Table I.
Outcomes of first-line treatments used for prurigo pigmentosa
Treatment class | Treatment | No. of times reported | Resolution NR (No. of times) | No resolution (No. of times) | Partial resolution (No. of times) | Complete resolution (No. of times) | Average resolution period (days)∗ | Recurrence NR (No. of times) | No recurrence (No. of times) | Recurrence occurred (No. of times) |
---|---|---|---|---|---|---|---|---|---|---|
Tetracycline monotherapy | Minocycline | 77 | 33 | 2 | 7 | 35 | 34.5 | 47 | 23 | 7 |
Doxycycline | 56 | 1 | 1 | 25 | 29 | 23.4 | 6 | 44 | 6 | |
Tetracycline† | 6 | - | - | 6 | - | - | - | 5 | 1 | |
Total | 139 | 34 | 3 | 38 | 64 | 53 | 72 | 14 | ||
Tetracyclines and dietary changes | Minocycline and diet | 6 | 0 | - | 2 | 4 | 26.0 | 3 | 3 | - |
Doxycycline and diet | 5 | - | - | - | 5 | 48.5 | - | 4 | 1 | |
Total | 11 | 0 | - | 2 | 9 | 3 | 7 | 1 | ||
Tetracycline combination therapies | Minocycline and TCS | 24 | 15 | - | 6 | 3 | 33.3 | 17 | 7 | - |
Minocycline and antihistamines | 3 | 3 | - | - | - | - | 3 | - | - | |
Minocycline and antihistamines and TCS | 2 | - | - | 2 | - | 10.5 | - | 2 | - | |
Doxycycline and antihistamine and SCS | 3 | 3 | - | - | - | - | 3 | - | - | |
Doxycycline and dapsone | 2 | - | - | 2 | - | 14.0 | 1 | 1 | - | |
Doxycycline followed by minocycline | 2 | - | - | 2 | - | - | - | 2 | - | |
Total | 36 | 21 | - | 12 | 3 | 24 | 12 | - | ||
Topical corticosteroids | TCS monotherapy | 4 | 1 | 1 | 2 | - | 127.0 | 1 | 1 | 2 |
TCS and antihistamines | 4 | 3 | - | 1 | - | 180 | 3 | 1 | - | |
SCS | 4 | - | - | 2 | 2 | 19.5 | 3 | 1 | - | |
Total | 12 | 4 | 1 | 5 | 2 | 7 | 3 | 2 | ||
Dapsone | Dapsone monotherapy | 20 | 12 | - | 1 | 7 | 14.4 | 17 | 1 | 2 |
Total | 20 | 12 | - | 1 | 7 | 17 | 1 | 2 | ||
Antibiotics monotherapy | Roxithromycin | 2 | - | - | - | 2 | 7.5 | - | 2 | - |
Sulfisomezole | 2 | - | - | - | 2 | 10.5 | - | - | 2 | |
Clarithromycin | 2 | - | - | - | 2 | 7.0 | - | 2 | - | |
Total | 6 | - | - | - | 6 | - | 4 | 2 | ||
Retinoid monotherapy | Oral isotretinoin | 2 | - | - | - | 2 | 90.0 | - | 1 | 1 |
Total | 2 | - | - | - | 2 | - | 1 | 1 | ||
Conservative or no treatment | Changing diet | 12 | - | - | 7 | 5 | 30.0 | 7 | 5 | - |
Insulin (patients with DM) | 6 | - | - | 1 | 5 | 16.5 | 4 | 2 | - | |
Self-resolving | 6 | - | - | 1 | 5 | 71.0 | 2 | 4 | - | |
Total | 24 | - | - | 9 | 15 | 13 | 11 | - |
- (hyphen), 0; DM, diabetes mellitus; No., number; NR, not reported; SCS, systemic corticosteroids; TCS, topical corticosteroids.
Average time in days to reach partial or complete resolution after starting treatment.
Specifics not reported.