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The analysis of effect and safety of tacrolimus combined with 311 nm narrow-spectrum uvbrays to treat palmoplantar pustulosis |
WANG Xuehong1, XUE Xinxin1, DONG Yanxia2, XU Wen2, MA Qiang2 |
1 Clinical Medical College,Binzhou Medical University,Yantai 264003,P.R.China; 2 Department of Dermatology,People's Hospital of Dongying City |
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Abstract Objective To the efficacy and safety of using the method of tacrolimus combined with 311 nm narrow-spectrum uvb rays to treat palmoplantar pustulosis (PPP).Methods A total of 99 patients with moderate or severe PPP were enrolled in the study and were randomized into either the treatment group or control group.The treatment group used the method of 0.1% tacrolimus ointment combined with 311 nm narrow-spectrum uvb rays to treat PPP,the control group only for narrow spectrum uvb rays irradiation.After treatment for 2 weeks,4 weeks,6 weeks,8 weeks to determine efficacy,record adverse reactions.Results After treatment of 8 weeks the total scores of skin findings at the last observation were (2.61±1.48) in the treatment group and (3.75±1.99) in the control group,the difference was statistically significant. In particularly,the score of pustules/vesicles drastically decreased in the treatment group.In terms of safety,the incidence of adverse reactions in the treatment group and control group were 13.7% and 8.3%.There was no difference in the incidence of adverse reactions.Conclusion The treatment of tacrolimus combined 311 nm narrow-spectrum uvb rays is effective and highly safe in the management of PPP.
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Received: 05 January 2017
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