Topical N-acetylcysteine treatment in neonatal ichthyosis

Unpredictable trancutaneous absorption of topically administered drugs and potential teratogenicity and toxicity of systemic drugs would make it mandatory to innovate more efficacious and less toxic drugs for the treatment of ichthyosis, which is not a fully curable disease in the neonatal pe...

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Main Authors: S Umit Sarici, Murat Sahin, Murat Yurdakök
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2003-07-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2896
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author S Umit Sarici
Murat Sahin
Murat Yurdakök
author_facet S Umit Sarici
Murat Sahin
Murat Yurdakök
author_sort S Umit Sarici
collection DOAJ
description Unpredictable trancutaneous absorption of topically administered drugs and potential teratogenicity and toxicity of systemic drugs would make it mandatory to innovate more efficacious and less toxic drugs for the treatment of ichthyosis, which is not a fully curable disease in the neonatal period. In this article the clinical efficacy of 10% N-acetylcysteine emulsion in the topical treatment of congenital ichthyosis in a newborn was assessed, comparing simultaneously with 4% urea emulsion. After treating the skin of the left and right halves of the body with topical N-acetylcysteine and 4% urea, respectively, for nine days, the improvement was much more outstanding on the skin of the left half of the body when compared to the right half of the body. Topical N-acetylcysteine, to our knowledge, has not been used in a newborn with ichthyosis before, and this is the first report of a case of neonatal ichthyosis successfully treated with topical N-acetylcysteine. We conclude that 10% N-acetylcysteine emulsion, as an non-toxic and hypoallergic amino acid derivative, can be safely and efficaciously used in the topical treatment of neonatal ichthyosis, although the permanent cure may not always be possible.
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spelling doaj-art-d445db0b835540869b026fc36c15f7362025-08-20T02:55:39ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212003-07-01453Topical N-acetylcysteine treatment in neonatal ichthyosisS Umit Sarici0Murat SahinMurat YurdakökDepartment of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. Unpredictable trancutaneous absorption of topically administered drugs and potential teratogenicity and toxicity of systemic drugs would make it mandatory to innovate more efficacious and less toxic drugs for the treatment of ichthyosis, which is not a fully curable disease in the neonatal period. In this article the clinical efficacy of 10% N-acetylcysteine emulsion in the topical treatment of congenital ichthyosis in a newborn was assessed, comparing simultaneously with 4% urea emulsion. After treating the skin of the left and right halves of the body with topical N-acetylcysteine and 4% urea, respectively, for nine days, the improvement was much more outstanding on the skin of the left half of the body when compared to the right half of the body. Topical N-acetylcysteine, to our knowledge, has not been used in a newborn with ichthyosis before, and this is the first report of a case of neonatal ichthyosis successfully treated with topical N-acetylcysteine. We conclude that 10% N-acetylcysteine emulsion, as an non-toxic and hypoallergic amino acid derivative, can be safely and efficaciously used in the topical treatment of neonatal ichthyosis, although the permanent cure may not always be possible. https://turkjpediatr.org/article/view/2896
spellingShingle S Umit Sarici
Murat Sahin
Murat Yurdakök
Topical N-acetylcysteine treatment in neonatal ichthyosis
The Turkish Journal of Pediatrics
title Topical N-acetylcysteine treatment in neonatal ichthyosis
title_full Topical N-acetylcysteine treatment in neonatal ichthyosis
title_fullStr Topical N-acetylcysteine treatment in neonatal ichthyosis
title_full_unstemmed Topical N-acetylcysteine treatment in neonatal ichthyosis
title_short Topical N-acetylcysteine treatment in neonatal ichthyosis
title_sort topical n acetylcysteine treatment in neonatal ichthyosis
url https://turkjpediatr.org/article/view/2896
work_keys_str_mv AT sumitsarici topicalnacetylcysteinetreatmentinneonatalichthyosis
AT muratsahin topicalnacetylcysteinetreatmentinneonatalichthyosis
AT muratyurdakok topicalnacetylcysteinetreatmentinneonatalichthyosis