Multicenter trial for long-term safety and efficacy comparison of 0.05% desonide and 1% hydrocortisone ointments in the treatment of atopic dermatitis in pediatric patients. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Desonide, a class 6 nonfluorinated topical corticosteroid, has been available for more than two decades. Hydrocortisone is widely used in the treatment of dermatoses in children. OBJECTIVE: Our purpose was to compare the safety and efficacy of desonide ointment and 1.0% hydrocortisone ointment in children with atopic dermatitis. METHODS: One hundred thirteen children (mean age, 4.8 years) with mild to moderate atopic dermatitis were enrolled in a multicenter, randomized, investigator-masked, parallel-group study. Treatments were applied twice daily for 5 weeks and extended to 6 months in 36 of the patients. Signs of atrophy were evaluated. Efficacy was determined by measuring global improvement, erythema, lichenification, excoriations, oozing or crusting, pruritus, and induration. RESULTS: No differences in safety were observed between hydrocortisone and desonide. The investigator's global assessment of improvement significantly favored desonide over hydrocortisone during 3 months of treatment (p < 0.05). CONCLUSION: Desonide ointment showed greater efficacy, produced more rapid improvement, and demonstrated an equivalent cutaneous safety profile when compared with 1% hydrocortisone ointment for up to 6 months.

authors

  • Jorizzo, Joseph L
  • Levy, Moise
  • Lucky, Anne
  • Shavin, Joel
  • Goldberg, Gerald
  • Dunlap, Frank
  • Hinds, Ann
  • Strelka, Laura
  • Baker, Michael
  • Tuley, Michael

publication date

  • July 1, 1995

Research

keywords

  • Dermatitis, Atopic
  • Desonide
  • Hydrocortisone

Identity

Scopus Document Identifier

  • 0029063632

Digital Object Identifier (DOI)

  • 10.1016/0190-9622(95)90014-4

PubMed ID

  • 7601950

Additional Document Info

volume

  • 33

issue

  • 1