIG is effective in the treatment of DM refractory rash. For hydroxychloroquine, MTX treatment effect is not good, or intolerance of patients can choose. The therapeutic dose of IVIg was 0.5-2mg / kg / m for 6-12 months.

matters needing attention

Dermatomyositis is a very difficult disease to cure. The course of the disease is long. The common treatment methods are drug therapy, including external drugs and oral drugs. There are many such drugs. Glucocorticoid is the first choice in clinical practice, which needs to be selected according to the patient's condition.