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. 2024 Aug 6;2024(8):CD015064. doi: 10.1002/14651858.CD015064.pub2

Fadrhoncova 1982.

Study characteristics
Methods Trial design: randomised, double‐blind, single‐centre, within‐participant study
Trial registration number: not reported
Country: Czech Republic, assumed from the affiliation of the author
Outpatient or hospital: hospitalised patients at a dermatology clinic in Prague, assumed from the affiliation of the author
Date trial conducted: not reported
Duration of trial participation: 4 weeks
Inclusion criteria: patients with bilateral and symmetrical eczema on the limbs and torso (not face)
Exclusion criteria:
· Signs of impetiginisation
· Pregnancy
· Malignant disease
Additional design details: none
Participants Total number randomised: 52 sides treated (26 to apply the intervention and 26 to apply the comparator)
Age: range 2 to 66 years
Sex: males n = 10: females n = 16
Ethnicity: not reported
Duration of eczema: not reported
Severity of eczema: the paper gives mean scores on various clinical parameters at baseline, but it is very difficult to interpret
Body site: limbs and torso (not face)
Number of withdrawals: 2 participants did not tolerate the treatment and were excluded after week 1. The final column of table 2 (n) suggests that there were no further withdrawals
Notes: none
Interventions Run‐in details: not reported
Intervention: hydrocortisone butyrate 0.1% cream used twice daily for 4 weeks
· Concurrent treatment: not reported
· Other key information: none
Comparator: hydrocortisone 1% cream used twice daily for 4 weeks.
· Concurrent treatment: not reported
· Other key information: none
Concurrent treatments received alongside both intervention and comparator: no occlusion. Both participants and nurses were instructed to wash their hands between left and right side applications to prevent contamination
Notes: none
Outcomes · Investigator assessment of 10 clinical signs and symptoms (pruritus, lichenification, infiltration, erythema, exudation, amount of crusts, amount of vesicles, amount of papules, amounts of pustules, and exfoliation), scored from 0 = absent to 4 = very severe, reported separately as group means (SD) and as a combined score. Combined score assumed to be the mean value of each sign/symptom multiplied by the number of participants reporting that sign, summed for all signs/symptoms
· Participant and physician preference for each treatment over the other
· AE
Notes Funding source: not reported
Declarations of interest: not declared
Original language of publication: Czech; translated for Lax 2022 by Simona Slezáková
Other: this study has previously been extracted by this group; some content is reproduced from Lax 2022