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Efficacy of oral doxycycline in treatment of red face syndrome subjects : A prospective noncontrolled case-series study

    Usama Abdul-Jaleel Aqeel Agab Sarhan Safaa H. Ganduh

Al-Qadisiah Medical Journal, 2014, Volume 10, Issue 1, Pages 50-58

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Abstract

Background: Red face syndrome is a chronic burning erythema of the face that occurs after prolonged application of topical corticosteroid and characterized by flare-ups after trial of corticosteroid withdrawal.It is mediated by nitric oxide overproduction. Doxycycline was found to inhibit inducible nitric oxide synathase .
Objective: to assess the efficacy of oral doxycyline and corticosteroid withdrawal in hastening the resolution of red face syndrome
Methods : In this prospective non-controlled case series study, 68 patients were identified as having red face syndrome by dermatologist in Al-Diwanyia Teaching Hospital , from July 2011 to September 2011 and they have been treated with oral doxycycline and corticosteroid withdrawal.
Results : 66 patients completed the study while 2 patients stopped treatment because of severe gastric upset .Oral doxycycline was significantly able to decrease the total score of the clinical complaints after 4 weeks treatment (7.3 0.46) compared to baseline (12 0.32) (P<0.05) in patients with further significant decrease in the total scores at 8 weeks (3.9 00.49) compared to baseline (12 0.32) (P<0.05).
Conclusion : oral doxycycline seems to be effective in treatment of red face syndrome
Keywords:
    doxycycline nitric oxide red face syndrome
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(2014). Efficacy of oral doxycycline in treatment of red face syndrome subjects : A prospective noncontrolled case-series study. Al-Qadisiah Medical Journal, 10(1), 50-58.
Usama Abdul-Jaleel; Aqeel Agab Sarhan; Safaa H. Ganduh. "Efficacy of oral doxycycline in treatment of red face syndrome subjects : A prospective noncontrolled case-series study". Al-Qadisiah Medical Journal, 10, 1, 2014, 50-58.
(2014). 'Efficacy of oral doxycycline in treatment of red face syndrome subjects : A prospective noncontrolled case-series study', Al-Qadisiah Medical Journal, 10(1), pp. 50-58.
Efficacy of oral doxycycline in treatment of red face syndrome subjects : A prospective noncontrolled case-series study. Al-Qadisiah Medical Journal, 2014; 10(1): 50-58.
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