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一种 10%氢氧化钾溶液与水杨酸和乳酸组合治疗儿童传染性软疣的开放性、对照研究。

An open, comparative study of 10% potassium hydroxide solution versus salicylic and lactic acid combination in the treatment of molluscum contagiosum in children.

机构信息

Department of Dermatology, Gulhane School of Medicine, Ankara, Turkey.

出版信息

J Dermatolog Treat. 2013 Aug;24(4):300-4. doi: 10.3109/09546634.2011.649690. Epub 2012 Jan 31.

DOI:10.3109/09546634.2011.649690
PMID:22214282
Abstract

OBJECTIVES

To evaluate and compare the safety and efficacy of 10% potassium hydroxide (KOH) solution and salicylic and lactic acid (SAL + LAC) combination in the treatment of molluscum contagiosum (MC).

MATERIAL AND METHODS

26 patients with MC randomized into two treatment groups. 12 patients treated with 10% KOH solution and 14 patients treated with SAL + LAC combination for 6 weeks. Parents of patients were instructed to apply medication once daily only to lesions at study onset. Assessment of response of the treated lesions and side effects was performed at 2, 4 and 6 weeks of the treatment. Newly acquired lesions were not included in the study.

RESULTS

At the end of therapy, 83.3% (n = 10) of KOH group demonstrated complete remission and 16.7% (n = 2) of them showed partial remission; four patients (33%) developed new lesions during the study. All the patients in the SAL + LAC combination group (100%) demonstrated complete remission of study entry lesions at the end of 6 weeks with five patients (35%) acquiring new lesions during the study. Minor side effects were observed in two groups.

CONCLUSIONS

10% KOH solution and SAL + LAC combination were found to be equally effective in the treatment of MC in children.

摘要

目的

评估和比较 10%氢氧化钾(KOH)溶液和水杨酸与乳酸(SAL+LAC)联合治疗传染性软疣(MC)的安全性和疗效。

材料和方法

将 26 例 MC 患者随机分为两组治疗。12 例患者用 10%KOH 溶液治疗,14 例患者用 SAL+LAC 联合治疗 6 周。在研究开始时,告知患者家长每天仅将药物涂抹于病变部位。在治疗的第 2、4 和 6 周时,评估治疗病变的反应和不良反应。新获得的病变不包括在研究中。

结果

治疗结束时,KOH 组 83.3%(n=10)的患者完全缓解,16.7%(n=2)的患者部分缓解;4 名患者(33%)在研究期间出现新的病变。SAL+LAC 联合组所有患者(100%)在 6 周时完全缓解了研究开始时的病变,5 名患者(35%)在研究期间出现新的病变。两组均观察到轻微的不良反应。

结论

10%KOH 溶液和 SAL+LAC 联合治疗儿童 MC 同样有效。

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