Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial

Background The pathogenesis of vitiligo is complex and multifactorial, accumulating evidence of increased oxidative stress and reduction in catalase levels in vitiligo patients has been shown, hence, pseudocatalase/superoxide dismutase (PSD) gel has been used as treatment option for vitiligo. Aim To...

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Main Authors: Diala M. Alshiyab, Firas A. Al-qarqaz, Jihan M. Muhaidat, Yousef S. Alkhader, Ruba F. Al-sheyab, Sala I. Jafaar
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2020.1729952
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author Diala M. Alshiyab
Firas A. Al-qarqaz
Jihan M. Muhaidat
Yousef S. Alkhader
Ruba F. Al-sheyab
Sala I. Jafaar
author_facet Diala M. Alshiyab
Firas A. Al-qarqaz
Jihan M. Muhaidat
Yousef S. Alkhader
Ruba F. Al-sheyab
Sala I. Jafaar
author_sort Diala M. Alshiyab
collection DOAJ
description Background The pathogenesis of vitiligo is complex and multifactorial, accumulating evidence of increased oxidative stress and reduction in catalase levels in vitiligo patients has been shown, hence, pseudocatalase/superoxide dismutase (PSD) gel has been used as treatment option for vitiligo. Aim To assesses the synergic effect of PSD when combines with Tacrolimus 0.1% ointment versus Tacrolimus 0.1% alone. Method A randomized controlled trial that included 49 children with vitiligo with limited area (10% or less). Patients were randomized into two groups: Group 1 (24 patients) were treated only with Tacrolimus 0.1% ointment whereas Group 2 (25 patients) were treated with Tacrolimus 0.1% ointment plus PSD. Degree of repigmentation compared to baseline was assessed at 3, 6, and 9 months. Results The median age was 10.05 years (range 2–18). The percentages of pigmentation on 3, 6, and 9 months for Group 1 were 23.9%, 40.4%, and 60%, respectively and for Group 2 were 23.2%, 40.7%, and 62.4%, respectively. There was no significant difference according to repigmentation percentages between the two groups (p > .86, p > .97, and p > .78, respectively). Conclusions The results showed that the addition of PSD to Tacrolimus ointment in children with limited vitiligo was not associated with any therapeutic benefit.
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spelling doaj.art-41d98200043f443b8ad09edd721297c72023-09-15T14:23:05ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-01-0133114614910.1080/09546634.2020.17299521729952Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trialDiala M. Alshiyab0Firas A. Al-qarqaz1Jihan M. Muhaidat2Yousef S. Alkhader3Ruba F. Al-sheyab4Sala I. Jafaar5Department of Dermatology, Faculty of Medicine, Jordan University of Science and TechnologyDepartment of Dermatology, Faculty of Medicine, Jordan University of Science and TechnologyDepartment of Dermatology, Faculty of Medicine, Jordan University of Science and TechnologyDepartment of Public Health, Community Medicine, Jordan University of Science and TechnologyDepartment of Dermatology, Faculty of Medicine, Jordan University of Science and TechnologyDepartment of Dermatology, Faculty of Medicine, Jordan University of Science and TechnologyBackground The pathogenesis of vitiligo is complex and multifactorial, accumulating evidence of increased oxidative stress and reduction in catalase levels in vitiligo patients has been shown, hence, pseudocatalase/superoxide dismutase (PSD) gel has been used as treatment option for vitiligo. Aim To assesses the synergic effect of PSD when combines with Tacrolimus 0.1% ointment versus Tacrolimus 0.1% alone. Method A randomized controlled trial that included 49 children with vitiligo with limited area (10% or less). Patients were randomized into two groups: Group 1 (24 patients) were treated only with Tacrolimus 0.1% ointment whereas Group 2 (25 patients) were treated with Tacrolimus 0.1% ointment plus PSD. Degree of repigmentation compared to baseline was assessed at 3, 6, and 9 months. Results The median age was 10.05 years (range 2–18). The percentages of pigmentation on 3, 6, and 9 months for Group 1 were 23.9%, 40.4%, and 60%, respectively and for Group 2 were 23.2%, 40.7%, and 62.4%, respectively. There was no significant difference according to repigmentation percentages between the two groups (p > .86, p > .97, and p > .78, respectively). Conclusions The results showed that the addition of PSD to Tacrolimus ointment in children with limited vitiligo was not associated with any therapeutic benefit.http://dx.doi.org/10.1080/09546634.2020.1729952vitiligotacrolimus 0.1%pseudocatalase/superoxide dismutase (psd)catalase
spellingShingle Diala M. Alshiyab
Firas A. Al-qarqaz
Jihan M. Muhaidat
Yousef S. Alkhader
Ruba F. Al-sheyab
Sala I. Jafaar
Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
Journal of Dermatological Treatment
vitiligo
tacrolimus 0.1%
pseudocatalase/superoxide dismutase (psd)
catalase
title Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
title_full Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
title_fullStr Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
title_full_unstemmed Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
title_short Comparison of the efficacy of Tacrolimus 0.1% ointment and Tacrolimus 0.1% plus topical pseudocatalase/superoxide dismutase gel in children with limited vitiligo: a randomized controlled trial
title_sort comparison of the efficacy of tacrolimus 0 1 ointment and tacrolimus 0 1 plus topical pseudocatalase superoxide dismutase gel in children with limited vitiligo a randomized controlled trial
topic vitiligo
tacrolimus 0.1%
pseudocatalase/superoxide dismutase (psd)
catalase
url http://dx.doi.org/10.1080/09546634.2020.1729952
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