Competing interests: Hossein Ali Ettehadi is an employee of Milad Pharmaceuticals; the other authors do not have any conflicts of interest.
Accelerating effects of epidermal growth factor on skin lesions of pemphigus vulgaris: a double-blind, randomized, controlled trial
Article first published online: 27 NOV 2006
Journal of the European Academy of Dermatology and Venereology
Volume 21, Issue 1, pages 79–84, January 2007
How to Cite
Tabrizi, M., Chams-Davatchi, C., Esmaeeli, N., Noormohammadpoor, P., Safar, F., Etemadzadeh, H., Ettehadi, H. and Gorouhi, F. (2007), Accelerating effects of epidermal growth factor on skin lesions of pemphigus vulgaris: a double-blind, randomized, controlled trial. Journal of the European Academy of Dermatology and Venereology, 21: 79–84. doi: 10.1111/j.1468-3083.2006.01873.x
- Issue published online: 27 NOV 2006
- Article first published online: 27 NOV 2006
- Received: 14 October 2005, accepted 24 January 2006; DOI: 10.1111/j.1468-3083.2006.01873.x
- epidermal growth factor;
- pemphigus vulgaris;
- silver sulfadiazine;
- wound healing
Background Pemphigus vulgaris (PV) is a severe blistering disease involving the skin and mucous membranes. The most common causes of death in these patients are adverse effects of drugs, and infection. Skin lesions are one of the important sources of infection. Thus, any local treatment that could reduce healing time of lesions and consequently reduce the total dosage of drugs needed to treat is favourable.
Objective To evaluate the efficacy of epidermal growth factor (EGF) in reducing healing time of lesions in patients with pemphigus vulgaris.
Methods In this randomized, double-blind, within-patient, left/right, controlled trial, 20 hospitalized patients with pathologial and immunohistologial (direct and indirect immunoflourecence) proven pemphigus vulgaris (PV) were chosen. In addition, all patients had at least one appropriate pemphigus lesion on each side of the body that had not healed after 2-week systemic therapy and sterile saline washing. EGF (10 µg/g) in 0.1% silver sulfadiazine cream vs. 0.1% silver sulfadiazine cream alone was applied randomly on one side of the body.
Results Kaplan–Meier survival analysis suggested that median time to heal with application of EGF plus silver sulfadiazine cream was 9 days, in comparison with 15 days for silver sulfadiazine cream alone (log-rank test, P = 0.0003). No intervention-related adverse effect was observed during the study.
Conclusions EGF can significantly reduce healing time of skin lesions in patients with pemphigus vulgaris, at least when this cream base is applied (Cochrane skin group identifier: CSG20).