First case series on the use of imiquimod for morphoea

被引:71
作者
Dytoc, M [1 ]
Ting, PT
Man, J
Sawyer, D
Fiorillo, L
机构
[1] Univ Alberta, Div Dermatol & Cutaneous Sci, Edmonton, AB T6G 2G3, Canada
[2] Univ Calgary, Fac Med, Calgary, AB, Canada
[3] Univ Alberta, Fac Med, Edmonton, AB, Canada
[4] Red Deer Reg Hosp, Dept Pathol, Red Deer, AB, Canada
关键词
cytokines; imiquimod; localized scleroderma; morphoea;
D O I
10.1111/j.1365-2133.2005.06776.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 [皮肤病与性病学];
摘要
Background Morphoea is characterized by fibrosis, which is mediated by cytokines including transforming growth factor (TGF)-beta. Objective Our objective was to use imiquimod 5% cream (Aldara (TM)), an inducer of interferon-gamma, known to inhibit TGF-beta, to treat morphoea. Methods Patients with morphoea were treated with imiquimod and evaluated during their follow-up visits to 6 months. Results The dyspigmentation, induration and erythema of 12 patients with morphoea lesions improved. The histology of the skin also showed a decrease in dermal thickness. Conlcusion This is the first case series describing the successful application of imiquimod in the management of morphoea.
引用
收藏
页码:815 / 820
页数:6
相关论文
共 19 条
[1]
BERMAN B, 1993, DERMAL IMMUNE SYSTEM, P209
[2]
BORDER WA, 1994, NEW ENGL J MED, V331, P1286
[3]
GILLERY P, 1992, EUR J CELL BIOL, V57, P244
[4]
SIGNIFICANT CORRELATION BETWEEN CONNECTIVE-TISSUE GROWTH-FACTOR GENE-EXPRESSION AND SKIN SCLEROSIS IN TISSUE-SECTIONS FROM PATIENTS WITH SYSTEMIC-SCLEROSIS [J].
IGARASHI, A ;
NASHIRO, K ;
KIKUCHI, K ;
SATO, S ;
IHN, H ;
GROTENDORST, GR ;
TAKEHARA, K .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1995, 105 (02) :280-284
[5]
Connective tissue growth factor gene expression in tissue sections from localized scleroderma, keloid, and other fibrotic skin disorders [J].
Igarashi, A ;
Nashiro, K ;
Kikuchi, K ;
Sato, S ;
Ihn, H ;
Fujimoto, M ;
Grotendorst, GR ;
Takehara, K .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1996, 106 (04) :729-733
[6]
Pathogenesis of fibrosis:: role of TGF-β and CTGF [J].
Ihn, H .
CURRENT OPINION IN RHEUMATOLOGY, 2002, 14 (06) :681-685
[7]
Scleroderma and sclerotic skin conditions: Unapproved treatments [J].
Jablonska, S ;
Blaszczyk, M .
CLINICS IN DERMATOLOGY, 2002, 20 (06) :634-637
[8]
SELECTIVE-INHIBITION OF HUMAN-DIPLOID FIBROBLAST COLLAGEN-SYNTHESIS BY INTERFERONS [J].
JIMENEZ, SA ;
FREUNDLICH, B ;
ROSENBLOOM, J .
JOURNAL OF CLINICAL INVESTIGATION, 1984, 74 (03) :1112-1116
[9]
INTERFERON-ALPHA AND INTERFERON-GAMMA REDUCE EXCESSIVE COLLAGEN-SYNTHESIS AND PROCOLLAGEN MESSENGER-RNA LEVELS OF SCLERODERMA FIBROBLASTS IN CULTURE [J].
KAHARI, VM ;
HEINO, J ;
VUORIO, T ;
VUORIO, E .
BIOCHIMICA ET BIOPHYSICA ACTA, 1988, 968 (01) :45-50
[10]
Use of imiquimod cream 5% in the treatment of localized morphea [J].
Man, J ;
Dytoc, MT .
JOURNAL OF CUTANEOUS MEDICINE AND SURGERY, 2004, 8 (03) :166-169