Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability

Background: Pityriasis rosea (PR) is an acute inflammatory dermatosis. The association of human herpes virus 6 and 7 suggests the utility of use of antiviral agents in this disease. Aims and Objectives: To evaluate the effectiveness and safety of acyclovir in the treatment of PR. Methods: An observe...

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Main Authors: Anupam Das, Amrita Sil, Nilay Kanti Das, Kunal Roy, Amal Kanti Das, Debabrata Bandyopadhyay
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2015;volume=6;issue=3;spage=181;epage=184;aulast=Das
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author Anupam Das
Amrita Sil
Nilay Kanti Das
Kunal Roy
Amal Kanti Das
Debabrata Bandyopadhyay
author_facet Anupam Das
Amrita Sil
Nilay Kanti Das
Kunal Roy
Amal Kanti Das
Debabrata Bandyopadhyay
author_sort Anupam Das
collection DOAJ
description Background: Pityriasis rosea (PR) is an acute inflammatory dermatosis. The association of human herpes virus 6 and 7 suggests the utility of use of antiviral agents in this disease. Aims and Objectives: To evaluate the effectiveness and safety of acyclovir in the treatment of PR. Methods: An observer-blind, randomized (1:1), parallel group, add-on trial was conducted on 24 adult patients with PR. Subjects of both Group A and B received the standard of care in the form of cetirizine 10 mg OD and calamine. Group A in addition received acyclovir 400 mg tablets thrice daily for 7 days. Both groups were followed up for four consecutive weeks for assessment of effectiveness and adverse events. Results: Group A complained of significantly fewer new lesions than Group B (P = 0.046). A complete response was obtained in all patients of Group A and 83% patients of Group B at the end of the follow up period. There was significant reduction in both lesional score and pruritus at second week follow-up in Group A and third week follow-up in Group B (P < 0.05). Minor adverse effects were observed in both treatment arms. Conclusion: Acyclovir offered rapid resolution of clinical severity of PR from second week onwards without significantly increased adverse events as compared to supportive therapy alone.
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spelling doaj.art-8244d3eeabdf461ea60dfe870d7ddd112022-12-22T00:50:50ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782015-01-016318118410.4103/2229-5178.156389Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerabilityAnupam DasAmrita SilNilay Kanti DasKunal RoyAmal Kanti DasDebabrata BandyopadhyayBackground: Pityriasis rosea (PR) is an acute inflammatory dermatosis. The association of human herpes virus 6 and 7 suggests the utility of use of antiviral agents in this disease. Aims and Objectives: To evaluate the effectiveness and safety of acyclovir in the treatment of PR. Methods: An observer-blind, randomized (1:1), parallel group, add-on trial was conducted on 24 adult patients with PR. Subjects of both Group A and B received the standard of care in the form of cetirizine 10 mg OD and calamine. Group A in addition received acyclovir 400 mg tablets thrice daily for 7 days. Both groups were followed up for four consecutive weeks for assessment of effectiveness and adverse events. Results: Group A complained of significantly fewer new lesions than Group B (P = 0.046). A complete response was obtained in all patients of Group A and 83% patients of Group B at the end of the follow up period. There was significant reduction in both lesional score and pruritus at second week follow-up in Group A and third week follow-up in Group B (P < 0.05). Minor adverse effects were observed in both treatment arms. Conclusion: Acyclovir offered rapid resolution of clinical severity of PR from second week onwards without significantly increased adverse events as compared to supportive therapy alone.http://www.idoj.in/article.asp?issn=2229-5178;year=2015;volume=6;issue=3;spage=181;epage=184;aulast=DasAcyclovircetirizinepityriasis rosea
spellingShingle Anupam Das
Amrita Sil
Nilay Kanti Das
Kunal Roy
Amal Kanti Das
Debabrata Bandyopadhyay
Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
Indian Dermatology Online Journal
Acyclovir
cetirizine
pityriasis rosea
title Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
title_full Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
title_fullStr Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
title_full_unstemmed Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
title_short Acyclovir in pityriasis rosea: An observer-blind, randomized controlled trial of effectiveness, safety and tolerability
title_sort acyclovir in pityriasis rosea an observer blind randomized controlled trial of effectiveness safety and tolerability
topic Acyclovir
cetirizine
pityriasis rosea
url http://www.idoj.in/article.asp?issn=2229-5178;year=2015;volume=6;issue=3;spage=181;epage=184;aulast=Das
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