Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial

Introduction: Actinic keratosis (AK) is a precancerous skin lesion that can progress to keratinocyte carcinoma. Objective: The objective of the study was to evaluate the efficacy of a dermocosmetic (DC) formulation containing prebiotic active ingredients (Aqua Posae Filiformis, a complex made of...

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Main Authors: Cesare Ariasi, Carola Romanò, Cesare Tomasi, Simone Soglia, Gaetano Licata, Luca Rubelli, Piergiacomo Calzavara Pinton, Marina Venturini, Mariachiara Arisi
Format: Article
Language:English
Published: Mattioli1885 2025-01-01
Series:Dermatology Practical & Conceptual
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Online Access:https://dpcj.org/index.php/dpc/article/view/4905
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author Cesare Ariasi
Carola Romanò
Cesare Tomasi
Simone Soglia
Gaetano Licata
Luca Rubelli
Piergiacomo Calzavara Pinton
Marina Venturini
Mariachiara Arisi
author_facet Cesare Ariasi
Carola Romanò
Cesare Tomasi
Simone Soglia
Gaetano Licata
Luca Rubelli
Piergiacomo Calzavara Pinton
Marina Venturini
Mariachiara Arisi
author_sort Cesare Ariasi
collection DOAJ
description Introduction: Actinic keratosis (AK) is a precancerous skin lesion that can progress to keratinocyte carcinoma. Objective: The objective of the study was to evaluate the efficacy of a dermocosmetic (DC) formulation containing prebiotic active ingredients (Aqua Posae Filiformis, a complex made of ferments, sugars, plant extracts, panthenol, madecassoside, and zinc) on healing time and local skin reactions (LSR) following cryotherapy of AKs and to compare the application of DC aand boric acid 3% solution soaks (BA) vs. BA alone. Methods: Seventy-five adult patients presenting with a maximum of 5 isolated AKS on the face and/or scalp and who underwent cryotherapy (T0) were enrolled. Post-treatment, patients initiated the application of BA only or BA followed by DC once daily for 30 days (unblinded 1:1 randomization). The evaluation of efficacy in healing time and cosmetic outcomes was assessed 30 days post-treatment (T2); LSR was evaluated 3 days post-treatment (T1). Results: There was a gain of 4.5 days (40%) in healing time in the BA+DC group compared to the BA group, with a median time of 7 days versus 11.5 days (P<0.0005). Additionally, 50% of lesions in complete response had an excellent cosmetic outcome with BA+DC vs. 20% with BA only. The majority of patients treated with BA+DC had mild LSR vs. moderate LSR with BA, with a median value of 2 vs 3, respectively (P<0.0001). Conclusion: The addition of a prebiotic DC significantly reduced healing time, improved cosmetic outcomes, and minimized LSR post-cryotherapy. No adverse events were reported with this treatment.
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spelling doaj-art-817a680808f24e0b881800b0b8e4b0262025-02-04T15:41:28ZengMattioli1885Dermatology Practical & Conceptual2160-93812025-01-0115110.5826/dpc.1501a4905Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled TrialCesare Ariasi0Carola Romanò1Cesare Tomasi2Simone Soglia3Gaetano Licata4Luca Rubelli5Piergiacomo Calzavara Pinton6Marina Venturini7Mariachiara Arisi8Department of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, San Antonio Abate Hospital, Trapani, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, ItalyDepartment of Dermatology, University of Brescia, Brescia, Italy Introduction: Actinic keratosis (AK) is a precancerous skin lesion that can progress to keratinocyte carcinoma. Objective: The objective of the study was to evaluate the efficacy of a dermocosmetic (DC) formulation containing prebiotic active ingredients (Aqua Posae Filiformis, a complex made of ferments, sugars, plant extracts, panthenol, madecassoside, and zinc) on healing time and local skin reactions (LSR) following cryotherapy of AKs and to compare the application of DC aand boric acid 3% solution soaks (BA) vs. BA alone. Methods: Seventy-five adult patients presenting with a maximum of 5 isolated AKS on the face and/or scalp and who underwent cryotherapy (T0) were enrolled. Post-treatment, patients initiated the application of BA only or BA followed by DC once daily for 30 days (unblinded 1:1 randomization). The evaluation of efficacy in healing time and cosmetic outcomes was assessed 30 days post-treatment (T2); LSR was evaluated 3 days post-treatment (T1). Results: There was a gain of 4.5 days (40%) in healing time in the BA+DC group compared to the BA group, with a median time of 7 days versus 11.5 days (P<0.0005). Additionally, 50% of lesions in complete response had an excellent cosmetic outcome with BA+DC vs. 20% with BA only. The majority of patients treated with BA+DC had mild LSR vs. moderate LSR with BA, with a median value of 2 vs 3, respectively (P<0.0001). Conclusion: The addition of a prebiotic DC significantly reduced healing time, improved cosmetic outcomes, and minimized LSR post-cryotherapy. No adverse events were reported with this treatment. https://dpcj.org/index.php/dpc/article/view/4905Dermocosmetic formulationLocal skin reactions CryotherapyActinic keratosis
spellingShingle Cesare Ariasi
Carola Romanò
Cesare Tomasi
Simone Soglia
Gaetano Licata
Luca Rubelli
Piergiacomo Calzavara Pinton
Marina Venturini
Mariachiara Arisi
Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
Dermatology Practical & Conceptual
Dermocosmetic formulation
Local skin reactions
Cryotherapy
Actinic keratosis
title Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
title_full Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
title_fullStr Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
title_full_unstemmed Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
title_short Prebiotic- and Panthenol-Containing Multipurpose Healing Dermocosmetics Post-Cryotherapy for Actinic Keratoses: Results of a Randomized Controlled Trial
title_sort prebiotic and panthenol containing multipurpose healing dermocosmetics post cryotherapy for actinic keratoses results of a randomized controlled trial
topic Dermocosmetic formulation
Local skin reactions
Cryotherapy
Actinic keratosis
url https://dpcj.org/index.php/dpc/article/view/4905
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