Advances in Pathogenesis and Treatment of Pruritus

作者：Bolier Ruth; Elferink Ronald P J Oude; Beuers Ulrich^*

来源：Clinics in Liver Disease, 2013, 17(2): 319-+.

DOI：10.1016/j.cld.2012.11.006

• Cholestasis
• Itch
• Autotaxin
• Lysophosphatidate
• Pruriception
• Bile salts

Advances in Pathogenesis and Treatment of Pruritus Ruth Bolier, Ronald P.J. Oude Elferink, and Ulrich Beuers The pathogenesis of itch during cholestasis is largely unknown and treatment options are limited. Lysophosphatidate, female steroid hormones, and endogenous opioids are among the agents discussed as potential pruritogens in cholestasis. The itch-alleviating action of guideline-based therapeutic interventions with anion exchanger resins, rifampicin, opioid antagonists, and serotonin reuptake inhibitors are studied to unravel the molecular pathogenesis of itch. Still, a considerable part of the patients is in need of alternative experimental therapeutic approaches (eg, UV-B phototherapy, extracorporeal albumin dialysis, nasobiliary drainage), providing additional information about the enigmatic pathophysiology of cholestatic pruritus.

• 出版日期2013-5