Efficacy of topical Ketoconazole 2% Cream in the treatment of acne vulgaris: A clinical controlled study

Khater, Mohamed Hamed; Elsayed Setto, Amany Essam; Ibrahim, Al Shimaa Mohamed

doi:10.21608/zumj.2024.286257.3368

	Efficacy of topical Ketoconazole 2% Cream in the treatment of acne vulgaris: A clinical controlled study
Zagazig University Medical Journal
Volume 30, Issue 5, August 2024, Page 1573-1580 PDF (1.03 MB)
Document Type: Original Article
DOI: 10.21608/zumj.2024.286257.3368
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Authors
Mohamed Hamed Khater ¹; Amany Essam Elsayed Setto ²; Al Shimaa Mohamed Ibrahim¹
¹Department of Dermatology, Venerology & Andrology, Faculty of Medicine, Zagazig University, Egypt
²Department of Dermatology, Venerology & Andrology, Faculty of Medicine, Zagazig University, Egypt
Abstract
Background: Cutibacterium (C. acnes) lipase activity can be reduced by topical antifungal cream called ketoconazole (KTZ). Additionally, it contains anti-inflammatory and anti-androgenic properties. The aim of this study was to evaluate the efficacy of topical ketoconazole 2% cream versus placebo in the treatment of mild and moderate acne vulgaris. Patients & Methods: 40 patients presented by mild and moderate acne were instructed to apply ketoconazole 2 % cream to the right half of the face and placebo to the left half of the face twice daily for 8 weeks Results: The mean percent reduction of inflammatory lesions (papules and pustules) and Total lesions count from baseline was significantly higher in ketoconazole than placebo. There was a statistically significant decrease in acne severity assessed by IGA score in both sides. The success rate of ketoconazole was significantly higher than placebo. In ketoconazole side, 17.5% of patients considered clear versus12.5%in control side and 52.5% almost clear versus 35% in control side. There was a statistically significant negative relationship between the therapeutic response and number of pustules in each side. Conclusion: Topical ketoconazole 2% can be an effective and safe treatment option for mild and moderate acne vulgaris.
Keywords
Acne; Ketoconazole 2%; Placebo


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