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原文文章标题:“外用皮质类固醇与口服硫酸锌 - 外用皮质类固醇联合治疗白癜风患者的疗效比较:一项临床试验”

Original article title: "Comparison of therapeutic efficacy of topical corticosteroid and oral zinc sulfate-topical corticosteroid combination in the treatment of vitiligo patients: a clinical trial".

作者信息

Yaghoobi Reza, Omidian Mohammad, Bagherani Nooshin

机构信息

Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

BMC Dermatol. 2011 Mar 31;11:7. doi: 10.1186/1471-5945-11-7.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

The mean of responses in the corticosteroid group and the zinc sulfate-corticosteroid combination group were 21.43% and 24.7%, respectively.

CONCLUSION

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.

TRIAL REGISTRATION

chiCTRTRC10000930.

摘要

背景

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。

方法

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。

结果

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%。

结论

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。

试验注册

中国临床试验注册中心注册号:chiCTRTRC10000930 。

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本文引用的文献

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Med J Armed Forces India. 2002 Oct;58(4):304-6. doi: 10.1016/S0377-1237(02)80083-1. Epub 2011 Jul 21.
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Therapeutic interventions for vitiligo.白癜风的治疗干预措施。
J Am Acad Dermatol. 2008 Oct;59(4):713-7. doi: 10.1016/j.jaad.2008.06.023.
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Vitiligo: new and emerging treatments.白癜风:新出现的治疗方法
Dermatol Ther. 2008 Mar-Apr;21(2):110-7. doi: 10.1111/j.1529-8019.2008.00178.x.
7
Stress in patients with alopecia areata and vitiligo.斑秃和白癜风患者的压力。
J Eur Acad Dermatol Venereol. 2007 Aug;21(7):921-8. doi: 10.1111/j.1468-3083.2006.02106.x.
10
Serum zinc level in vitiligo: a case control study.白癜风患者的血清锌水平:一项病例对照研究。
Indian J Dermatol Venereol Leprol. 2005 May-Jun;71(3):206-7. doi: 10.4103/0378-6323.16243.

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