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ArticleClinical, cosmetic and investigational dermatology2024

Topical Tacrolimus in Vitiligo: Consensus Paper from the Pigmentary Disorders Society.

Rashmi Sarkar, Sunil Dogra, Keshavamurthy Vinay, Surabhi Sinha, Vignesh R Narayan, Muthu Sendhil Kumaran, Indrashis Podder, Soumya Jagadeesan, Mala Bhalla, Anupam Das and 7 more

Abstract read
In one paragraph

Article in Clinical, cosmetic and investigational dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Rashmi SarkarDepartment of Dermatology, Lady Hardinge Medical College and Associated KSCH and SSK Hospital, New Delhi, India.
Sunil DograDepartment of Dermatology Venereology & Leprology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.ORCID 0000-0001-9912-0085
Keshavamurthy VinayDepartment of Dermatology Venereology & Leprology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Surabhi SinhaDepartment of Dermatology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.
Vignesh R NarayanDepartment of Dermatology Venereology and Leprology, MS Ramaiah Medical College, Bangalore, Karnataka, India.
Muthu Sendhil KumaranDepartment of Dermatology Venereology & Leprology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Indrashis PodderDepartment of Dermatology, CMSDH, Kolkata, West Bengal, India.
Soumya JagadeesanDepartment of Dermatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Mala BhallaDepartment of Dermatology, Government Medical College and Hospital, Chandigarh, India.
Anupam DasDepartment of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal, India.
Ridhima LakhaniConsultant Dermatologist, Department of Dermatology, Fortis Hospitals, Shalimar Bagh, New Delhi, India.
Richa SharmaConsultant Dermatologist, Twacha Skin Clinic, New Delhi, India.
Shyamanta BaruaDepartment of Dermatology, Assam Medical College & Hospital, Dibrugarh, Assam, India.
Vijay K SomaniConsultant Dermatologist, Dermatrendz, Hyderabad, Telangana, India.
D M ThappaDepartment of Dermatology and STD, JIPMER, Puducherry, India.
Venkataram MysoreConsultant Dermatologist Venkat Center for Skin ENT and Plastic Surgery, Bengaluru, Karnataka, India.
Bhavesh SwarnkarConsultant Dermatologist, Indore, Madhya Pradesh, India.ORCID 0009-0009-8845-283X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tacrolimus, a topical calcineurin inhibitor (TCI) with immunomodulatory effects, is considered a viable treatment option for vitiligo. A consensus building exercise was undertaken to determine the role and clinical utility of topical tacrolimus in the management of vitiligo using input from experts in the field of dermatology. Methods: Seventeen experts collaborated to create consensus statements using a modified Delphi methodology. A questionnaire on effectiveness, safety and utility of topical tacrolimus in different types of vitiligo, duration, frequency, monotherapy and combination and other aspects was shared, and a concordance rate of 75% was preset to have consensus. A physical meeting was conducted to discuss statements, which did not achieve consensus. Results: Amongst 34 statements derived from round one, consensus was not achieved for 9 statements. In the second round, consensus was achieved for 2/9 statements, hence in the physical meeting, discussion was done to reframe the remaining seven statements. Apart from these 34 statements, questions pertaining to "Vitiligo: types and presentation in clinical practice", where consensus was not intended, are presented as descriptive statements. Conclusion: Topical tacrolimus ointment has a favorable risk benefit profile to be used as one of the first-line agents for vitiligo. Combination of topical tacrolimus and narrow band Ultraviolet-B (NBUVB) was recommended as an effective treatment for non-segmental vitiligo. Recommended frequency of application was once or twice daily for optimal results. Apart from a transient burning sensation, topical tacrolimus has a favorable safety profile.

Indexed as

autoimmuneautoreactive T cellsdepigmentingimmunomodulatorynon-segmental vitiligotacrolimustopical calcineurin inhibitor

Identifiers

PMID39717835
PMCPMC11664111

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.