Atopic Dermatitis
Conditions
Brief summary
There is an emergent evidence demonstrating the role of Vitamin D deficiency in eczema. Vitamin D supplementation with standard treatment yielded positive clinical outcomes for children and adolescents with mild and moderate AD; however, the potential benefit of vitamin D in severe cases remains unclear
Interventions
Vitamin D plus topical 1% hydrocortisone cream twice daily
placebo plus topical 1% hydrocortisone cream twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
1.diagnosis of severe AD according to Hanifin and Rajka criteria and the Eczema Area and Severity Index (EASI) score
Exclusion criteria
1. serious skin disorder other than AD. 2. taking systemic corticosteroids or anti-inflammatory medications, prior vitamin D supplementation 3. receiving oral or topical antibiotics or topical calcineurin inhibitors for at least one week prior to enrollment 4. known gut absorption problem, presence of active skin infection at baseline any known hepatic and/or renal disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| difference in the mean Eczema Area and Severity Index (EASI) score at the end of the study | 12 weeks |
| the average percent change in Eczema Area and Severity Index (EASI) score at the end of the study | 12 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference in proportion of patients with a reduction from baseline of 75 % in Eczema Area and Severity Index (EASI) score | 12 weeks | EASI 75 |
| Difference in proportion of patients with a reduction from baseline of (50 or more up to 75) in Eczema Area and Severity Index (EASI) score | 12 weeks | EASI 50 |
| Difference in proportion of patients with a reduction from baseline of <50 n Eczema Area and Severity Index (EASI) score | 12 weeks | EASI\<50 |
Countries
Egypt