Evaluation of acitretin side effects on Iraqi psoriatic patients

Acitretin is the major metabolite of etretinate , an aromatic retinoid that formerly was approved for Psoriasis by exhibiting  vitamin A activity.  Acitretin was wildly used to improve plaque psoriasis  and also for postural psoriasis and  erthrodemic psoriasis .The present study focus on the evalu...

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Bibliographic Details
Main Authors: Ahmed H. Kadhim‎, Dhia'a A. Hassan‎, Amer H. Chyad‎, Abdulstaar M. Khudyar‎
Format: Article
Language:English
Published: University of Baghdad, College of Veterinary Medicine 2010-12-01
Series:The Iraqi Journal of Veterinary Medicine
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Online Access:https://jcovm.uobaghdad.edu.iq/index.php/Iraqijvm/article/view/1956
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Summary:Acitretin is the major metabolite of etretinate , an aromatic retinoid that formerly was approved for Psoriasis by exhibiting  vitamin A activity.  Acitretin was wildly used to improve plaque psoriasis  and also for postural psoriasis and  erthrodemic psoriasis .The present study focus on the evaluation of the common  side effects of acitretin which makes a wide hesitation for Iraqi dermatologists to use it in treatement of psoriasis. Twenty  psoriatic outpatient were treated with a dose of 25mg/ day for three continuous months in outpatient clinic of al- noor hospital during 2009 , their lipid profiles , liver and kidney function tests before starting treatment with acitretin considered as a control values. It was noticed that AST level increased significantly during 2nd and 3rd months of treatment and there is no significant change in S. Creatinine and BUN while TG  increased significantly in 2nd and 3rd months of treatment.Cholesterol increased in the 3rd month of treatment. There is other  important factors should be consider before evaluation the physiological changes may be caused by acitretin like smoking , alcohol intake , obesity and genetic association between psoriasis and other physiological change. However the changes that caused by administration of  acitretin were relatively acceptable and not preventive measurement , but continuous monitoring (of TG , cholesterol , liver and kidney function test) still required regularly.
ISSN:1609-5693
2410-7409