1.Use of Emollients in Atopic Dermatitis: A Questionnaire Survey Study.
Ji Hyun LEE ; Kyoung Eun JUNG ; Young Bok LEE ; Jung Eun KIM ; Hei Sung KIM ; Kyung Ho LEE ; Young Min PARK ; Sang Hyun CHO ; Jun Young LEE
Annals of Dermatology 2014;26(4):528-531
No abstract available.
Dermatitis, Atopic*
;
Emollients*
;
Surveys and Questionnaires
2.A Randomized, Open-Label, Multicenter Trial of Topical Tacrolimus for the Treatment of Pruritis in Patients with Atopic Dermatitis.
Satoshi TAKEUCHI ; Hidehisa SAEKI ; Shoji TOKUNAGA ; Makoto SUGAYA ; Hanako OHMATSU ; Yuichiro TSUNEMI ; Hideshi TORII ; Koichiro NAKAMURA ; Tamihiro KAWAKAMI ; Yoshinao SOMA ; Eiichi GYOTOKU ; Michihiro HIDE ; Rikako SASAKI ; Yukihiro OHYA ; Makiko KIDO ; Masutaka FURUE
Annals of Dermatology 2012;24(2):144-150
BACKGROUND: Pruritis caused by atopic dermatitis (AD) is not always well controlled by topical corticosteroid therapy, but use of tacrolimus often helps to soothe such intractable pruritis in clinical settings. OBJECTIVE: To determine the anti-pruritic efficacy of topical tacrolimus in treating AD in induction and maintenance therapy. METHODS: Prior to the study, patients were randomly allocated into two groups, induction therapy followed by tacrolimus monotherapy maintenance, and induction therapy followed by emollient-only maintenance. In the induction therapy, the patients were allowed to use topical tacrolimus and emollients in addition to a low dose (<10 g/week) of topical steroids. Patients showing relief from pruritis were allowed to proceed to maintenance therapy. Recurrence of pruritis in maintenance therapy was examined as a major endpoint. RESULTS: Two-thirds of patients (44/68; 64.7%) showed relief from pruritis after induction therapy. Pruritis recurred in 23.8% (5/21) of the tacrolimus monotherapy group and in 100% (21/21) of the emollient group during maintenance period, a difference that was statistically significant. CONCLUSION: Use of topical tacrolimus is effective in controlling pruritis of AD compared to emollient.
Dermatitis, Atopic
;
Emollients
;
Humans
;
Pruritus
;
Recurrence
;
Steroids
;
Tacrolimus
3.Effects of Topical Anti-inflammatory Agents and Emollients on UVB Erythema and Pigmentation in Normal Korean Males.
Yoon Kee PARK ; Seung Eon BAEK
Korean Journal of Dermatology 1985;23(3):290-298
In healthy Korean adult males, 6 hour-MED was 51 2+22.6mJ/cm,24 hour-MED was 67. 5+26. 7mJ/cm, and MMD was 86. 5 t21. 3mJ/cm for UVB irradiation respectively. UVB-MED and UVB-MMD was increased by desoxymethasone, hydrocortisone, and bufexama.c creams. Hydrophilic ointment base increased only 24 hour-MED. For 1 MED of UVB, all test agents inhibited erytherna for 48 hours, For 2 MEDs of UVB, desoxymethasone, bufexamac; and hydrocortisone creams inhibited erythema at 6 hours, while desoxymethasone and hydrophilic ointment base could suppress erythema at: 24. hours after irradiation. However, desoxymethasone was the most effective. Hydrophilic ointment base was efficacious only at 24 hours after irradiation. For 1 MMD of UVB, desoxymethasone, hydrocortisone, and bufexamac creams could reduced the delayed tanning (DT) reaction.
Adult
;
Anti-Inflammatory Agents*
;
Bufexamac
;
Desoximetasone
;
Emollients*
;
Erythema*
;
Humans
;
Hydrocortisone
;
Male*
;
Pigmentation*
;
Tanning
;
Triacetoneamine-N-Oxyl
5.Effects of Emollient Containing Bee Venom on Atopic Dermatitis: A Double-Blinded, Randomized, Base-Controlled, Multicenter Study of 136 Patients.
Chung Eui YOU ; Seok Hoon MOON ; Kwang Hoon LEE ; Kyu Han KIM ; Chun Wook PARK ; Seong Joon SEO ; Sang Hyun CHO
Annals of Dermatology 2016;28(5):593-599
BACKGROUND: Atopic dermatitis (AD) is a common, complex disease that follows a chronic relapsing course and significantly affects the quality of life of patients. Skin barrier dysfunction and inflammatory processes induce and aggravate this skin condition. Proper use of an emollient for hydration is a keystone of AD treatment. Bee venom is known to have anti-inflammatory effects and has been widely used in traditional medicine to treat various inflammatory disorders. OBJECTIVE: To find out the beneficial effect of an emollient containing bee venom in the treatment of patients with AD. METHODS: This study included 136 patients with AD who were randomized to receive either an emollient containing bee venom and silk-protein or a vehicle that was identical except for the bee venom for 4 weeks. The patients were instructed to apply the emollient twice daily on their entire body and not to use other medications, including topicals, during the course of the study. The eczema area and severity index (EASI) score, transepidermal water loss, and visual analogue scale (VAS) score of itching were evaluated at the first visit and after 2 and 4 weeks. The investigator global assessment was evaluated at 2 and 4 weeks after the application of emollient containing bee venom or vehicle. RESULTS: Patients applying emollient containing bee venom showed significantly lower EASI score and VAS value compared to patients applying emollient without bee venom. CONCLUSION: Emollient containing bee venom is a safe and effective option for patients with AD.
Bee Venoms*
;
Bees*
;
Dermatitis, Atopic*
;
Eczema
;
Emollients
;
Humans
;
Medicine, Traditional
;
Pruritus
;
Quality of Life
;
Research Personnel
;
Skin
;
Water
6.Pityriasis Rubra Pilaris Treated with Infliximab.
Joon Seok CHOI ; Ji Hoon KIM ; Jeong Hwan YUN ; Hong Kyu KANG ; Jin Ok BAEK ; Jong Rok LEE ; Joo Young ROH
Korean Journal of Dermatology 2012;50(11):982-986
Pityriasis rubra pilaris (PRP) is a chronic papulosquamous disorder of unknown etiology, which may pose therapeutic challenges. There is currently no universally effective treatment for PRP, and some cases are resistant to multiple topical and systemic therapies. Systemic retinoids, methotrexate, several immunosuppressive agents and phototherapy have all been used with varying degrees of success. Recently, a few reports have appeared in the literature, concerning the use of biologics in combination therapies and/or in refractory PRP cases. We report a case of PRP similar to type II with juvenile onset, which was recalcitrant to traditional topical and systemic therapy. He was successfully treated with anti-TNF-alpha monoclonal antibody, infliximab. The patient showed resolution with minimal disease activity, and was maintained on acitretin and emollients. The response to infliximab in our patient and in the previously reported cases confirms a role of anti-TNF-alpha therapy as an effective option in the treatment of PRP.
Acitretin
;
Antibodies, Monoclonal
;
Biological Agents
;
Emollients
;
Humans
;
Immunosuppressive Agents
;
Methotrexate
;
Phototherapy
;
Pityriasis
;
Pityriasis Rubra Pilaris
;
Retinoids
;
Skin Diseases, Papulosquamous
;
Infliximab
7.Pityriasis Rotunda Treated with Combination of Topical and Oral Retinoid.
Hyun Woo KIM ; Hyun Chul PARK ; Hyun Soo ROH ; Jeong Eun KIM ; Joo Yeon KO ; Young Suck RO
Korean Journal of Dermatology 2012;50(10):917-920
Pityriasis rotunda (PR) is a rare disease characterized by persistent, sharply defined, oval, scaly patches of dry skin, localized mainly on the trunk and extremities. Its etiology remains unknown. However, several reports suggest that it is a form of acquired ichthyosis vulgaris or a skin manifestation of systemic disease, such as malnutrition, chronic illness, hepatic disease, and malignancies. Although a variety of treatment modalities, including topical lactic acid, urea, tars, emollients, and corticosteroid, have been applied to it, their efficacies are not satisfactory. Herein, we report a case of PR in a healthy man who was successfully treated with oral and topical retinoids.
Chronic Disease
;
Emollients
;
Extremities
;
Ichthyosis
;
Ichthyosis Vulgaris
;
Lactic Acid
;
Malnutrition
;
Pityriasis
;
Rare Diseases
;
Retinoids
;
Skin
;
Skin Manifestations
;
Tars
;
Urea
8.Pityriasis Rotunda Treated with Combination of Topical and Oral Retinoid.
Hyun Woo KIM ; Hyun Chul PARK ; Hyun Soo ROH ; Jeong Eun KIM ; Joo Yeon KO ; Young Suck RO
Korean Journal of Dermatology 2012;50(10):917-920
Pityriasis rotunda (PR) is a rare disease characterized by persistent, sharply defined, oval, scaly patches of dry skin, localized mainly on the trunk and extremities. Its etiology remains unknown. However, several reports suggest that it is a form of acquired ichthyosis vulgaris or a skin manifestation of systemic disease, such as malnutrition, chronic illness, hepatic disease, and malignancies. Although a variety of treatment modalities, including topical lactic acid, urea, tars, emollients, and corticosteroid, have been applied to it, their efficacies are not satisfactory. Herein, we report a case of PR in a healthy man who was successfully treated with oral and topical retinoids.
Chronic Disease
;
Emollients
;
Extremities
;
Ichthyosis
;
Ichthyosis Vulgaris
;
Lactic Acid
;
Malnutrition
;
Pityriasis
;
Rare Diseases
;
Retinoids
;
Skin
;
Skin Manifestations
;
Tars
;
Urea
10.Reactive epidermal hyperplasia to ?-sitosterol and berberine moist exposed burn ointment (MEBO): A case report.
de las Alas Jacqueline Michelle G. ; Maaño Clarita C.
Journal of the Philippine Dermatological Society 2013;22(1):53-55
Moist exposed burn therapy is a therapeutic principle based on the moist environment of the wound, using an ointment of herbal origin that enhances epithelial repair. This is the case of a 42-year-old female who sustained partial thickness burn wounds on her face and upper extremities. Patient was started on wound dressing with 13-sitosterol and berberine moist exposed burn ointment (MEBO) and noted the formation of erythematous verrucous plaques overlying the burned areas after four weeks. Histopathological examination of the lesions revealed papillomatosis, acanthosis, and hyperkeratosis. The lesions resolved upon discontinuation of MEBO and application of a combination of topical steroid, keratolytic, and emollient. The reactive epidermal hyperplasia seen in the case presented may have been due to increased levels of basic fibroblast growth factor in burn wounds treated with MEBO. Careful instructions and close monitoring of patients applying the ointment must be reinforced due to the possibility of reactive inflammatory skin reactions.
Human ; Female ; Middle Aged ; Bandages ; Berberine ; Burns ; Emollients ; Fibroblast Growth Factor 2 ; Hyperplasia ; Ointments ; Sitosterols ; Wound Healing