Clinical Effects of Topical Preparation of Dexamethasone Propionate for Intractable Skin Diseases
We evaluated clinical effects of dexamethasone propionate ointment and cream for 41 male and 34 female with intractable skin diseases, including idiopathic pigmented purpura (20 cases), hypertrophic scar or keloid (15 cases) and so on. The efficacy of the drug was following: cure in 11 (14.7%), exel...
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Published in | Skin research Vol. 35; no. 3; pp. 381 - 390 |
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Main Authors | , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English Japanese |
Published |
Meeting of Osaka Dermatological Association
1993
日本皮膚科学会大阪地方会 |
Subjects | |
Online Access | Get full text |
ISSN | 0018-1390 1884-541X |
DOI | 10.11340/skinresearch1959.35.381 |
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Abstract | We evaluated clinical effects of dexamethasone propionate ointment and cream for 41 male and 34 female with intractable skin diseases, including idiopathic pigmented purpura (20 cases), hypertrophic scar or keloid (15 cases) and so on. The efficacy of the drug was following: cure in 11 (14.7%), exellent in 19 (25.3%), good in 18 (24%), fair in 20 (26.7%) and poor in 7 cases (9.3%). The efficacy rates were 62.5% for the ointment and 66.7% for the cream, totaling 64.0%. An adverse reaction was seen in four patients; folliculitis, pruritus, skin atrophy and irritation, respectively. All reactions were, however, mild and transient. The results of our study support efficacy and safety of dexamethasone propionate in management of intractable skin diseases. |
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AbstractList | We evaluated clinical effects of dexamethasone propionate ointment and cream for 41 male and 34 female with intractable skin diseases, including idiopathic pigmented purpura (20 cases), hypertrophic scar or keloid (15 cases) and so on. The efficacy of the drug was following: cure in 11 (14.7%), exellent in 19 (25.3%), good in 18 (24%), fair in 20 (26.7%) and poor in 7 cases (9.3%). The efficacy rates were 62.5% for the ointment and 66.7% for the cream, totaling 64.0%. An adverse reaction was seen in four patients; folliculitis, pruritus, skin atrophy and irritation, respectively. All reactions were, however, mild and transient.The results of our study support efficacy and safety of dexamethasone propionate in management of intractable skin diseases.
各種の難治性皮膚疾患に対するDexamethasone propionate外用剤の有効性ならびに安全性を検討した. 症例は75例 (男性41名, 女性34名, 平均年齢は54歳) で, 紅斑症 (12例), 特発性色素性紫斑 (20例), 肥厚性瘢痕・ケロイド (15例) 等が集積された. 結果として, 最終全般改善度において, 治癒: 11例 (14.7%), 著しく軽快: 19例 (25.3%), かなり軽快: 18例 (24%), やや軽快: 20例 (26.7%), 不変=6例 (8%), 悪化: 1例 (1.3%) の結果を得た (有効率=『かなり軽快』以上: 64.0%). 特に紅斑症, 毛孔性紅色粃糠疹では, それぞれ, 91.7%, 100%と, 高い改善率が見られた.副作用は毛包炎等が4例 (発現率: 5.3%) に見られたが, いずれも軽度であった.以上の結果から有用率 (『極めて有用』と『有用』の和) は66.7%となり, 高い有効性と安全性が確認された. We evaluated clinical effects of dexamethasone propionate ointment and cream for 41 male and 34 female with intractable skin diseases, including idiopathic pigmented purpura (20 cases), hypertrophic scar or keloid (15 cases) and so on. The efficacy of the drug was following: cure in 11 (14.7%), exellent in 19 (25.3%), good in 18 (24%), fair in 20 (26.7%) and poor in 7 cases (9.3%). The efficacy rates were 62.5% for the ointment and 66.7% for the cream, totaling 64.0%. An adverse reaction was seen in four patients; folliculitis, pruritus, skin atrophy and irritation, respectively. All reactions were, however, mild and transient. The results of our study support efficacy and safety of dexamethasone propionate in management of intractable skin diseases. |
Author | KOBAYASHI, Hiromi KITAJIMA, Jun-ichi MAEKAWA, Naoki NAKANISHI, Takeshi SOMEDA, Yukiko SUZUKI, Shinsuke YOKOKAWA, Mayumi KONO, Takeshi FUKAI, Kazuyoshi ISHII, Masamitsu HIGASHI, Junko KATOH, Haruhisa NAKAGAWA, Koichi SHOJI, Akinobu CHANOKI, Miyako SHIMOTOGE, Masashi YOSHIOKA, Keiko HAMADA, Toshio |
Author_FL | 東 順子 前川 直輝 横川 眞弓 庄司 昭伸 茶之木 美也子 加藤 晴久 幸野 健 深井 和吉 濱田 稔夫 中西 健史 石井 正光 下峠 雅史 染田 幸子 中川 浩一 北島 淳一 吉岡 啓子 小林 裕美 鈴木 伸典 |
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Author_xml | – sequence: 1 fullname: CHANOKI, Miyako organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: MAEKAWA, Naoki organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: SOMEDA, Yukiko organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: SUZUKI, Shinsuke organization: Division of Dermatology, Osaka Municipal Shirokita Citizen Hospital – sequence: 1 fullname: SHOJI, Akinobu organization: Division of Dermatology, Osaka Kaisei Hospital – sequence: 1 fullname: SHIMOTOGE, Masashi organization: Division of Dermatology, Osaka General Hospital of West Japan Railway Company – sequence: 1 fullname: KATOH, Haruhisa organization: Division of Dermatology, Hoshigaoka Kouseinenkin Hospital – sequence: 1 fullname: YOSHIOKA, Keiko organization: Division of Dermatology, Osaka Municipal Juso Citizen Hospital – sequence: 1 fullname: HAMADA, Toshio organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: ISHII, Masamitsu organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: NAKANISHI, Takeshi organization: Division of Dermatology, Osaka Kaisei Hospital – sequence: 1 fullname: KITAJIMA, Jun-ichi organization: Division of Dermatology, Suita Municipal Hospital – sequence: 1 fullname: KONO, Takeshi organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: HIGASHI, Junko organization: Division of Dermatology, Kashiwara Municipal Hospital – sequence: 1 fullname: FUKAI, Kazuyoshi organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: KOBAYASHI, Hiromi organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: NAKAGAWA, Koichi organization: Department of Dermatology, Osaka City University Medical School – sequence: 1 fullname: YOKOKAWA, Mayumi organization: Division of Dermatology, Osaka Minami National Hospital |
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References | 1. TSH-101研究班 (班長武田克之): 0.1% Dexamethadone 17, 21-dipropionate外用剤 (TSH-101) の湿疹皮膚炎, 尋常性乾癬に対する0.12% betamethasone 17-valerateとの比較試験成績-Double blind and well controlled comparative study-, 医学のあゆみ, 128: 774-788, 1984 2. 武田克之, 大河原章, 久木田淳他: 0.1% Dexamethadone 17, 21-dipropionate外用剤の難治性皮膚疾患に対する臨床効果の検討, 臨床医薬, 6: 1015-1026, 1990 4. 慶應グループメサデルム研究班: 苔癬化型湿疹, 皮膚炎に対するメサデルムの臨床効果, 基礎と臨床, 25: 2817-2822, 1991 5. Sulzberger MB, Witten VH: The effect of topically applied compound f in selected dermatoses, J Invest Dermatol, 19: 101-102, 1952 6. 武田克之: 各種ステロイド外用薬とその評価, 皮膚臨床, 26: 631-647, 1984 3. 竹村司, 北村啓次郎, 生野麻美子: メサデルム ® 軟膏のアトピー性皮膚炎に対する臨床効果の検討-0.1% Diflucortone valerate軟膏との比較-, 基礎と臨床, 22: 3203-3210, 1988 |
References_xml | – reference: 5. Sulzberger MB, Witten VH: The effect of topically applied compound f in selected dermatoses, J Invest Dermatol, 19: 101-102, 1952 – reference: 6. 武田克之: 各種ステロイド外用薬とその評価, 皮膚臨床, 26: 631-647, 1984 – reference: 4. 慶應グループメサデルム研究班: 苔癬化型湿疹, 皮膚炎に対するメサデルムの臨床効果, 基礎と臨床, 25: 2817-2822, 1991 – reference: 1. TSH-101研究班 (班長武田克之): 0.1% Dexamethadone 17, 21-dipropionate外用剤 (TSH-101) の湿疹皮膚炎, 尋常性乾癬に対する0.12% betamethasone 17-valerateとの比較試験成績-Double blind and well controlled comparative study-, 医学のあゆみ, 128: 774-788, 1984 – reference: 3. 竹村司, 北村啓次郎, 生野麻美子: メサデルム ® 軟膏のアトピー性皮膚炎に対する臨床効果の検討-0.1% Diflucortone valerate軟膏との比較-, 基礎と臨床, 22: 3203-3210, 1988 – reference: 2. 武田克之, 大河原章, 久木田淳他: 0.1% Dexamethadone 17, 21-dipropionate外用剤の難治性皮膚疾患に対する臨床効果の検討, 臨床医薬, 6: 1015-1026, 1990 |
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SubjectTerms | clinical effect DDP-dexamethasone propionate intractable skin disease プロピオン酸デキサメタゾン 有用性 難治性皮膚疾患 |
Title | Clinical Effects of Topical Preparation of Dexamethasone Propionate for Intractable Skin Diseases |
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