Volden G
Hudavdelingen, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1992 Apr 10;112(10):1272-4.
The lesions of 161 patients with chronic skin diseases that were unresponsive to therapy were treated once a week with clobetasol propionate lotion left under the completely occlusive patch Duoderm. The lesions completely resolved after a period of nine days to four weeks in 148 patients, while partial remission was observed in the remaining 13. The following diseases responded favourably: chronic plaque psoriasis, psoriasis on palms and soles, palmoplantar pustulosis, skin lesions related to Reiter's syndrome, chronic lichenified eczema, neurodermatitis, breast eczema, discoid lupus erythematosus, lichen planus, sarcoidosis, lichen sclerosus et atrophicus and lymphocytic infiltrate of Jessner. Relapses were infrequent when complete histological remission had been achieved. Other diseases which improved with this treatment were pompholyx, necrobiosis lipoidica, granuloma annulare and pretibial myxoedema.
161例对治疗无反应的慢性皮肤病患者的皮损,每周用丙酸氯倍他索洗剂治疗一次,将洗剂留在完全封闭的多爱肤敷料下。148例患者的皮损在9天至4周后完全消退,其余13例观察到部分缓解。以下疾病反应良好:慢性斑块状银屑病、掌跖银屑病、掌跖脓疱病、赖特综合征相关的皮肤损害、慢性苔藓化湿疹、神经性皮炎、乳房湿疹、盘状红斑狼疮、扁平苔藓、结节病、硬化萎缩性苔藓和耶斯纳淋巴细胞浸润症。当达到完全组织学缓解时,复发很少见。用这种治疗方法病情改善的其他疾病有汗疱疹、类脂质渐进性坏死、环状肉芽肿和胫前黏液性水肿。