Efficacy of 25% Diluted Fluticasone Propionate 0.05% Cream as Wet-Wrap Treatment in Cutaneous Mastocytosis

Abstract

Background: Mastocytosis is a disorder that can be subdivided into two forms: cutaneous and systemic. Patients with cutaneous mastocytosis only may suffer from cosmetic problems. Topical steroid application has been shown to be effective in cases of limited skin lesions. Methods: A case-controlled pilot study was conducted during a 6-weeks treatment using diluted 25% fluticasone propionate 0.05% cream under wet-wrap occlusion in 5 adults and 6 children. Improvement was measured up to the 24th week after treatment using the SCORMA Index. Results: The results of this pilot study showed a partial but clear cosmetic improvement in 9 of the 11 patients. The mean SCORMA Index decreased after treatment from 38 to 26. Conclusion: 25% dilution of fluticasone propionate 0.05% cream under wet-wrap occlusion is an alternative treatment modality for alleviating the symptoms of cutaneous mastocytosis, but the improvement may be moderate and fall short of the patient’s expectations.

Mastocitose

“…32 Heide et al demonstraram o uso de propionato de fluticasona 0,05% diluído e sob oclusão. 43 Porém, deve-se ter cuidado com a atrofia de pele secundária a essa medicação. 32 Se não houver melhora, pode-se fazer exérese total da lesão.…”

Update on Diagnosis and Treatment of Mastocytosis

“…However, it must be considered that relapse typically occurs a few months after therapy is discontinued, and that these forms of therapy must be weighed against the potential for inducing side effects. It is well-known that topical corticosteroids are also effective [48]; however, due to the potential for side effects, they should be used primarily for the treatment of localized skin lesions such as mastocytomas causing flushing or blistering.…”

A rare cause of eruption in infancy: Cutaneus mastocytosis

“…Vakamız birçok kez antihistaminik tedavi almış fakat yarar görmemişti. İki yaşın üstündeki vakalarda alevlenme dışında döküntülerin kozmetik kaygılar ile tedavisinde topikal kortikosteroidli kremler kullanıl-maktadır (23) .…”