Dual anti-inflammatory and anti-parasitic action of topical ivermectin 1% in papulopustular rosacea

Autor: Lena Gonser, Martin Schaller, Katharina Belge, Alexander Scheu, Claudia Borelli, Renate Nordin, Christina Braunsdorf
Rok vydání: 2017
Předmět:
Zdroj: Journal of the European Academy of Dermatology and Venereology : JEADV. 31(11)
ISSN: 1468-3083
Popis: Background Recently, therapy of rosacea with inflammatory lesions (papulopustular) has improved substantially with the approval of topical ivermectin 1% cream. It is assumed to have a dual mode of action with anti-inflammatory capacities and anti-parasitic effect against Demodex, which however has not yet been demonstrated in vivo. Aim To find scientific rationale for the dual anti-inflammatory and anti-parasitic mode of action of topical ivermectin 1% cream in patients with rosacea. Methods A monocentric pilot study was performed including 20 Caucasian patients with moderate to severe rosacea, as assessed by investigator global assessment (IGA score ≥ 3) and a demodex density ≥ 15/cm2. Patients were treated with topical ivermectin 1% cream once daily (Soolantra®) for ≥12 weeks. The density of Demodex mites was assessed with skin surface biopsies. Expression of inflammatory and immune markers were evaluated with RT-PCR and by immunofluorescence staining. Results The mean density of mites was significantly decreased at week 6 and week 12 (p
Databáze: OpenAIRE