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不同频率外用他克莫司治疗剥脱性唇炎:一项初步研究。

Topical tacrolimus with different frequency for exfoliative cheilitis: a pilot study.

机构信息

Department of Oral Mucosal Diseases, Shangehai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

National Clinical Research Center for Oral Diseases, Shanghai, China.

出版信息

J Dermatolog Treat. 2022 Feb;33(1):550-554. doi: 10.1080/09546634.2020.1771258. Epub 2020 Jun 23.

DOI:10.1080/09546634.2020.1771258
PMID:32431191
Abstract

BACKGROUND

Tacrolimus is a new type immunosuppressant. The aim of this study was to evaluate the effectiveness of topical tacrolimus 0.1% ointment at 2 different frequencies in treating patients with exfoliative cheilitis.

METHODS

A total of 40 patients with exfoliative cheilitis were randomly divided into the QD group receiving topical tacrolimus 0.1% ointment once a day or the QOD group receiving topical tacrolimus 0.1% ointment once-two-day. Patients were also applied wet dressing of saline twice a day. The effectiveness of treatment was defined as the percentage of improvement in signs or symptoms.

RESULTS

37 patients completed the 2-week treatment. And, a full set was analyzed. The effectiveness of topical tacrolimus 0.1% ointment for relief in objective sign and subjective symptom was 50% and 67.5%% in the QD group, respectively. For the QOD group, the effectiveness of sign and symptom relief was 50% and 73.5%. There was no significant difference of effectiveness between application topical tacrolimus once a day and once 2 days.

CONCLUSION

Our data suggested that application of topical tacrolimus 0.1% ointment once a day and once 2 days had similar clinical effectiveness for sign and symptom relief in patients with exfoliative cheilitis.

摘要

背景

他克莫司是一种新型免疫抑制剂。本研究旨在评估他克莫司 0.1%软膏两种不同频率在治疗剥脱性唇炎患者中的疗效。

方法

共 40 例剥脱性唇炎患者随机分为 QD 组(每天接受他克莫司 0.1%软膏 1 次)和 QOD 组(每两天接受他克莫司 0.1%软膏 1 次)。两组患者均每天两次应用盐水湿敷。治疗的有效性定义为体征或症状改善的百分比。

结果

37 例患者完成了 2 周的治疗。并对全部病例进行了分析。QD 组患者客观体征和主观症状缓解的有效率分别为 50%和 67.5%,QOD 组患者的有效率分别为 50%和 73.5%。每天应用他克莫司和每两天应用他克莫司的疗效无显著差异。

结论

我们的数据表明,每天应用和每两天应用他克莫司 0.1%软膏在缓解剥脱性唇炎患者的体征和症状方面具有相似的临床疗效。

相似文献

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Topical tacrolimus with different frequency for exfoliative cheilitis: a pilot study.不同频率外用他克莫司治疗剥脱性唇炎:一项初步研究。
J Dermatolog Treat. 2022 Feb;33(1):550-554. doi: 10.1080/09546634.2020.1771258. Epub 2020 Jun 23.
2
Tacrolimus 0.03% ointment treatment in exfoliative cheilitis: A randomised controlled clinical trial and monitoring blood concentration.他克莫司 0.03% 软膏治疗剥脱性唇炎:一项随机对照临床试验及监测血药浓度。
J Oral Pathol Med. 2021 Feb;50(2):251-259. doi: 10.1111/jop.13142. Epub 2020 Dec 23.
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Plasma cell cheilitis, successfully treated with topical 0.03% tacrolimus ointment.浆细胞性唇炎,经局部外用 0.03%他克莫司软膏治疗后痊愈。
J Dermatolog Treat. 2010 May;21(3):130-2. doi: 10.1080/09546630903200620.
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Isolated lip dermatitis (atopic cheilitis), successfully treated with topical tacrolimus 0.03.孤立性唇皮炎(特应性唇炎),外用他克莫司 0.03 治疗有效。
Med Oral Patol Oral Cir Bucal. 2021 May 1;26(3):e357-e360. doi: 10.4317/medoral.24230.
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Exfoliative cheilitis successfully treated with topical tacrolimus.外用他克莫司成功治疗剥脱性唇炎。
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Three times weekly tacrolimus ointment reduces relapse in stabilized atopic dermatitis: a new paradigm for use.每周三次使用他克莫司软膏可减少稳定期特应性皮炎的复发:一种新的使用模式。
Pediatrics. 2008 Dec;122(6):e1210-8. doi: 10.1542/peds.2008-1343. Epub 2008 Nov 17.
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Comparison of topical tacrolimus 0.1 % in pectin ointment with clobetasol 0.5% ointment in adults with moderate to severe desquamative gingivitis: A 4-week, randomized, double-blind clinical trial.0.1%他克莫司果胶软膏与0.5%丙酸氯倍他索软膏治疗成人中重度剥脱性龈炎的比较:一项为期4周的随机双盲临床试验。
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Successful treatment of plasma cell cheilitis with topical tacrolimus: report of two cases.外用他克莫司成功治疗浆细胞性唇炎:2例报告
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0.03% Tacrolimus ointment applied once or twice daily is more efficacious than 1% hydrocortisone acetate in children with moderate to severe atopic dermatitis: results of a randomized double-blind controlled trial.对于中度至重度特应性皮炎儿童,每天涂抹一次或两次0.03%他克莫司软膏比1%醋酸氢化可的松更有效:一项随机双盲对照试验的结果。
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Exfoliative cheilitis managed with oral minocycline and topical tacrolimus associated to psychotherapy.采用口服米诺环素、外用他克莫司并结合心理治疗的方法治疗剥脱性唇炎。
Ital J Dermatol Venerol. 2022 Feb;157(1):114-115. doi: 10.23736/S2784-8671.21.06943-7. Epub 2021 Jun 23.

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Challenging of treating patients with exfolliative cheilittis: Report of two cases.治疗剥脱性唇炎患者的挑战:两例报告。
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