A 60-year-old circumcised man presented with an 8-month history of a gradually worsening painful lesion on his penis. He had previously been treated for several months with clobetasol and tacrolimus ointments. On physical examination, the shaft and coronal sulcus of the penis demonstrated significant erythema, erosions, crusting, and atrophic scarring (Figure 1). The findings on biopsy were con...

IMPORTANCE Topical corticosteroids are the current first-line therapy for vulvar lichen sclerosus (VLS). UV-A1 phototherapy may be a promising alternative treatment option, but controlled studies are lacking. OBJECTIVE To compare the efficacy of high-potent topical corticosteroids with UV-A1 phototherapy in the treatment of VLS. DESIGN, SETTING, AND PARTICIPANTS A 2-arm randomized clinical ...

(Figure 2B). All specimens tested negative for microorganismsbyGrocott-Gomorimethenamine silver andacid-fast bacilli stains andwere not consistentwith lichen sclerosus or lichen simplex chronicus. Hydroxychloroquine therapy had previously failed for this patient, and she was therefore prescribed mycophenolate (500 mg, twice a day) by her pulmonologist. In addition, we recommended 3-times-daily ...

Background: Although intravenous injection is nowadays one of the common invasive procedures in medical care, but like any other procedure, it has a lot of side effects. Phlebitis is the most common complication and one of the therapeutic aims is to prevent it. Aim: The aim of this study was to compair the effect of Clobetasol with Nitroglycerin ointment on the prevention of superficial IV Cath...

PURPOSE The assessment of the degree of skin blanching following the application of a formulation containing a topical corticosteroid has been established as a surrogate method for the determination of bioequivalence. In this study, both visual and chromametric assessments have been carried out on two topical creams containing clobetasol propionate (0.05%) and the results from both methods are ...

Multiphoton microscopy has emerged in the past decade as a promising tool for noninvasive skin imaging. Our aim was to evaluate the potential of multiphoton microscopy to detect topical corticosteroids side effects within the epidermis and to provide new insights into their dynamics. Healthy volunteers were topically treated with clobetasol propionate on a small region of their forearms under o...

History A 74-year-old man presented with a 10-year history of itching skin eruption on his right forearm. It was treated with topical 0.05% clobetasol propionate cream prescribed by private practitioner. There was no photosensitivity or polyarthralgia. He did not have any constitutional symptoms. His past health was good. There was no history of pulmonary tuberculosis. He is allergic to penicil...

IMPORTANCE Alopecia areata is an idiopathic cause of hair loss with limited therapeutic repertoire. OBJECTIVE To compare the efficacy and safety of a high- vs low-potency topical corticosteroid in pediatric patients. DESIGN, SETTING, AND PARTICIPANTS This single-center, randomized, blind, 2-arm, parallel-group, superiority trial was carried out over a 24-week period at a tertiary referral a...

One of the causes of permanent disability in chronic multiple sclerosis patients is the inability of oligodendrocyte progenitor cells (OPCs) to terminate their maturation program at lesions. To identify key regulators of myelin gene expression acting at the last stages of OPC maturation we developed a drug repositioning strategy based on the mouse immortalized oligodendrocyte (OL) cell line Oli...