Jalili A, Yosipovitch G
Dermatology & Skin Care, Bürgenstock Medical Center, Obbürgen, Switzerland.
Dr Phillip Frost Department of Dermatology and Cutaneous Surgery & Miami Itch Center, Miller School of Medicine, Miami, FL, USA.
J Eur Acad Dermatol Venereol. 2021 Feb;35 Suppl 1(Suppl 1):20-27. doi: 10.1111/jdv.17085.
The physical symptoms of psoriasis vulgaris (chronic plaque psoriasis), such as itch and itch-related sleep loss, and the psychological impact of visible plaques on the body, all contribute to significantly reduced health-related quality of life (HRQoL) in patients with psoriasis. In fact, the deterioration of HRQoL in patients with psoriasis is similar to patients with other chronic conditions, such as cancer and cardiovascular diseases. Rapid and effective improvements in HRQoL and itch-related outcomes would therefore be highly valued by patients and may even improve adherence to treatment. In this article, we summarise previously published data assessing the impact of fixed-dose combination calcipotriol 50 µg/g plus betamethasone dipropionate 0.5 mg/g cutaneous foam (Cal/BD foam) on itch relief, quality of sleep, onset of action and HRQoL. Findings across multiple analyses indicate that Cal/BD foam provides significant improvements in itch, itch-related sleep loss and HRQoL compared with vehicle foam or Cal/BD gel comparators. Additionally, the benefits of Cal/BD foam were recorded earlier than these comparators, often within 1 week of treatment, indicating a rapid onset of action. With the published data to hand, it is clear that Cal/BD foam provides significant improvements in the outcomes that matter most to patients and should be considered an effective topical treatment for psoriasis.
寻常型银屑病(慢性斑块状银屑病)的身体症状,如瘙痒及与瘙痒相关的睡眠缺失,以及身体上可见斑块带来的心理影响,均会导致银屑病患者的健康相关生活质量(HRQoL)显著下降。事实上,银屑病患者HRQoL的恶化程度与癌症和心血管疾病等其他慢性疾病患者相似。因此,HRQoL及与瘙痒相关结果的快速有效改善对患者来说非常重要,甚至可能提高治疗依从性。在本文中,我们总结了先前发表的评估50μg/g卡泊三醇加0.5mg/g二丙酸倍他米松皮肤泡沫剂(Cal/BD泡沫剂)固定剂量组合对瘙痒缓解、睡眠质量、起效时间和HRQoL影响的数据。多项分析结果表明,与赋形剂泡沫或Cal/BD凝胶对照剂相比,Cal/BD泡沫剂在瘙痒、与瘙痒相关的睡眠缺失和HRQoL方面有显著改善。此外,Cal/BD泡沫剂的益处比这些对照剂出现得更早,通常在治疗1周内,表明起效迅速。根据手头已发表的数据,很明显Cal/BD泡沫剂在对患者最重要的结果方面有显著改善,应被视为银屑病的一种有效局部治疗方法。