Yaghoobi Reza, Omidian Mohammad, Bagherani Nooshin
Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran.
BMC Dermatol. 2011 Mar 31;11:7. doi: 10.1186/1471-5945-11-7.
Vitiligo is the most prevalent pigmentary disorder which occurs worldwide, with an incidence rate between 0.1-4 percent. It is anticipated that the discovery of biological pathways of vitiligo pathogenesis will provide novel therapeutic and prophylactic targets for future approaches to the treatment and prevention of vitiligo. The purposes of this study were evaluating the efficacy of supplemental zinc on the treatment of vitiligo.
This randomized clinical trial was conducted for a period of one year. Thirty five patients among 86 participants were eligible to entrance to the study. The patients in two equal randomized groups took topical corticosteroid and combination of oral zinc sulfate-topical corticosteroid.
The mean of responses in the corticosteroid group and the zinc sulfate-corticosteroid combination group were 21.43% and 24.7%, respectively.
Although, the response to corticosteroid plus zinc sulfate was more than corticosteroid, there was no statistically significant difference between them. It appeared that more robust long-term randomized controlled trials on more patients, maybe with higher doses of zinc sulfate, are needed to fully establish the efficacy of oral zinc in management of vitiligo.
chiCTRTRC10000930.
白癜风是全球最常见的色素沉着障碍性疾病,发病率在0.1%至4%之间。预计白癜风发病机制生物学途径的发现将为未来白癜风的治疗和预防提供新的治疗和预防靶点。本研究的目的是评估补充锌对白癜风治疗的疗效。
这项随机临床试验进行了一年。86名参与者中有35名患者符合纳入研究的条件。两个相等随机分组中的患者分别使用外用皮质类固醇以及口服硫酸锌与外用皮质类固醇的联合用药。
皮质类固醇组和硫酸锌 - 皮质类固醇联合组的平均反应率分别为21.43%和24.7%。
虽然,皮质类固醇加硫酸锌的反应率高于皮质类固醇,但两者之间无统计学显著差异。似乎需要对更多患者进行更有力的长期随机对照试验,可能使用更高剂量的硫酸锌,以充分确定口服锌在白癜风治疗中的疗效。
中国临床试验注册中心注册号:chiCTRTRC10000930 。