Effects of a topical ointment on responses to treatments used for common genital diseases and on quality of life

C. de Belilovsky, J. Bohbot
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引用次数: 1

Abstract

Abstract Abstract   This study assessed the impacts of an ointment on treatment efficacy, side effects and global tolerance of most common genital diseases. This observational study enrolled symptomatic patients with LS and psoriasis under maintenance therapy (topical steroids); patients with condyloma acuminata treated with liquid nitrogen and/or imiquimod; patients suffering from vulvodynia under multidisciplinary treatment. The tested ointment was added to the usual treatment. Subjective and objective clinical scores, tolerance and Dermatology Life Quality Index (DLQI) were evaluated. One hundred patients completed the study: 26 LS, 6 psoriasis, 52 CA and 16 vulvodynia. There were significant reductions in global symptom and clinical scores for LS (−80.61% and −59.20%, respectively, mean follow-up 66 days) and psoriasis (−82.88% and −82.80%, respectively, mean follow-up of 51 days). The DLQI decreased by 40.17% for LS and 76.92% for psoriasis. The use of ointment resulted in low post-treatment scores for CA (Symptom score: 1.92/maximum 50, clinical score: 2.46/24 maximum, mean follow-up of 17 days). Tolerance was good for all except two patients (one CA, one vulvodynia). Our results indicated the daily applications of an ointment improved treatments for lichen sclerosus, psoriasis (symptoms, clinical signs and quality of life) and for condyloma acuminata (reduced healing time) and was well tolerated during vulvodynia.
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外用软膏对治疗常见生殖器疾病的反应和生活质量的影响
摘要本研究评估了一种软膏对大多数常见生殖器疾病的治疗效果、副作用和总体耐受性的影响。这项观察性研究纳入了接受维持治疗(局部类固醇)的有症状的LS和牛皮癣患者;用液氮和/或咪喹莫特治疗尖锐湿疣患者;外阴痛的多学科治疗。试验后的药膏被加到常规治疗中。评估主客观临床评分、耐受性及皮肤生活质量指数(DLQI)。100例患者完成了研究:26例LS, 6例牛皮癣,52例CA和16例外阴痛。LS(分别为- 80.61%和- 59.20%,平均随访66天)和牛皮癣(分别为- 82.88%和- 82.80%,平均随访51天)的总体症状和临床评分显著降低。LS组DLQI下降40.17%,牛皮癣组DLQI下降76.92%。使用软膏导致CA的治疗后评分较低(症状评分:1.92/最高50分,临床评分:2.46/最高24分,平均随访17天)。除2例患者(1例CA, 1例外阴痛)外,其余患者耐受性良好。我们的研究结果表明,每日应用软膏改善了硬化苔藓,牛皮癣(症状,临床体征和生活质量)和尖锐湿疣(缩短愈合时间)的治疗,并且在外阴痛期间耐受性良好。
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