Comparison of cyclosporin and UVAB phototherapy for intermittent one-year treatment of atopic dermatitis.
Although cyclosporin is effective for the treatment of severe atopic dermatitis, phototherapy is the standard second-line treatment for this disease. An open, randomized, controlled, parallel-group study was conducted to compare the efficacy, influence on quality of life and safety of cyclosporin and UVAB phototherapy during 1 year of intermittent treatment of atopic dermatitis in adult patients. The main endpoints of the study were the number of days in remission and the influence on quality of life. Seventy-two patients were treated, 36 in each group. Cyclosporin produced significantly more days in remission than UVAB phototherapy during the 1-year study period. At the end of the study no difference between the 2 groups was noted in terms of quality of life. A significant increase in serum creatinine occurred in 2 patients and 7 patients developed mild or moderate hypertension during cyclosporin treatment. It can be concluded that intermittent cyclosporin seems to be more effective than UVAB and is reasonably safe for the treatment of atopic dermatitis over a 1-year treatment period.
Granlund
H
H
Department of Dermatology, Helsinki University Central Hospital, Finland. hakan.granlund@hus.fi
Erkko
P
P
Remitz
A
A
Langeland
T
T
Helsing
P
P
Nuutinen
M
M
Reitamo
S
S
D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D003524:Cyclosporins / Q000008:administration & dosage*; D003876:Dermatitis, Atopic / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010789:Phototherapy / Q000379:methods*; D011788:Quality of Life; D012016:Reference Values; D012720:Severity of Illness Index; D016896:Treatment Outcome
D003524:Cyclosporins