A Prospective, Randomized Clinical Trial Comparing Topical Aloe Vera with 0.1% Triamcinolone Acetonide in Mild to Moderate Plaque Psoriasis
Choonhakarn C, Busaracome P, Sripanidkulchai B, Sarakarn P.
Division of Dermatology, Department of Medicine, Srinagarind Hospital Medical School, Faculty of Medicine. E-mail:c_choonhakarn@yahoo.com
บทคัดย่อ
Background: Topical aloe vera (AV) has been used to treat various skin conditions, including psoriasis, with good results. Objectives: This study aims to compare the efficacy of AV and 0.1% triamcinolone acetonide (TA) in mild to moderate plaque psoriasis. Methods: A randomized, comparative, double-blind, 8-week study was designed. Eighty patients randomly received AV or 0.1% TA cream and their clinical response were evaluated using the Psoriasis Area Severity Index (PASI) and the Dermatology Life Quality Index (DLQI). Results: After 8 weeks of treatment, the mean PASI score decreased from 11.6 to 3.9 (-7.7) in the AV group and from 10.9 to 4.3 (-6.6) in the TA group. Between-group difference was 1.1 (95% confidence interval -2.13, -0.16, P = 0.0237). The mean DLQI score decreased from 8.6 to 2.5 (-6.1) in the AV group and from 8.1 to 2.3 (-5.8) in the TA group. Between-group difference was 0.3 (95% confidence interval -1.18, -0.64, P = 0.5497). There was no follow-up period after the 8-week treatment. Conclusions: AV cream may be more effective than 0.1% TA cream in reducing the clinical symptoms of psoriasis; however, both treatments have similar efficacy in improving the quality of life of patients with mild to moderate psoriasis.
ที่มา
Journal of the European Academy of Dematology and Venereology ปี 2552, August ปีที่: 24 ฉบับที่ 2 หน้า 168-172
คำสำคัญ
Aloe vera, Mild to moderate, Psoriasis, Triamcinoione acetonide