Abstract |
Topical treatment of cutaneous lupus erythematosus usually includes potent glucocorticosteroids. However, prolonged use causes adverse side effects including skin atrophy as the foremost concern. In contrast to glucocorticosteroids, the anti-inflammatory and immunosuppressive macrolactam pimecrolimus has no atrophogenic potential. Affected areas of 11 patients with different forms of lupus erythematosus were treated with pimecrolimus 1% cream under semiocclusive conditions twice daily for 3 weeks. Skin involvement before and after therapy was assessed by means of a clinical score. In all patients, significant regression of skin lesions was observed after therapy (P <.001). This was an open and uncontrolled study on a limited number of cases. We suggest that pimecrolimus 1% cream could be an efficacious and safe treatment option for cutaneous lupus erythematosus.
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Authors | Alexander Kreuter, Thilo Gambichler, Frank Breuckmann, Frank M Pawlak, Markus Stücker, Armin Bader, Peter Altmeyer, Marcus Freitag |
Journal | Journal of the American Academy of Dermatology
(J Am Acad Dermatol)
Vol. 51
Issue 3
Pg. 407-10
(Sep 2004)
ISSN: 1097-6787 [Electronic] United States |
PMID | 15337984
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
- Immunosuppressive Agents
- pimecrolimus
- Tacrolimus
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Topics |
- Administration, Cutaneous
- Adolescent
- Adult
- Aged
- Anti-Inflammatory Agents, Non-Steroidal
(administration & dosage, therapeutic use)
- Child
- Facial Dermatoses
(drug therapy)
- Female
- Humans
- Immunosuppressive Agents
(administration & dosage, therapeutic use)
- Lupus Erythematosus, Cutaneous
(drug therapy)
- Lupus Erythematosus, Discoid
(drug therapy)
- Lupus Erythematosus, Systemic
(drug therapy)
- Male
- Middle Aged
- Patient Acceptance of Health Care
- Tacrolimus
(administration & dosage, analogs & derivatives, therapeutic use)
- Treatment Outcome
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