Cam Van Tran, Van Thuong Nguyen, Hau Khang Tran, Huu Doanh Le, Minh Phuong Pham Thi, Huu Sau Nguyen, Minh Thu Nguyen, Gandolfi Marco, Satolli Francesca, Feliciani Claudio, Tirant Michael, Vojvodic Aleksandra, Lotti Torello
National Hospital of Dermatology and Venereology, Hanoi, Vietnam.
Unit of Dermatology, University of Parma, Parma, Italy.
Open Access Maced J Med Sci. 2019 Jan 28;7(2):272-274. doi: 10.3889/oamjms.2019.092. eCollection 2019 Jan 30.
Compare itraconazole alone, fluconazole combined with ketoconazole and ketoconazole in the treatment of patients with pityriasis versicolor.
A group of 240 pityriasis versicolor patients (confirmed with KOH and culture) were classified into 3 groups: Fluconazole 300 mg a week and 2% ketoconazole foam twice a week for 2 weeks (Category I), Itraconazole 200 mg daily for one week (category II); Ketoconazole 2% foam daily for 2 weeks (Category 3). Clinical (colour of macule, scale, pruritus) and mycological assessment were done after 4 weeks of therapy.
After 4 weeks of treatment, clinical cure was observed in 62.4% (Category I), 36.3% (Category II) and 37.5% (Category III).
It was reported in our study that the most effective regimen for PV patients is fluconazole 300 mg per week combined with ketoconazole 2% twice a week for 2 weeks.
比较单用伊曲康唑、氟康唑联合酮康唑以及酮康唑治疗花斑癣患者的效果。
将一组240例花斑癣患者(经氢氧化钾和培养确诊)分为3组:第一组,每周服用氟康唑300毫克,每周使用2%酮康唑泡沫剂两次,共2周;第二组,每天服用伊曲康唑200毫克,共1周;第三组,每天使用2%酮康唑泡沫剂,共2周。治疗4周后进行临床(斑疹颜色、鳞屑、瘙痒情况)和真菌学评估。
治疗4周后,第一组临床治愈率为62.4%,第二组为36.3%,第三组为37.5%。
我们的研究报告显示,对花斑癣患者最有效的治疗方案是每周服用氟康唑300毫克并联合每周使用2%酮康唑泡沫剂两次,共2周。