The authors show that the use of Isotretinoin (Ro 4–3740) in cystic acne brings a reduction of chemotactic activity of the neutrophil granulocytes, like another retinoid, Etretinate, in pustular and vulgar psoriasis. This effect of retinoids, with a direct action on the polymorphonuclear leukocytes plays an important role in the recovery of the disease.
Summary: 21 patients suffering from dermatomycoses were randomly assigned either to 2% fenticonazole cream or 1% clotrimazole cream.
The study was performed under double‐blind conditions and on patients, with symmetrical or clinically comparable lesions.
Patients were evaluated, clinically, microscopically and by culture before entering the study and then at weekly intervals for four weeks. The cream was applied twice daily. Eighteen lesions from the 21 treated with fenticonazole 2% cream and 13 lesions out of 21 treated with clotrimazole 1% cream were definitely cured. The differences between the two treatments were statistically significant in favour of fenticonazole in the third week of treatment (p < 0.05 ‐ chi square test).
Zusammenfassung: 21 Patienten mit Dermatomykosen, die symmetrisch lokalisiert und klinisch vergleichbar waren, wurden in einer Doppelblindstudie seitenvergleichend mit 2% Fenticonazol‐Creme und 1% Clotrimazol‐Creme behandelt. Klinische, mikroskopische und kulturelle Untersuchungen wurden vor Beginn der Behandlung und dann in wöchentlichen Intervallen über 4 Wochen durchgeführt. Die Creme wurde zweimal täglich aufgetragen. Bei 18 von 21 mit Fenticonazol 2%‐Creme behandelten Fälle und bei 13 von 21 mit Clotrimazol 1%‐Creme behandelten wurde vollständige Abheilung erreicht. In der dritten Behandlungswoche envies sich das günstigere Behandlungsergebnis mit Fenticonazol als statistisch signifikant (p < 0,05 — chi Quadrattest).
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