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The effects of topical sodium cromoglicate on itch and flare in human skin induced by intradermal histamine: a randomised double-blind vehicle controlled intra-subject design trial.
[cutaneous mastocytosis]
Itch
is
a
prominent
feature
of
many
skin
diseases
,
particularly
atopic
dermatitis
and
cutaneous
mastocytosis
.
Sodium
cromoglicate
(
SCG
)
,
a
chromone
developed
for
the
treatment
of
allergic
disease
has
been
shown
to
reduce
the
severity
of
itch
when
applied
topically
to
subjects
with
atopic
dermatitis
.
The
aim
of
this
study
was
to
investigate
whether
topical
sodium
cromoglicate
can
reduce
the
severity
of
itch
induced
by
intradermal
histamine
.
SCG
was
introduced
into
the
skin
of
healthy
volunteers
both
by
iontophoresis
and
by
topical
application
using
a
new
4
%
cutaneous
emulsion
(
Altoderm
â„¢
)
.
The
skin
was
then
challenged
with
intradermal
histamine
.
Measurements
were
made
of
severity
of
itch
,
size
of
wheal
and
flare
and
change
in
blood
fluxSCG
significantly
reduced
the
severity
of
itch
(
P
=
0
.
0045
)
and
flare
(
P
=
0
.
0143
)
when
delivered
by
iontophoresis
.
SCG
4
%
cutaneous
emulsion
significantly
reduced
severity
of
itch
(
P
=
0
.
024
)
and
flare
(
P
=
0
.
015
)
in
atopic
subjects
.
Trend
analysis
showed
increasing
effect
on
itch
with
increased
concentrations
of
SCG
,
which
was
significant
(
P
=
0
.
046
)
.
There
were
no
effects
on
wheal
or
blood
flux
.
Topically
applied
SCG
,
administered
in
a
new
cutaneous
emulsion
base
,
significantly
reduced
the
itch
and
flare
caused
by
intradermal
histamine
.
The
effect
was
greatest
in
atopic
subjects
and
increased
with
the
concentration
of
SCG
in
the
emulsion
.
ISRCTN
35671014
.
Diseases
Validation
Diseases presenting
"skin diseases"
symptom
cutaneous mastocytosis
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
fabry disease
harlequin ichthyosis
inclusion body myositis
junctional epidermolysis bullosa
kindler syndrome
lamellar ichthyosis
oculocutaneous albinism
papillon-lefèvre syndrome
sneddon syndrome
systemic capillary leak syndrome
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