Document Detail


Oral treatment of ichthyosis by the cytochrome P-450 inhibitor liarozole.
MedLine Citation:
PMID:  9039298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Liarozole, a novel imidazole derivative, inhibits the cytochrome P450-dependent 4-hydroxylation of retinoic acid, resulting in increased tissue levels of retinoic acid. Twelve male patients with ichthyosis were given oral liarozole, 150 mg twice daily, in an open study for 12 weeks. Immunohistochemical parameters of inflammation, epidermal proliferation and differentiation were assessed before and after treatment. Extent and severity of the skin lesions was markedly reduced in all patients. Clinical side-effects were reminiscent of those with synthetic retinoids. No relevant changes were found in the haematological, urinary and biochemical parameters. Immunohistochemical assessment showed a statistically significant induction of keratin 4 after liarozole treatment in 10 of 12 patients. In two of these patients keratin 13 was induced. This open study showed that oral liarozole treatment was efficacious and well tolerated in the treatment of different types of ichthyosis. The immunohistochemical results suggest a retinoid mechanism as the mode of action.
Authors:
G P Lucker; A M Heremans; P J Boegheim; P C van de Kerkhof; P M Steijlen
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of dermatology     Volume:  136     ISSN:  0007-0963     ISO Abbreviation:  Br. J. Dermatol.     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-03-11     Completed Date:  1997-03-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0004041     Medline TA:  Br J Dermatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  71-5     Citation Subset:  IM    
Affiliation:
Department of Dermatology, University Hospital, Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Androgen Antagonists / therapeutic use*
Cytochrome P-450 Enzyme System / antagonists & inhibitors*
Follow-Up Studies
Humans
Ichthyosis / drug therapy*,  metabolism,  pathology
Imidazoles / therapeutic use*
Keratins / metabolism
Male
Middle Aged
Prospective Studies
Severity of Illness Index
Chemical
Reg. No./Substance:
0/Androgen Antagonists; 0/Imidazoles; 115575-11-6/liarozole; 68238-35-7/Keratins; 9035-51-2/Cytochrome P-450 Enzyme System

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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