Tranilast/roxithromycin with topical tacrolimus in refractory atopic facial eczema: Case report.
Yasuhiro Horiuchi
✦ AI-curated · Sources linked
Case in brief
A 30-year-old man with atopic dermatitis had facial eczema and severe itching that persisted despite conventional treatment, including oral betamethasone. He received topical pediatric 0.03% tacrolimus ointment alongside tranilast 200 mg/day and roxithromycin 300 mg/day. Within 3 weeks, the facial eczema and itching had completely resolved.
What made this case unusual
The refractory facial eczema resolved after a regimen combining topical tacrolimus with oral tranilast and roxithromycin.
Diagnostic / clinical pearl
In this case, persistent facial eczema associated with atopic dermatitis resolved with topical tacrolimus plus oral tranilast and roxithromycin.