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Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Bioequivalence studies: Biowaivers01:13

Bioequivalence studies: Biowaivers

In certain scenarios, in vitro dissolution tests can replace in vivo bioequivalence studies. This is particularly true when a drug product, though available in varying strengths, maintains proportional similarity in its active and inactive ingredients. In such cases, the need for in vivo bioequivalence studies for lower strength variants may be waived, provided dissolution tests and in vivo studies on the highest strength yield satisfactory results.Bioequivalence can be indicated through...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...

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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Crisaborole 2% for Pediatric Periorificial Dermatitis: A Randomized, Double-Blind, Vehicle-Controlled Pilot Study.

Ayelet Ollech1, Bat-El Bar Aluma2, Adi Weiss-Fink3

  • 1Pediatric Dermatology Service, Shaare Zedek Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel. ayeletol@szmc.org.il.

Annals of Dermatology
|June 5, 2026
PubMed
Summary
This summary is machine-generated.

Topical crisaborole did not show statistically significant improvement over placebo for pediatric periorificial dermatitis (POD) in a small pilot study. Further research is needed to confirm the efficacy of this phosphodiesterase 4 (PDE4) inhibitor for POD treatment.

Keywords:
Eczematous skin diseasesNon-steroidal anti-inflammatory agentPediatricsPerioral dermatitisPhosphodiesterase inhibitors

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Published on: September 26, 2019

Area of Science:

  • Dermatology
  • Pediatrics
  • Pharmacology

Background:

  • Periorificial dermatitis (POD) is a common inflammatory skin condition affecting infants, children, and young women.
  • Phosphodiesterase 4 (PDE4) inhibitors represent a novel, non-steroidal anti-inflammatory treatment approach for POD.

Purpose of the Study:

  • To evaluate the efficacy and safety of topical crisaborole 2% ointment, a PDE4 inhibitor, in treating pediatric patients with POD.

Main Methods:

  • A randomized, double-blind, vehicle-controlled trial involving 23 pediatric participants (3 months to 18 years).
  • Treatment with crisaborole 2% ointment or placebo for 4 weeks, followed by a 4-week observation period.
  • Primary endpoints included a 50% reduction in Perioral Dermatitis Severity Index (PODSI) and Investigator's Global Assessment (IGA) score of 0 or 1 by day 14.

Main Results:

  • Both crisaborole and placebo groups showed improvement in PODSI and IGA scores.
  • No statistically significant differences were observed between the crisaborole and placebo groups at any time point.
  • Mild burning or stinging was reported more frequently with crisaborole but was generally tolerable.

Conclusions:

  • Crisaborole demonstrated a modest numerical trend favoring improvement but was not statistically superior to placebo in this pilot study.
  • Larger studies are required to further validate the efficacy of crisaborole for treating periorificial dermatitis.