Abstract | OBJECTIVES: DESIGN: Double-blind randomized trial with placebo control. SETTING: Outpatients of the Department of Dermatology, University Hospital of Nice, from December 21, 2004, to April 19, 2005. PATIENTS: Fourteen consecutive patients with oral erosive lichen planus confirmed by histological examination and with a clinical score superior to 3. Of the 14 patients, 2 did not meet the inclusion criteria and 12 were enrolled in the trial. INTERVENTION: The intervention was 1% pimecrolimus cream or its vehicle, which was applied on ulcerated lesions twice a day for 4 weeks. MAIN OUTCOME MEASURES: The efficacy of the treatment was quantified using a 12-point clinical score. The blood level of pimecrolimus was analyzed on days 0 (baseline), 14, and 28. RESULTS: In the placebo group, the mean score was 4.67 on day 0 vs 3.33 on day 28 (P = .22). In the pimecrolimus group, the mean score was 6.83 on day 0 vs 3.33 on day 28 (P = .04). In the pimecrolimus group, blood concentrations of pimecrolimus were always above the threshold (mean value, 2.84 ng/mL; extreme values, 0-6.19 ng/mL). Pimecrolimus cream was well tolerated, and only transient burning sensations were reported by some subjects. Each of the patients in the pimecrolimus group whose condition improved subsequently relapsed when assessed 1 month after treatment. CONCLUSIONS: The 1% pimecrolimus cream seems to be an effective and well-tolerated treatment for oral erosive lichen planus. The finding of systemic levels of pimecrolimus after mucosal applications necessitates long-term study because it seems that long-term application is required to maintain clinical improvement.
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Authors | Thierry Passeron, Jean-Philippe Lacour, Eric Fontas, Jean-Paul Ortonne |
Journal | Archives of dermatology
(Arch Dermatol)
Vol. 143
Issue 4
Pg. 472-6
(Apr 2007)
ISSN: 0003-987X [Print] United States |
PMID | 17438179
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Calcineurin Inhibitors
- Ointments
- pimecrolimus
- Tacrolimus
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Topics |
- Aged
- Calcineurin Inhibitors
- Double-Blind Method
- Female
- Humans
- Lichen Planus, Oral
(drug therapy, pathology)
- Male
- Middle Aged
- Ointments
- Tacrolimus
(administration & dosage, adverse effects, analogs & derivatives, pharmacokinetics)
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