Source:http://linkedlifedata.com/resource/pubmed/id/15098972
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2004-4-21
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pubmed:abstractText |
Corticosteroids have been combined with other agents in the treatment of melasma for years. In early studies by Kligman and Willis, topical dexamethasone as monotherapy produced little depigmentation even after 3 months of therapy. A significant concern is that topical corticosteroids used alone in this setting, especially on the face, may result in epidermal atrophy, telangiectasia, rosacea-like erythemas, acne, and perioral dermatitis. Topical corticosteroids, however, including low-potency fluocinolone acetonide, also exert an anti-metabolic effect, resulting in decreased epidermal turnover, and, thus, may produce a mild depigmenting effect. When used in combination with tretinoin and hydroquinone in the treatment of melasma, fluocinolone acetonide 0.01% suppresses biosynthetic and secretory functions of melanocytes, and thus melanin production, leading to early response in melasma, synergy among the three agents, and no significant side effects over an 8-week period.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1545-9616
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
169-74
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15098972-Administration, Topical,
pubmed-meshheading:15098972-Adrenal Cortex Hormones,
pubmed-meshheading:15098972-Adult,
pubmed-meshheading:15098972-Double-Blind Method,
pubmed-meshheading:15098972-Drug Therapy, Combination,
pubmed-meshheading:15098972-Female,
pubmed-meshheading:15098972-Humans,
pubmed-meshheading:15098972-Hydroquinones,
pubmed-meshheading:15098972-Male,
pubmed-meshheading:15098972-Melanosis,
pubmed-meshheading:15098972-Randomized Controlled Trials as Topic,
pubmed-meshheading:15098972-Treatment Outcome,
pubmed-meshheading:15098972-Tretinoin
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pubmed:articleTitle |
Rationale for the use of topical corticosteroids in melasma.
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pubmed:affiliation |
Division of Dermatology, Baylor University Medical Center, Dallas, Texas, USA.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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