Hoffman Lauren K, Kircik Leon
J Drugs Dermatol. 2017 Sep 1;16(9):919-922.
Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disorder. One of the most disturbing symptoms of AD is pruritus. The first line treatment for AD is topical corticosteroids, topical immunomodulators, topical barrier creams, oral antihistamines, and systemic treatments. Desoximetasone 0.25% spray is a superpotent topical corticosteroid delivered in a novel way and it may be a suitable option for the treatment of pruritus in adult atopic dermatitis patients.
A single-center, open labeled pilot study was conducted to investigate the efficacy and safety of desoximetasone 0.25% spray for pruritus in adult atopic dermatitis patients.
Twice daily application of desoximetasone 0.25% spray to affected areas resulted in a significant reduction in all outcomes (IGA, pruritus, VAS assessment of pruritus) within 1 week of initiation of treatment. The reductions exhibited were sustained throughout the study period of 4 weeks. Significant improvements in quality of life, as measured by the DLQI, were observed. No adverse events were reported.
Desoximetasone 0.25% spray is effective for treating pruritic symptoms of AD. Given its efficacy and convenience as a spray, desoximetasone 0.25% spray should continue to be evaluated as a treatment for AD in larger trials.
J Drugs Dermatol. 2017;16(9):919-922.
.特应性皮炎(AD)是一种慢性、复发性炎症性皮肤病。AD最令人困扰的症状之一是瘙痒。AD的一线治疗方法包括外用糖皮质激素、外用免疫调节剂、外用屏障乳膏、口服抗组胺药和全身治疗。0.25%的地索奈德喷雾剂是一种以新颖方式给药的超强效外用糖皮质激素,可能是治疗成人特应性皮炎患者瘙痒的合适选择。
进行了一项单中心、开放标签的试点研究,以调查0.25%地索奈德喷雾剂治疗成人特应性皮炎患者瘙痒的疗效和安全性。
每天两次将0.25%地索奈德喷雾剂涂抹于患处,在治疗开始后的1周内,所有指标(IGA、瘙痒、瘙痒的视觉模拟评分)均显著降低。在整个4周的研究期间,降低效果持续存在。通过皮肤病生活质量指数(DLQI)衡量的生活质量有显著改善。未报告不良事件。
0.25%地索奈德喷雾剂对治疗AD的瘙痒症状有效。鉴于其作为喷雾剂的疗效和便利性,应在更大规模的试验中继续评估0.25%地索奈德喷雾剂作为AD治疗方法的效果。
《药物皮肤病学杂志》。2017年;16(9):919 - 922。