A Comparative Study of Oral Cyclosporine and Betamethasone Minipulse Therapy in the Treatment of Alopecia Areata

被引:13
作者
Jang, Yong Hyun [1 ]
Kim, Sang Lim [1 ]
Lee, Kyou Chae [1 ]
Kim, Min Ji [1 ]
Park, Kyung Hea [1 ]
Lee, Weon Ju [1 ]
Lee, Seok-Jong [1 ]
Kim, Do Won [1 ]
机构
[1] Kyungpook Natl Univ, Sch Med, Dept Dermatol, 130 Dongdeok Ro, Daegu 41944, South Korea
基金
新加坡国家研究基金会;
关键词
Alopecia areata; Betamethasone; Comparative study; Cyclosporine; Pulse drug therapy; METHYLPREDNISOLONE;
D O I
10.5021/ad.2016.28.5.569
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Various systemic agents have been assessed for the treatment of alopecia areata (AA); however, there is a; paucity of comparative studies. Objective: To assess and compare cyclosporine and betamethasone minipulse therapy as treatments for AA with regard to effectiveness and, safety. Methods: Data were collected from 88 patients who. received at least 3 months of oral cyclosporine (n = 51) or betamethasone minipulse therapy (n = 37) for AA. Patients with >= 50% of terminal hair regrowth in the alopecic area were considered responders. Results: The responder of the cyclo-sporine group was 54.9% and that of the betamethasone minipulse group was 37.8%. In the cyclosporine group, patients with mild AA were found to respond better to the treatment. Based on the patient self-assessments, 70.6% of patients in the cyclosporine group and 43.2% of patients in the betamethasone minipulse group rated their hair regrowth as excellent or good. Side effects were less frequent in the cyclosporine group. Conclusion: Oral cyclosporine appeared to be superior to betamethasone minipulse therapy in terms of treatment effectiveness and safety.
引用
收藏
页码:569 / 574
页数:6
相关论文
共 23 条
[1]   Alopecia areata update Part II. Treatment [J].
Alkhalifah, Abdullah ;
Alsantali, Adel ;
Wang, Eddy ;
McElwee, Kevin J. ;
Shapiro, Jerry .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2010, 62 (02) :191-202
[2]   Alopecia areata update Part I. Clinical picture, histopathology, and pathogenesis [J].
Alkhalifah, Abdullah ;
Alsantali, Adel ;
Wang, Eddy ;
McElwee, Kevin J. ;
Shapiro, Jerry .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2010, 62 (02) :177-188
[3]  
Amor KT, 2010, J AM ACAD DERMATOL, V63, P925, DOI 10.1016/j.jaad.2010.02.063
[4]  
Deshpande Deepal, 2011, Int J Trichology, V3, P80, DOI 10.4103/0974-7753.90807
[5]   Pulse methylprednisolone therapy for severe alopecia areata: An open prospective study of 45 patients [J].
Friedli, A ;
Labarthe, MP ;
Engelhardt, E ;
Feldmann, R ;
Salomon, D ;
Saurat, JH .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1998, 39 (04) :597-602
[6]   ORAL CYCLOSPORINE FOR THE TREATMENT OF ALOPECIA-AREATA - A CLINICAL AND IMMUNOHISTOCHEMICAL ANALYSIS [J].
GUPTA, AK ;
ELLIS, CN ;
COOPER, KD ;
NICKOLOFF, BJ ;
HO, VC ;
CHAN, LS ;
HAMILTON, TA ;
TELLNER, DC ;
GRIFFITHS, CEM ;
VOORHEES, JJ .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1990, 22 (02) :242-250
[7]   ORAL CYCLOSPORINE IN THE TREATMENT OF INFLAMMATORY AND NONINFLAMMATORY DERMATOSES - A CLINICAL AND IMMUNOPATHOLOGIC ANALYSIS [J].
GUPTA, AK ;
ELLIS, CN ;
NICKOLOFF, BJ ;
GOLDFARB, MT ;
HO, VC ;
ROCHER, LL ;
GRIFFITHS, CEM ;
COOPER, KD ;
VOORHEES, JJ .
ARCHIVES OF DERMATOLOGY, 1990, 126 (03) :339-350
[8]  
Jang JW, 2001, KOREAN J DERMATOL, V39, P775
[9]  
KAHAN BD, 1989, NEW ENGL J MED, V321, P1725
[10]   Placebo-controlled oral pulse prednisolone therapy in alopecia areata [J].
Kar, BR ;
Handa, S ;
Dogra, S ;
Kumar, B .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2005, 52 (02) :287-290