دورية أكاديمية
Treatment of plaque psoriasis with the two-compound product calcipotriol/betamethasone dipropionate versus both monotherapies: an immunohistochemical study.
| العنوان: | Treatment of plaque psoriasis with the two-compound product calcipotriol/betamethasone dipropionate versus both monotherapies: an immunohistochemical study. |
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| المؤلفون: | van der Velden HM; Department of Dermatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. H.vanderVelden@derma.umcn.nl, Pasch MC, van Erp PE, van Lingen RG, Otero ME, de Boer-van Huizen RT, van de Kerkhof PC |
| المصدر: | The Journal of dermatological treatment [J Dermatolog Treat] 2010 Jan; Vol. 21 (1), pp. 13-22. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8918133 Publication Model: Print Cited Medium: Internet ISSN: 1471-1753 (Electronic) Linking ISSN: 09546634 NLM ISO Abbreviation: J Dermatolog Treat Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Houndmills, Basingstoke, Hampshire, UK : M. Dunitz and Macmillan Press, [c1989]- |
| مواضيع طبية MeSH: | Betamethasone/*analogs & derivatives , Calcitriol/*analogs & derivatives , Dermatologic Agents/*administration & dosage , Psoriasis/*drug therapy, Adolescent ; Adult ; Betamethasone/administration & dosage ; Biomarkers/metabolism ; Calcitriol/administration & dosage ; Double-Blind Method ; Drug Combinations ; Epithelium/metabolism ; Epithelium/pathology ; Humans ; Psoriasis/metabolism ; Psoriasis/pathology ; Treatment Outcome ; Young Adult |
| مستخلص: | The combination of calcipotriol (Cp) and topical corticosteroids increases efficacy and reduces side effects as compared to monotherapies. Previous studies suggest that such combinations may have an added value with respect to reduction of T-cell subsets. A two-compound product consisting of Cp and betamethasone dipropionate (BD) has become available for the treatment of psoriasis and is clinically superior to both monotherapies. No immunohistochemical data are available on the in vivo effects of the two-compound formulation versus monotherapy with respect to the three key processes in psoriasis pathogenesis: epidermal proliferation, epidermal differentiation and inflammation. Therefore, 18 patients were treated with the two-compound product, Cp monotherapy or BD monotherapy for 6 weeks and biopsies were taken before and after 4 and 6 weeks of treatment. These biopsies were stained immunohistochemically and analysed (semi)quantitatively. All treatments decreased the number of Ki-67(+) cells and increased the keratin 15(+) staining. A more pronounced reduction of epidermal and dermal T-cell markers and human beta defensin-2 was seen following combination treatment, compared with both monotherapies. In conclusion, the investigated markers of the skin immune system and epidermal proliferation indicated an added value of the two-compound product over both monotherapies. |
| المشرفين على المادة: | 0 (Biomarkers) 0 (Dermatologic Agents) 0 (Drug Combinations) 0 (betamethasone dipropionate, calcipotriol drug combination) 9842X06Q6M (Betamethasone) FXC9231JVH (Calcitriol) |
| تواريخ الأحداث: | Date Created: 20100109 Date Completed: 20101014 Latest Revision: 20151119 |
| رمز التحديث: | 20221213 |
| DOI: | 10.3109/09546630903214175 |
| PMID: | 20055694 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1471-1753 |
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| DOI: | 10.3109/09546630903214175 |