Panahi Yunes, Rastgar Nassim, Zamani Ali, Sahebkar Amirhossein
Pharmacotherapy Department, Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Pharmaceutics, Faculty of Pharmacy, Pharmaceutical Science Branch, Islamic Azad University, Tehran, Iran.
J Pharmacopuncture. 2020 Sep 30;23(3):173-178. doi: 10.3831/KPI.2020.23.3.173.
Atopic dermatitis (AD) is a prevalent and chronic, pruritic inflammatory skin condition that can influence all age groups. AD is associated with a poor health-related quality of life. This randomized clinical trial was performed to compare the effectiveness of Olivederma (combination of and virgin olive oil) or betamethasone regarding disease severity, quality of life, serum IgE and eosinophil count.
Thirty-six AD patients were randomly allocated to topical Olivederma or betamethasone, and were followed for 6 weeks.
Total SCORAD severity scores showed significant decrease in both groups, while it was more prominent in Olivederma group (64.5% improvement in Olivederma vs. 13.5% improvement in Betamethasone, p-value < 0.001). Quality of life (DLQI questionnaire) of AD patients was significantly improved after 6 weeks treatment with Betamethasone (22.3%, p < 0.001) and Olivederma (60.7%, p-value < 0.001). Olivederma group showed a significantly lower DLQI score in comparison with Betamethasone treated patients after 6 weeks of therapy (p < 0.001). Improvements in eosinophil count and serum IgE was observed.
In summary, this study shows that Olivederma is superior to topical Betamethasone after 6 weeks of therapy with regard to disease severity, quality of life and eosinophil count.
特应性皮炎(AD)是一种常见的慢性瘙痒性炎症性皮肤病,可影响所有年龄组。AD与健康相关生活质量较差有关。本随机临床试验旨在比较橄榄油乳膏([成分]与初榨橄榄油的组合)或倍他米松在疾病严重程度、生活质量、血清IgE和嗜酸性粒细胞计数方面的疗效。
36例AD患者被随机分配至外用橄榄油乳膏或倍他米松组,并随访6周。
两组的总SCORAD严重程度评分均显著降低,而在橄榄油乳膏组更为显著(橄榄油乳膏组改善64.5%,倍他米松组改善13.5%,p值<0.001)。用倍他米松(22.3%,p<0.001)和橄榄油乳膏(60.7%,p值<0.001)治疗6周后,AD患者的生活质量(DLQI问卷)显著改善。治疗6周后,与倍他米松治疗的患者相比,橄榄油乳膏组的DLQI评分显著更低(p<0.001)。观察到嗜酸性粒细胞计数和血清IgE有所改善。
总之,本研究表明,在治疗6周后,就疾病严重程度、生活质量和嗜酸性粒细胞计数而言,橄榄油乳膏优于外用倍他米松。