Nielsen H J, Kristensen J K, Hansen U, Nielsen H I, Skov P S, Petersen L M
Kirurgisk gastroenterologisk afdeling 235, H:S Hvidovre Hospital.
Ugeskr Laeger. 1997 Jan 27;159(5):598-600.
We report the results of an open, prospective study of 20 patients with moderate to severe psoriasis (median PASI score: 15.7) treated with oral ranitidine 300 mg twice daily for six months. No other medication was allowed during the study period. The median PASI score was reduced to 14.5, 9.1 and 5.7 after one, three and six months of treatment, respectively (p < 0.00001). A mild to moderate worsening was observed in 15 patients within the first month of treatment, but this was not followed by exclusion from the study, and long-term treatment improved disease status in most patients. Eight patients continued therapy with ranitidine 300 mg twice daily after the study was completed. None of these patients relapsed during a follow-up period of 12-18 months. The results of the present study suggest that ranitidine may be beneficial in the treatment of some patients with psoriasis.
我们报告了一项针对20例中度至重度银屑病患者(银屑病面积和严重程度指数[PASI]中位数评分:15.7)的开放性前瞻性研究结果,这些患者每日口服两次300毫克雷尼替丁,持续六个月。研究期间不允许使用其他药物。治疗1个月、3个月和6个月后,PASI中位数评分分别降至14.5、9.1和5.7(p<0.00001)。15例患者在治疗的第一个月内出现轻度至中度病情恶化,但未因此被排除出研究,长期治疗使大多数患者的病情得到改善。8例患者在研究完成后继续每日两次服用300毫克雷尼替丁进行治疗。在12至18个月的随访期内,这些患者均未复发。本研究结果表明,雷尼替丁可能对某些银屑病患者的治疗有益。