AI Article Synopsis

  • Perioral dermatitis (POD) is common but lacks standard treatment, prompting a study on the effectiveness of pimecrolimus cream 1%.
  • A multicenter, randomized study showed that patients using pimecrolimus had significantly lower POD Severity Index scores compared to those using a vehicle cream, particularly benefiting those with a history of corticosteroid use.
  • Pimecrolimus led to faster clinical improvements and better quality of life for patients, though the study acknowledges that the vehicle used isn't a true placebo.

Article Abstract

Background: Perioral dermatitis (POD) is a common dermatosis without standard therapy.

Objective: We sought to evaluate pimecrolimus cream 1% in POD.

Methods: We conducted a multicenter, randomized, double-blind, parallel-group study in adult patients with POD treated twice daily with pimecrolimus cream 1% or vehicle until clearance for up to 4 weeks. Follow-up took place 4 and 8 weeks after treatment.

Results: Patients treated with pimecrolimus had an average POD Severity Index score of 2.6 compared with 3.5 for patients treated with vehicle. Both groups had baseline scores of 5.2. The between-group difference was 0.9 (95% confidence level 0.4, 1.4, P = .0011). Patients with history of topical corticosteroids benefited most. Pimecrolimus-treated patients reported greater improvement in quality of life. There were no group differences regarding safety.

Limitations: Pimecrolimus vehicle is not a true placebo.

Conclusions: Pimecrolimus rapidly improves clinical symptoms and quality of life of patients with POD, being most effective in corticosteroid-induced POD.

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Source
http://dx.doi.org/10.1016/j.jaad.2008.03.043DOI Listing

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