Comparative study of efficacy of topical anthralin (0.5%) and topical calcipotriol (0.005%) in management of chronic plaque psoriasis

Authors

  • Safoora Naveed Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi.
  • Asher Ahmed Mashhood Department of Dermatology, Combined Military Hospital, Rawalpindi.
  • Sakina Sadiq Malik Department of Dermatology, Combined Military Hospital, Rawalpindi.
  • Abrar Ahmad Khalid Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi.
  • Muhammad Anjum Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi.
  • Ayesha Ellahi Department of Pathology, Army Medical College, Rawalpindi.
  • Zafar Iqbal Shaikh Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi.

Keywords:

Calcipotriol, Anthraline, Psoriasis, Efficacy

Abstract

Objective The aim of the study is to compare the efficacy of topical calcipotriol (0.005%) and topical anthralin (0.5%) in treatment of Chronic Plaque Psoriasis (CPP).   Methods This randomized, interventional study was conducted at Pak Emirates Military Hospital, Rawalpindi and Combined Military Hospital, Rawalpindi for 6-month period (10th January 2020 to 10th July 2020). A sample of 186 patients was randomly distributed in two groups. In group A, patients applied topical anthralin (0.5%) every night for 12 weeks. In group B, patients applied topical calcipotriol (0.005%) every night for 12 weeks. The follow up period was 12 weeks and assessment of the efficacy was done at 4, 8 and 12 weeks by utilizing PASI score.   Results The age range of the individuals was from 15 to 50 years. The average duration of presenting complaint for Group A was 8.903±1.85 months while for Group B was 9.193±2.58 months. In Group A, the average PASI score before and after the treatment was 16.22±3.02 and 4.784±3.28 respectively and in Group B the average PASI score before and after the treatment was 16.03±2.09 and 2.376±2.39 respectively. The number of male patients in each group was more than female. Efficacy i.e. reduction in PASI score by 75% was seen in 21.5% patients of Group A as compared to 43% in Group B (p=0.001).   Conclusion In conclusion, 0.005% calcipotriol is considerably more efficacious than 0.5% anthraline in bringing disease improvement and patient satisfaction than 0.5% anthraline.  

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Published

2023-08-07

How to Cite

1.
Naveed S, Mashhood AA, Malik SS, Khalid AA, Anjum M, Ellahi A, Shaikh ZI. Comparative study of efficacy of topical anthralin (0.5%) and topical calcipotriol (0.005%) in management of chronic plaque psoriasis. J Pak Assoc Dermatol [Internet]. 2023Aug.7 [cited 2024Dec.4];33(3):827-31. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/2195

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