Current topical therapy of psoriatic patients suffering from scalp lesions


Cite item

Full Text

Abstract

Scalp lesions reduce the life quality of psoriatic patients. Goal. to assess the efficacy and safety of the topical therapy of psoriatic patients suffering from scalp lesions using a combination gel containing betamethasone and calcipotriol. Materials and methods. As many as 32 psoriatic patients suffering from scalp lesions received treatment. The clinical assessment was conducted using the PASI index. The Dermatology Life Quality Index (DLQI) was used to assess the patients’ life quality. Results. A reliable reduction in the PASI (by 69.9%) and DLQI (fivefold) indices was observed in most of the patients. No adverse effects or complications were observed as a result of the topical therapy of psoriatic patients with the gel containing betamethasone and calcipotriol. Conclusion. High efficacy and safety of the treatment method were observed.

About the authors

N N FILIMONKOVA

Ural Research Institute of Dermatovenerology and Immunopathology

Email: nnfil2008@mail.ru
д.м.н., ведущий научный сотрудник научного клинического отдела

YE P TOPYCHKANOVA

Ural Research Institute of Dermatovenerology and Immunopathology

младщий научный сотрудник научного клинического отдела

References

  1. Мордовцев В.Н., Мушет Г.В., Альбанова В.И. Псориаз. Патогенез, клиника, лечение. Кишинев: Штиинца 1991; 186
  2. Кунгуров Н.В., Филимонкова Н.Н., Тузанкина И.А. Псориатическая болезнь. Екатеринбург: Изд-во Уральского университета 2002; 193
  3. Schön M. P., Boehncke W.H. Psoriasis. N Engl J Med 2005; 352 (18): 1899—1912.
  4. Dubertret L. Psoriasis: evolution and revolution. Med Sci 2006; 22 (2): 164—171.
  5. Luba K.M., Stulberg D.L. Chronic plaque psoriasis. Am Fam Phys 2006; 73: 636—646.
  6. Кубанова A.A., Кубанов A.A., Николас Дж. Ф. и др. Иммунные механизмы псориаза. Новые стратегии биологической терапии Вестн дерматол венерол 2010; 1: 35—47
  7. Picardi A., Mazotti E., Gaetano P. et al. Stress, social support, emotional regulation, and exacerbation of diffuse plaque psoriasis. Psychosomatics 2005; 46: 556—564.
  8. Holm S.J., Sanchers F., Carlen L.M., Mallbris L. Genetics of psoriasis. Acta Derm Venereol 2005; 85 (1): 2—8.
  9. Veale D.J., Ritchlin C., FitzGerald O. Immunopathol-ogy of psoriasis and psoriatic arthritis. Ann Rheum Dis 2005; Suppl.2: 26—29.
  10. Линец Ю.П., Коссинский В.П. Роль психосоматического подхода в превентивной медицине и качество жизни. Исследование качества жизни в медицине. Мат-лы науч. конф. СПб: 2000; 82—84
  11. Finlay A.Y. Quality of life assessments in dermatology. Semin Cutan Med Surg 1998; 17: 291—296.
  12. Krueger G., Koo J., Lebwohl M. et al. The impact of psoriasis on quality of life. Arch Dermatol 2001; 137: 280—284.
  13. Horn E.J., Fox K.M., Patel V. et al. Association of patient reported psoriasis severity with income and employment. J Am Acad Dermatol 2007; 57 (6): 963—971.
  14. Самгин М.А., Нетруненко И.Ю. Новые возможности в терапии псориаза волосистой части головы. Клин дерматол венерол 2004; 3: 1—4
  15. Gelfand J.M., Stern R.S., Nijsten T. et al. The prevalence of psoriasis in African Americans: Results from a population-based study. J Am Acad Dermatol 2005; 52 (1): 23—26.
  16. van de Kerkhof P.C., Steegers-Theunissen R.P., Kuipers M.V. Evaluation of topical drug treatment in psoriasis. Dermatology 1998; 197 (1): 294—299.
  17. van de Kerkhof P.C., de Hoop D., de Korte J., Kuipers M.V. Scalp psoriasis, clinical presentations and therapeutic management. Dermatology 1998; 197 (4): 326—334.
  18. Филимонкова Н.Н., Кащеева Я.В., Чуверова К.А. Дерматотропные средства в комплексной терапии псориаза. Клин дерматол венерол. 2010; 1: 35—38
  19. Papp K., Berth-Jones J., Kragballe K. et al. Scalp psoriasis: A review of current topical treatment options. J Eur Acad Dermatol Venerol 2007; 21 (9): 1151—1160
  20. Giannetti A., Coppini M., Baggio A. A new stable association of calcipotriol and betamethasone dipropionate for the topical treatment of psoriasis: a clinical experience. Dermatol Exp 2005; 7: 53—59.
  21. van de Kerkhof P.C., Wasel N., Kragballe K. et al. A two-compound product containing calcipotriol and betamethasone dipropionate provides rapid, effective treatment of psoriasis vulgaris regardless of baseline disease severity. Dermatology 2005; 210: 294—299.
  22. Luger T.A., Cambazard F., Larsen F.G. et al. A study of the safety and efficacy of calcipotriol and betamethasone dipropionate scalp formulation in the long-term management of scalp psoriasis. Dermatology 2008; 217: 321—328.
  23. Jemec G.B., Ganslandt C., Ortonne J.P. et al. A new scalp formulation of calcipotriene plus betamethasone compared with its active ingredients and the vehicle in the treatment of scalp psoriasis: A randomized, double-blind, controlled trial. J Am Acad Dermatol 2008; 59: 455—463.
  24. Mrowietz U., Macheleidt O., Eicke C. Effective treatment and improvement of quality of life in patients with scalp psoriasis by topical use of calcipotriol/ betamethasone (Xamiol®-gel): results from a study in 721 patients. J Deutsch Dermatol Ges 2011; 9: 825—831.
  25. Guenther L.C. Treatments for scalp psoriasis with emphasis on calcipotriol plus betamethasone dipropionate gel (Xamiol). Skin Therapy Lett 2009; 14 (4): 1—4.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2013 FILIMONKOVA N.N., TOPYCHKANOVA Y.P.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).