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Uncontrollable prurigo nodularis effectively treated by roxithromycin and tranilast
Yasuhiro Horiuchi1, Sangjae Bae, Ichiro Katayama
1Department of Dermatology, Nagasaki University Graduate School of Medicine, Nagasaki, Japan. ngu-yashoriu@r7.dion.ne.jp
Journal of Drugs in Dermatology : JDD
|May 6, 2006
Summary
Roxithromycin and tranilast combination therapy offers a new effective treatment for difficult prurigo nodularis (PN). This combination demonstrated significant regression of PN in patients unresponsive to conventional treatments.
Area of Science:
- Dermatology
- Pharmacology
Background:
- Prurigo nodularis (PN) presents a therapeutic challenge, often resistant to standard treatments like potent corticosteroids.
- Existing therapies for PN have limitations, necessitating novel and effective treatment strategies.
Observation:
- This study investigated the efficacy of a combination therapy for intractable prurigo nodularis.
- Three cases of severe, treatment-resistant PN were analyzed.
Findings:
- Patients received a daily regimen of 300 mg roxithromycin and 200 mg tranilast.
- Complete or significant regression of prurigo nodularis lesions was observed within 4 to 6 months of combined treatment.
Implications:
- The combination of roxithromycin and tranilast shows promise as an effective treatment for refractory prurigo nodularis.
- This therapeutic approach may offer a valuable option for patients with severe, uncontrollable PN.
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