Zusammenfassung
Hintergrund
Retinoide haben eine Vielzahl an wichtigen Funktionen wie Regulation von Zellproliferation und -differenzierung und spielen eine wichtige Rolle im Körper, nicht zuletzt für die Haut.
Fragestellung
Es erfolgt die Darstellung eines Überblicks über Einsatz, Wirk- sowie Nebenwirkungsspektren der pharmakologisch eingesetzten topischen und systemischen Retinoide.
Material und Methode
Es wurde eine Pubmed/Medline-Literaturrecherche insbesondere unter Berücksichtigung der aktuellen deutschsprachigen und englischsprachigen Literatur vorgenommen.
Ergebnisse
Die Gruppe der pharmakologisch eingesetzten Retinoide umfassen natürliche wie auch synthetisch hergestellte Vitamin-A-Derivate. Wegen ihren Eigenschaften, den Keratinisierungsprozess und die epitheliale Differenzierung der Haut sowie die Proliferation von benignen und malignen Hautzellen zu beeinflussen, fanden Retinoide eine breite Anwendung im Bereich der Dermatopharmakologie.
Schlussfolgerung
Retinoide sind effektive Medikamente mit weitem therapeutischem Spektrum und breiter klinischer Anwendung in der Dermatologie. Gründliche Kenntnisse über Nebenwirkungen und eine umfassende Aufklärung des Patienten sind im sicheren Umgang mit Retinoiden essenziell.
Abstract
Background
Retinoids are important in regulating cell proliferation and differentiation and play an important role in the body, including the skin.
Objectives
Our objective is to review the current medical literature regarding use, effects and side-effects of topical and systemic retinoids used for therapy.
Methods
Pubmed/Medline electronic database was searched for relevant German and English literature.
Results
The group of retinoids used for therapeutic purposes includes both naturally occurring and chemically synthesized vitamin A derivates. Because of their influence on keratinization and epithelial differentiation, as well on the proliferation of benign and malignant keratinocytes, retinoids have found a wide application in the field of dermatopharmacology.
Conclusion
Retinoids are among the most efficacious drugs used in the treatment of dermatological disorders and have a wide range of biological effects. Thorough knowledge about side-effects and comprehensive information for the patient are essential for safe treatment with retinoids.
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Interessenkonflikt. P.M. Amann, H.F. Merk und J.M. Baron geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Amann, P., Merk, H. & Baron, J. Retinoide in der Dermatopharmakologie. Hautarzt 65, 98–105 (2014). https://doi.org/10.1007/s00105-013-2649-3
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DOI: https://doi.org/10.1007/s00105-013-2649-3