Fludroxycortide cream as an alternative therapy for actinic cheilitis

• Published in: Clinical oral investigations Vol. 23; no. 10; pp. 3925 - 3931
• Main Authors: de Oliveira Bezerra, Hanna Isa, Gonzaga, Amanda Katarinny Goes, da Silveira, Éricka Janine Dantas, de Oliveira, Patrícia Teixeira, de Medeiros, Ana Miryam Costa
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2019; Springer Nature B.V
• Subjects: Cheilitis - drug therapy; Cream; Dentistry; Flurandrenolone - therapeutic use; Humans; Medicine; Ointments; Original Article; Patients; Remission; Sunscreening Agents - therapeutic use; Treatment Outcome; Cheilitis; Lip; Inflammation; Sunscreen; Flurandrenolone
• ISSN: 1432-6981; 1436-3771
• DOI: 10.1007/s00784-019-02823-1

Objectives The objective of the study is to assess, by clinical follow-up, the efficacy of the dermatological cream Fludroxycortide 0.125 mg/g (Drenison®) in the treatment of actinic cheilitis (AC). Material and methods Twenty-three patients diagnosed with AC participated in the study. Fifteen were submitted to corticotherapy with Fludroxycortide, applied three times a day for up to 6 weeks, associated with lip sunscreen (LS) before sun exposure. In the control group of eight patients, only the use of LS was established. At each weekly return, a photographic record was made of the lesion. After treatment, images were evaluated and scores were assigned to verify clinical evolution. Also, patients treated with Fludroxycortide responded to a questionnaire, to assess drug tolerability and treatment satisfaction. Results In the group treated with Fludroxycortide ( n  = 15), five patients showed total improvement, seven presented partial improvement, and three showed no clinical change. Concerning the patients treated with LS ( n  = 8), one presented total remission of the clinical lesion characteristics, four exhibited partial improvement, and three exhibited no clinical lip alteration. No case presented symptom worsening. Of the 15 patients undergoing corticotherapy, 12 were satisfied and reported that the product was not irritating and contributed to lesion improvement. Conclusions Conventional treatment with LS was effective in the remission of some AC lesions, but treatment responses were improved when associated with Fludroxycortide, especially in the more severe cases. Clinical relevance As it is a non-invasive therapy leading, in most cases, to adequate clinical results, safety, and tolerability, Fludroxycortide can be considered an effective alternative treatment for AC.