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 inSkin research Vol. 35; no. 3; pp. 381 - 390
Main Authors CHANOKI, Miyako, MAEKAWA, Naoki, SOMEDA, Yukiko, SUZUKI, Shinsuke, SHOJI, Akinobu, SHIMOTOGE, Masashi, KATOH, Haruhisa, YOSHIOKA, Keiko, HAMADA, Toshio, ISHII, Masamitsu, NAKANISHI, Takeshi, KITAJIMA, Jun-ichi, KONO, Takeshi, HIGASHI, Junko, FUKAI, Kazuyoshi, KOBAYASHI, Hiromi, NAKAGAWA, Koichi, YOKOKAWA, Mayumi
Format Journal Article
LanguageEnglish
Japanese
Published Meeting of Osaka Dermatological Association 1993
日本皮膚科学会大阪地方会
Subjects
Online AccessGet full text
ISSN0018-1390
1884-541X
DOI10.11340/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.
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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  fullname: 茶之木 美也子
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  fullname: YOKOKAWA, Mayumi
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DocumentTitleAlternate Dexamethasone propionate外用剤(メサデルム軟膏,クリーム)の難治性皮膚疾患に対する臨床効果の検討
DocumentTitle_FL Dexamethasone propionate外用剤(メサデルム軟膏,クリーム)の難治性皮膚疾患に対する臨床効果の検討
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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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Snippet We evaluated clinical effects of dexamethasone propionate ointment and cream for 41 male and 34 female with intractable skin diseases, including idiopathic...
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StartPage 381
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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