Comparison of Moisturizing Creams for the Prevention of Atopic Dermatitis Relapse: A Randomized Double-blind Controlled Multicentre Clinical Trial

被引:59
|
作者
Akerstrom, Ulf [1 ]
Reitamo, Sakari [2 ]
Langeland, Tor [3 ]
Berg, Mats [4 ]
Rustad, Lisbeth [5 ]
Korhonen, Laura [6 ,7 ]
Loden, Marie [8 ]
Wiren, Karin [1 ]
Grande, Mats [1 ]
Skare, Petra [1 ]
Svensson, Ake [9 ]
机构
[1] ACO Hud Nord AB, Dept Innovat, SE-19426 Upplands Vasby, Sweden
[2] Univ Helsinki, Skin & Allergy Hosp, Helsinki, Finland
[3] Hudlege Tor Langelands Kontor, Oslo, Norway
[4] Malar Hosp, Dept Dermatol, Eskilstuna, Sweden
[5] Haukeland Hosp, Dept Dermatol, N-5021 Bergen, Norway
[6] Tampere Univ Hosp, Allergy Ctr, Tampere, Finland
[7] Tampere Univ Hosp, Dept Dermatol, Tampere, Finland
[8] Eviderm Inst AB, Solna, Sweden
[9] Skane Univ Hosp, Dept Dermatol, Malmo, Sweden
关键词
atopic dermatitis; atopic eczema; emollients; moisturizer; prevention; urea; SKIN BARRIER FUNCTION; ECZEMATOUS SKIN; DRY SKIN; CHILDREN; UREA; EMOLLIENTS; SUSCEPTIBILITY;
D O I
10.2340/00015555-2051
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Atopic dermatitis (AD) affects adults and children and has a negative impact on quality of life. The present multicentre randomized double-blind controlled trial showed a barrier-improving cream (5% urea) to be superior to a reference cream in preventing eczema relapse in patients with AD (hazard ratio 0.634, p = 0.011). The risk of eczema relapse was reduced by 37% (95% confidence interval (95% CI) 10-55%). Median time to relapse in the test cream group and in the reference cream group was 22 days and 15 days, respectively (p = 0.013). At 6 months 26% of the patients in the test cream group were still eczema free, compared with 10% in the reference cream group. Thus, the barrier-improving cream significantly prolonged the eczema-free time compared with the reference cream and decreased the risk of eczema relapse. The test cream was well tolerated in patients with AD.
引用
收藏
页码:587 / 592
页数:6
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