Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study
Background: pyoderma gangrenosum (PG) is an uncommon dermatosis with a limited evidence base for treatment. Objective: to estimate the effectiveness of topical therapies in the treatment of PG. Methods: prospective cohort study of UK secondary care patients with a clinical diagnosis of PG suit...
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| Format: | Article |
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Elsevier
2016
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| Online Access: | https://eprints.nottingham.ac.uk/35997/ |
| _version_ | 1848795205406294016 |
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| author | Thomas, Kim S. Ormerod, Anthony D. Craig, Fiona E. Greenlaw, Nicola Norrie, John Mitchell, Eleanor Mason, James M. Johnston, Graham A. Wahie, Shyamal Williams, Hywel C. |
| author_facet | Thomas, Kim S. Ormerod, Anthony D. Craig, Fiona E. Greenlaw, Nicola Norrie, John Mitchell, Eleanor Mason, James M. Johnston, Graham A. Wahie, Shyamal Williams, Hywel C. |
| author_sort | Thomas, Kim S. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: pyoderma gangrenosum (PG) is an uncommon dermatosis with a limited evidence base for treatment.
Objective: to estimate the effectiveness of topical therapies in the treatment of PG.
Methods: prospective cohort study of UK secondary care patients with a clinical diagnosis of PG suitable for topical treatment (recruited July 2009 to June 2012). Participants received topical therapy following normal clinical practice (mainly Class I-III topical corticosteroids, tacrolimus 0.03% or 0.1%). Primary outcome: speed of healing at 6 weeks. Secondary outcomes: proportion healed by 6 months; time to healing; global assessment; inflammation; pain; quality-of-life; treatment failure and recurrence.
Results: Sixty-six patients (22 to 85 years) were enrolled. Clobetasol propionate 0.05% was the most commonly prescribed therapy. Overall, 28/66 (43.8%) of ulcers healed by 6 months. Median time-to-healing was 145 days (95% CI: 96 days, ∞). Initial ulcer size was a significant predictor of time-to-healing (hazard ratio 0.94 (0.88;80 1.00); p = 0.043). Four patients (15%) had a recurrence.
Limitations: No randomised comparator
Conclusion: Topical therapy is potentially an effective first-line treatment for PG that avoids possible side effects associated with systemic therapy. It remains unclear whether more severe disease will respond adequately to topical therapy alone. |
| first_indexed | 2025-11-14T19:28:23Z |
| format | Article |
| id | nottingham-35997 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:28:23Z |
| publishDate | 2016 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-359972020-05-04T18:07:44Z https://eprints.nottingham.ac.uk/35997/ Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study Thomas, Kim S. Ormerod, Anthony D. Craig, Fiona E. Greenlaw, Nicola Norrie, John Mitchell, Eleanor Mason, James M. Johnston, Graham A. Wahie, Shyamal Williams, Hywel C. Background: pyoderma gangrenosum (PG) is an uncommon dermatosis with a limited evidence base for treatment. Objective: to estimate the effectiveness of topical therapies in the treatment of PG. Methods: prospective cohort study of UK secondary care patients with a clinical diagnosis of PG suitable for topical treatment (recruited July 2009 to June 2012). Participants received topical therapy following normal clinical practice (mainly Class I-III topical corticosteroids, tacrolimus 0.03% or 0.1%). Primary outcome: speed of healing at 6 weeks. Secondary outcomes: proportion healed by 6 months; time to healing; global assessment; inflammation; pain; quality-of-life; treatment failure and recurrence. Results: Sixty-six patients (22 to 85 years) were enrolled. Clobetasol propionate 0.05% was the most commonly prescribed therapy. Overall, 28/66 (43.8%) of ulcers healed by 6 months. Median time-to-healing was 145 days (95% CI: 96 days, ∞). Initial ulcer size was a significant predictor of time-to-healing (hazard ratio 0.94 (0.88;80 1.00); p = 0.043). Four patients (15%) had a recurrence. Limitations: No randomised comparator Conclusion: Topical therapy is potentially an effective first-line treatment for PG that avoids possible side effects associated with systemic therapy. It remains unclear whether more severe disease will respond adequately to topical therapy alone. Elsevier 2016-08-05 Article PeerReviewed Thomas, Kim S., Ormerod, Anthony D., Craig, Fiona E., Greenlaw, Nicola, Norrie, John, Mitchell, Eleanor, Mason, James M., Johnston, Graham A., Wahie, Shyamal and Williams, Hywel C. (2016) Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study. Journal of the American Academy of Dermatology . ISSN 1097-6787 (In Press) Pyoderma gangrenosum Topical therapy Corticosteroid Tacrolimus Side effects Cohort http://www.sciencedirect.com/science/article/pii/S0190962216303942 doi:10.1016/j.jaad.2016.06.016 doi:10.1016/j.jaad.2016.06.016 |
| spellingShingle | Pyoderma gangrenosum Topical therapy Corticosteroid Tacrolimus Side effects Cohort Thomas, Kim S. Ormerod, Anthony D. Craig, Fiona E. Greenlaw, Nicola Norrie, John Mitchell, Eleanor Mason, James M. Johnston, Graham A. Wahie, Shyamal Williams, Hywel C. Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title | Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title_full | Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title_fullStr | Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title_full_unstemmed | Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title_short | Clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| title_sort | clinical outcomes and response to treatment of patients receiving topical treatments for pyoderma gangrenosum: a prospective cohort study |
| topic | Pyoderma gangrenosum Topical therapy Corticosteroid Tacrolimus Side effects Cohort |
| url | https://eprints.nottingham.ac.uk/35997/ https://eprints.nottingham.ac.uk/35997/ https://eprints.nottingham.ac.uk/35997/ |