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Antistreptococcal treatment of guttate psoriasis: a controlled study.

Author(s): Dogan B, Karabudak O, Harmanyeri Y

Affiliation(s): GATA Teaching Hospital, Department of Dermatology, 81327, Istanbul, Turkey. gatadermdogan@yahoo.com

Publication date & source: 2008-09, Int J Dermatol., 47(9):950-2.

BACKGROUND: The role of streptococcal infection in the initiation of guttate psoriasis is well-recognized. But the treatment results with oral erythromycin and phenoxymethylpenicillin are conflicting. OBJECTIVE: Our purpose was to evaluate the effectiveness of these antibiotics in the treatment of streptococcus associated guttate psoriasis comparing with a control group. METHODS: A total of 43 male patients with serologic evidence of a recent streptococcal infection were studied. Their mean age was 21 years (ranged between 19 and 23 years). These 43 patients were randomly allocated into three groups (no treatment group n = 15, erythromycin group n = 14, phenoxymethylpenicillin group n = 14). Both the treatment groups were treated for 14 d. All the groups were followed up for additional 4 weeks. RESULTS: There were no statistically significant improvement in any group and among the groups. CONCLUSION: There was no statistically significant improvement in streptococcus associated guttate psoriasis with or without a course of oral penicillin or erythromycin.

Page last updated: 2008-11-03

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