Arsenical Keratosis
Conditions
Keywords
Palm, Arsenic, Keratosis, Salicylic acid, Azadirachta indica, Neem
Brief summary
Effects of leaf extract of Azadirachta indica in palmer arsenical keratosis: Randomized, double-blind, placebo-control trial
Detailed description
The objective of this study is to evaluate the effectiveness of topical administration of the Leaf of Azadirachta indica in the treatment of palmer arsenical keratosis. Fifty patients of moderate palmer arsenical keratosis patients from an arsenic affected area will be recruited on the basis of inclusion and exclusion criteria and had been drinking arsenic contaminated water for more than six months. They will be divided into two groups each will consist of twenty five members. One group will be provided A. indica plus 6% salicylic acid ointment to apply on palm overnight daily for 12 weeks. Another group will be provided 6% salicylic acid ointment . Water and nail sample will be collected before starting recruitment to confirm diagnosis. Then again nail sample will be collected before and after the study to see the level of arsenic in skin. Effects will be observed after every two weeks and change will be detected as nil, mild reduction, moderate reduction and fully cured.
Interventions
Leaf extract of A. indica plus 6% salicylic acid will be applied on palmer keratotic lesion once daily at bedtime for 12 weeks.
Salicylic acid (6%) will be applied on palmer keratotic lesion once daily on bedtime for 12 weeks.
Petroleum jelly will be applied on palmer keratotic lesion once daily at bedtime for 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Palmer arsenical keratosis * Drinking arsenic contaminated water (\>50 ppb) for more than six months * Patient voluntarily agree to participate
Exclusion criteria
* Pregnancy * Lactating mother * Diabetes mellitus * Rheumatoid arthritis * Systemic lupus erythematosus * Psoriasis * Bowen's disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in palmer arsenical keratosis | 0 week (baseline), 12 weeks (end) | Size and number of keratotic lesions will be reduced. These will be expressed in score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in arsenic level in nail | 0 week (baseline), 12 weeks (end) | Arsenic level in nail of the patient will be decrease. Total arsenic level will be estimated by atomic fluorescence spectrometer. |
Countries
Bangladesh