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Alopecia areata: topical immunotherapy treatment with diphencyprone.
J Eur Acad Dermatol Venereol. 2008 Mar; 22(3):320-3.JE

Abstract

BACKGROUND Topical immunotherapy with diphencyprone (DPCP) is considered the most effective treatment of alopecia areata (AA).

OBJECTIVE

To assess the efficacy of DPCP in the treatment of extensive or long-lasting AA in Greek patients.

METHODS

Sixty-four patients with extensive and/or long-lasting AA were sensitized with 2% diphencyprone. During each weekly subsequent visit, patients were treated with gradually denser concentrations adjusted in order to maintain erythema and itch on the patient's scalp for 48 h. Patients' hair re-growth was evaluated every 3 months for 2 years.

RESULTS

Forty-five patients responded among the 54 completing therapy (83.3%). Initial response was observed 3.48 +/- 1.05 months after the initial treatment. Twenty patients among the responders achieved a grade 4 response, 15 patients achieved grade 3, 9 patients achieved grade 2, and 1 patient achieved a grade 1 response. The mean duration of treatment until maximum response was 6.14 +/- 1.48 months. Thirty-one patients (68.9%) had a relapse during follow-up and were treated again. The only adverse event among patients completing therapy was contact dermatitis of the face or neck (9 of 54) that resolved after topical corticosteroid application within 7 days. Statistical analysis did not establish any association among duration of AA, age, gender, atopic diathesis, nail involvement and presence of thyroid antibodies with response to treatment.

CONCLUSION

Treatment of Greek patients with AA with diphencyprone presents high response rates similar to those reported by previous studies. The treatment is adequately tolerated by most of the patients, and they are willing to repeat it in cases of relapse.

Authors+Show Affiliations

1st Academic Department of Dermatology, University of Athens Medical School, A Sygros Hospital, Athens, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

18005118

Citation

Avgerinou, G, et al. "Alopecia Areata: Topical Immunotherapy Treatment With Diphencyprone." Journal of the European Academy of Dermatology and Venereology : JEADV, vol. 22, no. 3, 2008, pp. 320-3.
Avgerinou G, Gregoriou S, Rigopoulos D, et al. Alopecia areata: topical immunotherapy treatment with diphencyprone. J Eur Acad Dermatol Venereol. 2008;22(3):320-3.
Avgerinou, G., Gregoriou, S., Rigopoulos, D., Stratigos, A., Kalogeromitros, D., & Katsambas, A. (2008). Alopecia areata: topical immunotherapy treatment with diphencyprone. Journal of the European Academy of Dermatology and Venereology : JEADV, 22(3), 320-3.
Avgerinou G, et al. Alopecia Areata: Topical Immunotherapy Treatment With Diphencyprone. J Eur Acad Dermatol Venereol. 2008;22(3):320-3. PubMed PMID: 18005118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alopecia areata: topical immunotherapy treatment with diphencyprone. AU - Avgerinou,G, AU - Gregoriou,S, AU - Rigopoulos,D, AU - Stratigos,A, AU - Kalogeromitros,D, AU - Katsambas,A, Y1 - 2007/11/12/ PY - 2007/11/17/pubmed PY - 2008/5/8/medline PY - 2007/11/17/entrez SP - 320 EP - 3 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 22 IS - 3 N2 - UNLABELLED: BACKGROUND Topical immunotherapy with diphencyprone (DPCP) is considered the most effective treatment of alopecia areata (AA). OBJECTIVE: To assess the efficacy of DPCP in the treatment of extensive or long-lasting AA in Greek patients. METHODS: Sixty-four patients with extensive and/or long-lasting AA were sensitized with 2% diphencyprone. During each weekly subsequent visit, patients were treated with gradually denser concentrations adjusted in order to maintain erythema and itch on the patient's scalp for 48 h. Patients' hair re-growth was evaluated every 3 months for 2 years. RESULTS: Forty-five patients responded among the 54 completing therapy (83.3%). Initial response was observed 3.48 +/- 1.05 months after the initial treatment. Twenty patients among the responders achieved a grade 4 response, 15 patients achieved grade 3, 9 patients achieved grade 2, and 1 patient achieved a grade 1 response. The mean duration of treatment until maximum response was 6.14 +/- 1.48 months. Thirty-one patients (68.9%) had a relapse during follow-up and were treated again. The only adverse event among patients completing therapy was contact dermatitis of the face or neck (9 of 54) that resolved after topical corticosteroid application within 7 days. Statistical analysis did not establish any association among duration of AA, age, gender, atopic diathesis, nail involvement and presence of thyroid antibodies with response to treatment. CONCLUSION: Treatment of Greek patients with AA with diphencyprone presents high response rates similar to those reported by previous studies. The treatment is adequately tolerated by most of the patients, and they are willing to repeat it in cases of relapse. SN - 1468-3083 UR - https://www.unboundmedicine.com/medline/citation/18005118/Alopecia_areata:_topical_immunotherapy_treatment_with_diphencyprone_ L2 - https://doi.org/10.1111/j.1468-3083.2007.02411.x DB - PRIME DP - Unbound Medicine ER -