| The use of topical calcineurin inhibitors in lupus erythematosus: an overview. | |
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MedLine Citation:
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PMID: 18005117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lupus erythematosus (LE) shows a broad range of cutaneous symptoms, including acute, subacute and chronic lesions. The gold standard of established topical treatment consists of medium- to high-potency corticosteroids. Because face and neck are often involved, adverse effects of prolonged corticosteroid use are not uncommon. There is a need of steroid-free topical treatment in LE. With the development of topical calcineurin inhibitors, tacrolimus and pimecrolimus, there is an alternative available. The present study reviews the literature data on topical tacrolimus and pimecrolimus for malar rash, subacute lesions and discoid chronic lesions among others. The present data argue for an efficacy of these compounds in acute and subacute cutaneous LE manifestations with a rapid response and only minor side-effects when used as an adjunct to systemic treatment. In chronic discoid LE, hypertrophic plaques do not well respond because of limited penetration. The primary target seems to be the decrease or blocking of cytokine production by activated T lymphocytes. |
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Authors:
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U Wollina; G Hansel |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-11-12 |
Journal Detail:
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Title: Journal of the European Academy of Dermatology and Venereology : JEADV Volume: 22 ISSN: 1468-3083 ISO Abbreviation: J Eur Acad Dermatol Venereol Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2008-01-09 Completed Date: 2008-03-27 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 9216037 Medline TA: J Eur Acad Dermatol Venereol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1-6 Citation Subset: IM |
Affiliation:
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Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany. wollina-uw@khdf.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Topical Calcineurin / antagonists & inhibitors* Cytokines / metabolism Female Humans Immunosuppressive Agents / administration & dosage, adverse effects, therapeutic use* Lupus Erythematosus, Systemic / drug therapy*, metabolism Male Tacrolimus / administration & dosage, adverse effects, analogs & derivatives, therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Cytokines; 0/Immunosuppressive Agents; 0/pimecrolimus; 109581-93-3/Tacrolimus; EC 3.1.3.16/Calcineurin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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