Abstract | OBJECTIVE: To determine whether a three day burst of a potent corticosteroid is more effective than a mild preparation used for seven days in children with mild or moderate atopic eczema. DESIGN: Randomised, double blind, parallel group study of 18 weeks' duration. SETTING: 13 general practices and a teaching hospital in the Nottingham area. PARTICIPANTS: 174 children with mild or moderate atopic eczema recruited from general practices and 33 from a hospital outpatient clinic. INTERVENTIONS: MAIN OUTCOME MEASURES: Primary outcomes were total number of scratch-free days and number of relapses. Secondary outcomes were median duration of relapses, number of undisturbed nights, disease severity (six area, six sign atopic dermatitis severity scale), scores on two quality of life measures (children's life quality index and dermatitis family impact questionnaire), and number of patients in whom treatment failed in each arm. RESULTS: No differences were found between the two groups. This was consistent for all outcomes. The median number of scratch-free days was 118.0 for the mild group and 117.5 for the potent group (difference 0.5, 95% confidence interval -2.0 to 4.0, P=0.53). The median number of relapses for both groups was 1.0. Both groups showed clinically important improvements in disease severity and quality of life compared with baseline. CONCLUSION: A short burst of a potent topical corticosteroid is just as effective as prolonged use of a milder preparation for controlling mild or moderate atopic eczema in children.
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Authors | K S Thomas, S Armstrong, A Avery, A Li Wan Po, C O'Neill, S Young, H C Williams |
Journal | BMJ (Clinical research ed.)
(BMJ)
Vol. 324
Issue 7340
Pg. 768
(Mar 30 2002)
ISSN: 1756-1833 [Electronic] England |
PMID | 11923161
(Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Inflammatory Agents
- Emollients
- Ointments
- Betamethasone Valerate
- Hydrocortisone
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Topics |
- Administration, Topical
- Adolescent
- Anti-Inflammatory Agents
(administration & dosage, adverse effects, economics)
- Betamethasone Valerate
(administration & dosage, adverse effects, economics)
- Child
- Child, Preschool
- Choice Behavior
- Dermatitis, Atopic
(diet therapy, economics)
- Double-Blind Method
- Emollients
(administration & dosage, adverse effects, economics)
- Female
- Humans
- Hydrocortisone
(administration & dosage, adverse effects, economics)
- Infant
- Male
- Ointments
(administration & dosage, adverse effects, economics)
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