Department of Dermatology, University of Rome "Tor Vergata", Rome, Italy.
Department of Health Sciences-Unit of Dermatology, Magna Graecia University, Catanzaro, Italy.
Dermatol Ther. 2020 Jan;33(1):e13185. doi: 10.1111/dth.13185. Epub 2019 Dec 19.
This study evaluates the effectiveness of the topical use of an aerosol foam combination of calcipotriol 50 μg/g plus betamethasone dipropionate 0.5 mg/g (Cal/BD foam, Enstilar®) in adults with moderate plaque psoriasis. A total of 120 male and female adult psoriasis patients (53.3% male) from two Italian dermatological units were enrolled in an 8-week prospective study performed between November 2018 and January 2019. Psoriasis Area and Severity Index (PASI) was evaluated at baseline (T0) and 4 weeks (T4) of daily application, and a further evaluation was carried out 4 weeks after suspension (T8). Furthermore, the Dermatology Life Quality Index (DLQI) was evaluated at baseline and after 4 weeks of treatment (T4). At baseline, patients presented a mean PASI of 7 (7.0 ± 2.1). After 4 weeks (T4) of once-daily application, an important improvement in PASI was observed (1.1 ± 0.3). At Week 4, DLQI was reduced by 5.5 points from baseline (mean: 12 ± 3.1 at T0 vs 6.5 ± 1.8 at T4). Four weeks after suspension (T8), mean PASI was 2.6 ± 1.9, which was stable compared to the previous evaluation; only 8.3% of the treated patients showed worsening of plaque psoriasis. This study suggested that the Cal/BD aerosol foam is an effective topical therapy to treat plaque psoriasis.
这项研究评估了钙泊三醇 50μg/g 加倍他米松二丙酸酯 0.5mg/g(Cal/BD 泡沫,Enstilar®)局部应用于中度斑块状银屑病成人患者的疗效。2018 年 11 月至 2019 年 1 月期间,来自意大利两个皮肤科单位的 120 名男性和女性成年银屑病患者(53.3%为男性)参加了一项为期 8 周的前瞻性研究。在每日应用 4 周(T4)时评估银屑病面积和严重程度指数(PASI),并在停药后 4 周(T8)进行进一步评估。此外,还在基线(T0)和治疗 4 周后(T4)评估皮肤病生活质量指数(DLQI)。基线时,患者的平均 PASI 为 7(7.0±2.1)。经过 4 周(T4)的每日应用后,PASI 有显著改善(1.1±0.3)。第 4 周(T4)时,DLQI 从基线时降低了 5.5 分(T0 时平均:12±3.1;T4 时 6.5±1.8)。停药后 4 周(T8),平均 PASI 为 2.6±1.9,与前一次评估相比稳定;仅 8.3%的治疗患者出现斑块状银屑病恶化。本研究表明,Cal/BD 气雾剂泡沫是一种有效的局部治疗斑块状银屑病的方法。