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含有100000国际单位超氧化物歧化酶和4%植物提取物的新型外用制剂作为特应性皮炎的单一疗法。

Novel topical agent containing superoxide dismutase 100 000 IU and 4% of plant extracts as a mono-therapy for atopic dermatitis.

作者信息

Sgouros Dimitrios, Katoulis Alexander, Rigopoulos Dimitrios

机构信息

2nd Department of Dermatology-Venereology, National Kapodistrian University of Athens Medical School, ATTIKON University Hospital, Athens, Greece.

出版信息

J Cosmet Dermatol. 2018 Dec;17(6):1069-1072. doi: 10.1111/jocd.12462. Epub 2017 Nov 13.

Abstract

INTRODUCTION

Corticosteroids are the mainstay of treatment for the acute phase of atopic dermatitis (AD), whereas topical emollients are mainly used for maintenance of remission. A topical agent that combines emollient and anti-inflammatory properties would achieve control of all phases of AD, without the need for chronic corticosteroid use.

AIM

To assess the efficacy of a novel topical agent containing superoxide dismutase (SOD) 100 000 IU and 4% of a combination of plant extracts (blackcurrant seed oil, sunflower oil concentrate, balloon vine extract).

METHODS

Twenty patients (age range from 8 months to 72 years old) with mild-to-moderate atopic dermatitis were assessed. The product was used as mono-therapy, applied to the affected skin areas twice daily. Patients were evaluated before and after a 30-day course using the SCORAD and the Visual Analog Scale for assessment of pruritus intensity. Primary endpoint was improvement of AD according to SCORAD and clinical assessment. Secondary endpoint was patient satisfaction and improvement of pruritus.

RESULTS

Mean SCORAD on day 0 was 32.61(range = 16.0-46.9) and decreased to 10.55 (range = 0-17.0) on day 30, reflecting a reduction of 67.6%. On day 30, all patients described significant improvement in pruritus and quality of sleep.

CONCLUSION

The application of the study product cream resulted in significant improvement of AD, as reflected by the objective SCORAD measurement, and the subjective assessment of pruritus and quality of life. This novel anti-inflammatory emollient product may emerge as a safe and effective therapeutic tool for all phases of AD without the adverse effects of chronic use of corticosteroids.

摘要

引言

皮质类固醇是特应性皮炎(AD)急性期治疗的主要药物,而外用润肤剂主要用于维持缓解期。一种兼具润肤和抗炎特性的外用制剂将能够控制AD的各个阶段,而无需长期使用皮质类固醇。

目的

评估一种新型外用制剂的疗效,该制剂含有100000国际单位超氧化物歧化酶(SOD)和4%的植物提取物组合(黑加仑籽油、向日葵油浓缩物、倒地铃提取物)。

方法

评估了20例年龄在8个月至72岁之间的轻至中度特应性皮炎患者。该产品作为单一疗法使用,每天两次涂抹于受影响的皮肤区域。在30天疗程前后,使用SCORAD和视觉模拟量表对患者进行评估,以评估瘙痒强度。主要终点是根据SCORAD和临床评估判断AD的改善情况。次要终点是患者满意度和瘙痒的改善情况。

结果

第0天的平均SCORAD为32.61(范围=16.0 - 46.9),第30天降至10.55(范围=0 - 17.0),反映出降低了67.6%。在第30天,所有患者均表示瘙痒和睡眠质量有显著改善。

结论

研究产品乳膏的应用使AD有显著改善,这通过客观的SCORAD测量以及瘙痒和生活质量的主观评估得以体现。这种新型抗炎润肤产品可能成为治疗AD各阶段安全有效的治疗工具,且无长期使用皮质类固醇的不良反应。

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