目录第一章概论....................................................5一、前言...........................................................................................................5二、定义...........................................................................................................5三、背景...........................................................................................................5第二章银屑病的病因和诊断......................................7一、病因与发病机理.......................................................................................7二、临床特征与诊断.......................................................................................8第三章银屑病的治疗原则.......................................12一、银屑病疗法的选择.................................................................................12二、治疗模式.................................................................................................16第四章银屑病的外用药物治疗...................................21一、润肤剂(EMOLLIENT)...................................................................................21二、角质促成剂(KERATOPLASTICS)...............................................................22三、角质松解剂:(KERATOLYTICS)又称角质剥脱剂......................................22四、地蒽酚(DITHRANOL)...............................................................................22五、维A酸类(RETINOID).................................................................................23六、维生素D3衍生物...................................................................................24七、糖皮质激素:.........................................................................................25八、钙调神经磷酸酶抑制剂.........................................................................25九、细胞毒性药物.........................................................................................26十、其它.........................................................................................................27第五章物理疗法...............................................28一、窄谱UVB(NB-UVB)..................................................................................28二、宽谱UVB(BB-UVB)..................................................................................29三、PUVA(光化学疗法).................................................................................30四、308NM准分子激光和准分子光...............................................................32五、其它可能有效的物理疗法.....................................................................32第六章内用药治疗.............................................33一.甲氨喋呤(METHOTREXATE,MTX).................................................................33二.环孢素.....................................................................................................40三、维A酸类.................................................................................................47四、硫唑嘌呤.................................................................................................53五、羟基脲.....................................................................................................55六、来氟米特..................................................................................................