Low molecular weight heparin; a novel alternative therapeutic approach for lichen planus

被引:34
作者
Stefanidou, MP [1 ]
Ioannidou, DJ
Panayiotides, JG
Tosca, AD
机构
[1] Herakl Univ Gen Hosp, Dept Dermatol, Heraklion 71110, Crete, Greece
[2] Herakl Univ Gen Hosp, Dept Pathol, Heraklion 71110, Crete, Greece
关键词
enoxaparin; heparin; lichen planus;
D O I
10.1046/j.1365-2133.1999.03202.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
Heparin analogues in low doses have antiproliferative and immunomodulatory properties. The aim of this study was to evaluate the effect of low-dose enoxaparin administered subcutaneously in lichen planus (LP). Eighteen patients with various types of LP were treated in an open study for 6-13 weeks. Efficacy and safety data were recorded, Complete remission was observed in 11 of 18 patients (61%) and marked improvement in two (11%). Widespread cutaneous involvement and reticulated oral LP had the best response, while in LP of the scalp the response was poor. Enoxaparin is a promising alternative therapy for various types of LF.
引用
收藏
页码:1040 / 1045
页数:6
相关论文
共 14 条
[1]
Heparin disaccharides inhibit tumor necrosis factor-alpha production by macrophages and arrest immune inflammation in rodents [J].
Cahalon, L ;
Lider, O ;
Schor, H ;
Avron, A ;
Gilat, D ;
Hershkoviz, R ;
Margalit, R ;
Eshel, A ;
Shoseyev, O ;
Cohen, IR .
INTERNATIONAL IMMUNOLOGY, 1997, 9 (10) :1517-1522
[2]
HIRSH J, 1992, BLOOD, V79, P1
[3]
Low-dose low-molecular-weight heparin (enoxaparin) is beneficial in lichen planus: a preliminary report [J].
Hodak, E ;
Yosipovitch, G ;
David, M ;
Ingber, A ;
Chorev, L ;
Lider, O ;
Cahalon, L ;
Cohen, IR .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1998, 38 (04) :564-568
[4]
INGBER A, 1994, ACTA DERM-VENEREOL, V74, P454
[5]
IMMUNOFLUORESCENCE ABNORMALITIES IN LICHEN-PLANOPILARIS [J].
IOANNIDES, D ;
BYSTRYN, JC .
ARCHIVES OF DERMATOLOGY, 1992, 128 (02) :214-216
[6]
ACTIVATED LYMPHOCYTES-T PRODUCE A MATRIX-DEGRADING HEPARAN-SULFATE ENDOGLYCOSIDASE [J].
NAPARSTEK, Y ;
COHEN, IR ;
FUKS, Z ;
VLODAVSKY, I .
NATURE, 1984, 310 (5974) :241-244
[7]
Autocrine regulation of keratinocytes: The emerging role of heparin-binding, epidermal growth factor-related growth factors [J].
Piepkorn, M ;
Pittelkow, MR ;
Cook, PW .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1998, 111 (05) :715-721
[8]
HEPARIN AND ITS NON-ANTICOAGULANT ANALOGS INHIBIT HUMAN KERATINOCYTE GROWTH WITHOUT INDUCING DIFFERENTIATION [J].
PILLAI, S ;
GILLIAM, L ;
CONRAD, HE ;
HOLLERAN, WM .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1994, 103 (05) :647-650
[9]
Immunologic aspects of dermal and oral lichen planus - A review [J].
Porter, SR ;
Kirby, A ;
Olsen, I ;
Barrett, W .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 1997, 83 (03) :358-366
[10]
MECHANISMS RESPONSIBLE FOR INCREASED VASCULAR-PERMEABILITY, FIBRIN DEPOSITS AND CHEMOTAXIS IN DELAYED-HYPERSENSITIVITY REACTIONS [J].
SIPKA, S ;
SZILAGYI, T .
BRITISH JOURNAL OF DERMATOLOGY, 1977, 97 (04) :469-470