Efficacy and adverse reactions of minocycline combined with halometasone cream for external use in the treatment of bullous pemphigoid

Hui-Yen Chang
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Abstract

Objective To investigate the clinical efficacy and adverse reactions of minocycline combined with halometasone cream in the treatment of bullous pemphigoid. Methods Forty patients with bullous pemphigoid treated in Shanxi Bethune Hospital from April 2016 to April 2019 were selected and divided into control group and observation group according to the admission order, with 20 cases in each group. Patients in the control group were treated with halometasone cream externally, while patients in the observation group were treated with minocycline combined with halometasone cream externally. The number of new blisters, clinical efficacy, eosinophil (EOS) count in peripheral blood and adverse reactions were observed and compared between the two groups. Results There was no statistical difference in the number of new blisters between the two groups before treatment (P>0.05). After treatment, the number of new blisters was less in the observation group, compared to the control group (P 0.05); while, EOS count was lower in the observation group than that in the control group after treatment (P 0.05). Conclusions Minocycline combined with halometasone cream in the treatment of bullous pemphigoid can effectively and safely improve the clinical symptoms of patients, reduce the number of new blisters, and decrease peripheral blood EOS count, without increasing the incidence of adverse reactions, which is of great clinical significance. Key words: Minocycline; Halometasone cream; Bullous pemphigoid; Clinical efficacy; Adverse reactions
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米诺环素联合外用卤米松乳膏治疗大疱性类天疱疮的疗效及不良反应
目的观察米诺环素联合卤米松乳膏治疗大疱性类天疱疮的临床疗效及不良反应。方法选择2016年4月~ 2019年4月山西省白求恩医院收治的大疱性类天疱疮患者40例,按入院顺序分为对照组和观察组,每组各20例。对照组患者外用卤米松乳膏治疗,观察组患者外用米诺环素联合卤米松乳膏治疗。观察并比较两组患者新发水疱数、临床疗效、外周血嗜酸性粒细胞(EOS)计数及不良反应。结果两组患者治疗前新发水疱数比较,差异无统计学意义(P < 0.05)。治疗后,观察组新发水疱数少于对照组(P < 0.05);治疗后观察组EOS计数明显低于对照组(P < 0.05)。结论米诺环素联合卤米松乳膏治疗大疱性类天疱疮可有效、安全地改善患者临床症状,减少新发水疱数,降低外周血EOS计数,且不增加不良反应发生率,具有重要的临床意义。关键词:米诺环素;Halometasone奶油;大疱的类天疱疮;临床疗效;不良反应
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