PMID- 25424047 OWN - NLM STAT- MEDLINE DCOM- 20160218 LR - 20181202 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 26 IP - 4 DP - 2015 TI - Efficacy of the apitherapy in the treatment of recalcitrant localized plaque psoriasis and evaluation of tumor necrosis factor-alpha (TNF-alpha) serum level: A double-blind randomized clinical trial. PG - 335-9 LID - 10.3109/09546634.2014.990411 [doi] AB - BACKGROUND: No universal consensus about optimal modality for treating the recalcitrant localized plaque psoriasis (RLPP) is available. OBJECTIVE: To evaluate the immunological and clinical therapeutic effect of using apitherapy in the treatment of RLPP. METHODS: Randomized 50 patients with RLPP received apitherapy (n = 25) and placebo (n = 25) every week. Both treatments were injected into lesions at weekly intervals for a maximum of 12 treatments. Following up was 6 months later. Tumor necrosis factor-alpha (TNF-alpha) level was measured at pre-study and at 12th week. RESULTS: A significant difference was found between the therapeutic responses of RLPP to the apitherapy and placebo groups (p<0.001). In the apitherapy group, complete response was achieved in 92% of patients. There was statistically significant decrease in TNF-alpha in the apitherapy group compared to the placebo group. No recurrence was observed in the apitherapy group. CONCLUSION: Apitherapy is effective and a safe treatment for recalcitrant localized plaque psoriasis, when other topical or physical therapies have failed. FAU - Eltaher, Soha AU - Eltaher S AD - Department of Dermatology and Venereology, Faculty of Medicine, Suez Canal University , Ismailia , Egypt and. FAU - Mohammed, Ghada F AU - Mohammed GF FAU - Younes, Soha AU - Younes S FAU - Elakhras, Atef AU - Elakhras A LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20141230 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Apitherapy/*methods MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Psoriasis/*therapy MH - Remission Induction MH - Tumor Necrosis Factor-alpha/*blood MH - Young Adult OTO - NOTNLM OT - Apitherapy OT - PGA OT - TNF-alpha OT - bee venom OT - recalcitrant localized plaque psoriasis EDAT- 2014/11/27 06:00 MHDA- 2016/02/19 06:00 CRDT- 2014/11/27 06:00 PHST- 2014/11/27 06:00 [entrez] PHST- 2014/11/27 06:00 [pubmed] PHST- 2016/02/19 06:00 [medline] AID - 10.3109/09546634.2014.990411 [doi] PST - ppublish SO - J Dermatolog Treat. 2015;26(4):335-9. doi: 10.3109/09546634.2014.990411. Epub 2014 Dec 30.