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Application of a kind of interleukin 2 in the preparation of a medicine for treating pemphigus vulgaris oral erosion

A technology for pemphigus vulgaris and oral erosions, applied in the field of drug preparation, can solve the problems of difficult healing, oral mucosal erosion, high price, etc., and achieve the effect of alleviating oral pain, alleviating pain, and promoting healing

Active Publication Date: 2020-04-07
THE SECOND XIANGYA HOSPITAL OF CENT SOUTH UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

These treatments often have relatively positive effects on the skin lesions of pemphigus vulgaris, but the curative effect on the oral mucosal lesions of most patients is relatively slow; even after regular treatment, the skin lesions have been controlled, and the oral erosion lesions can still persist for several weeks to several months. Healing, pain is obvious, and the patient's quality of life is greatly affected
In view of this situation, basic fibroblast growth factor is recommended to be used externally on the erosive surface in the clinical guidelines, and a gargle containing lidocaine, nystatin, and physiological sodium chloride solution can also be prepared for gargling to promote healing. healing, pain relief, and prevention of local infection [2], however, these topical treatments are not satisfactory in promoting the healing of oral erosions and reducing pain
[0005] In recent years, some biological agents targeting B cells, such as anti-CD20 monoclonal antibodies (including rituximab (Rituximab), veltuzumab (Veltuzumab), etc.), as well as plasma exchange, immunoadsorption, etc. Both treatment methods have shown positive effects on pemphigus vulgaris[2-7], but the high price of the two and the invasiveness of the latter limit the use of a considerable number of patients; moreover, these new treatment methods There is no targeted large-sample clinical data report on the treatment effect of oral mucosal erosion in pemphigus vulgaris[4]; a single case report suggested that pemphigus vulgaris patients who improved after receiving veltuzumab therapy maintained Recurrent episodes of oral mucosal erosions persisted during treatment [8]

Method used

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  • Application of a kind of interleukin 2 in the preparation of a medicine for treating pemphigus vulgaris oral erosion
  • Application of a kind of interleukin 2 in the preparation of a medicine for treating pemphigus vulgaris oral erosion
  • Application of a kind of interleukin 2 in the preparation of a medicine for treating pemphigus vulgaris oral erosion

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Effect test

Embodiment 1

[0046] Xu Moumou, female, 61 years old, was admitted to the Dermatology Department of the Second Xiangya Hospital of Central South University on August 22, 2018 due to "oral and pharyngeal erosions in September and aggravated for half a month", hospital number 144**95. The patient had multiple erosions and pains in the mucous membranes of the oral cavity and pharynx, and the pain worsened when eating and drinking.

[0047] Pemphigus vulgaris was diagnosed by pemphigus vulgaris antibody detection, skin biopsy and direct immunofluorescence examination after admission. Because the patient refused to use glucocorticoids and immunosuppressants, he only received recombinant human interleukin 2 topical topical application after admission. Oral erosion, 100,000 units / time, twice a day, after 10 days of treatment, the oral erosion was basically healed, and the pain was completely relieved ( figure 1 ).

Embodiment 2

[0049] Liu Moumou, male, 82 years old, was admitted to the Dermatology Department of the Second Xiangya Hospital of Central South University on October 6, 2018 due to "oral erosion for 2 months and aggravated for 1 week", hospital number 145**73. The patient had oral mucosal erosion and pain without obvious inducement, which lasted for 2 months. On September 29, 2018, he went to Xiangya Hospital of Central South University. Nylon 48mg / day), immunosuppressant (azathioprine 50mg bid) treatment, the effect is not good.

[0050] On October 6, 2018, after being admitted to the Dermatology Department of the Second Xiangya Hospital of Central South University, recombinant human interleukin 2 was added to the oral erosion site, 100,000 units / time, twice a day, and the original glucocorticoid The dose was reduced to methylprednisolone 40mg / day, and the original immunosuppressant (azathioprine) was discontinued. After one week of treatment with this regimen, the oral erosions improved, ...

Embodiment 3

[0052] Liu Moumou, male, 44 years old, was admitted to the Dermatology Department of the Second Xiangya Hospital of Central South University on December 3, 2018 due to "repeated oral ulceration for 4 months, aggravated for more than 40 days", hospital number 147**54. The patient had persistent oral erosions 4 months ago, which were difficult to heal. After treatment in a local clinic (the details are unknown), the patient had improved. However, 40 days ago, the oral erosions recurred and did not improve after treatment with glucocorticoids in the local hospital. After admission on December 3, 2018, pemphigus vulgaris was diagnosed by pemphigus antibody test, skin biopsy and direct immunofluorescence examination.

[0053] After admission, while maintaining the current dose of glucocorticoid therapy, add recombinant human interleukin 2 to the oral erosion site, 100,000 units / time, twice a day, and the oral erosion was basically healed after 1 week of treatment , the pain was rel...

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Abstract

The invention belongs to the field of medicine preparation, and particularly discloses application of interleukin 2 in preparing medicine for treating pemphigus vulgaris oral erosion. Accordingly, lowdose of recombinant human interleukin 2 is innovatively and externally applied to the oral mucosa erosive surface caused by the pemphigus vulgaris, the oral mucosa erosion caused by the pemphigus vulgaris can be quickly recovered, and pain can be effectively relieved.

Description

technical field [0001] The invention belongs to the field of medicine preparation, and in particular relates to the application of interleukin 2 in the preparation of medicine for treating pemphigus vulgaris oral erosion. [0002] technical background [0003] Pemphigus vulgaris is a relatively common bullous skin disease in dermatology clinical practice. It is manifested by a large number of blisters and bullae on the skin and mucous membranes of the whole body, which are easy to rupture and hard to heal on the erosive surface. About 60% of patients with pemphigus vulgaris may have blisters and bullae on the oral mucosa, and spontaneously rupture to form a long-lasting erosion surface, because this oral erosion often lasts for several months or even years, accompanied by obvious tenderness , seriously affecting the patient's eating, drinking and daily life, and bringing great pain to the patient's body and mind[1]. In addition, some patients may only present with persistent...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61K38/20A61P1/02
Inventor 陆前进龙海廖洁月杨苗唐芳张桂英肖嵘苏玉文吴海竞赵明
Owner THE SECOND XIANGYA HOSPITAL OF CENT SOUTH UNIV
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