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Acne Vulgaris Management

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861. Psychological sequelae of acne vulgaris: Results of a qualitative study (PubMed)

Psychological sequelae of acne vulgaris: Results of a qualitative study To investigate the psychological sequelae of acne vulgaris.Qualitative study using a grounded-theory approach.General practices and specialty dermatology practices in Newcastle, Australia.Patients with current acne recruited from the practices.We used semistructured interviews and recorded participants' comments verbatim. Data analysis was cumulative and concurrent throughout the data-collection period. Coding and analysis (...) . Psychological sequelae were attributed to the effects of facial acne on appearance.The psychological effects of acne can be considerable. The psychological morbidity is complex and often does not conform to standard psychiatric disease criteria. Recognition and management of the psychological sequelae of acne by general practitioners is of considerable importance.

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2006 Canadian Family Physician

862. Efficacy of tetracyclines in the treatment of acne vulgaris: a review. (PubMed)

Efficacy of tetracyclines in the treatment of acne vulgaris: a review. Oral tetracyclines are routinely used for the management of inflammatory acne. However, there is a lack of evidence-based data on their relative effectiveness and appropriate dosages.To assess the relative effectiveness and the optimal dosage of tetracyclines for the treatment of inflammatory acne.We designed a systematic review of the clinical trials (1962-2006) investigating oral tetracyclines for the treatment (...) resistance to antibiotics, oral tetracycline formulations displayed no change in efficacy during the study period. Further studies are, however, required to determine if the anti-inflammatory properties of tetracyclines are sufficient in managing acne.

2007 British Journal of Dermatology

863. A comparison of low dosage trimethoprim/sulfamethoxazole with oxytetracycline in acne vulgaris. (PubMed)

A comparison of low dosage trimethoprim/sulfamethoxazole with oxytetracycline in acne vulgaris. It has been well documented that acne vulgaris usually responds well to long-term systemic tetracycline therapy. However, not all patients respond satisfactorily due to drug intolerance, adverse side effects such as fixed drug eruptions, moniliasis, photosensitivity, and gastric irritation. A double-blind study comparing trimethoprim/sulfamethoxazole with oxytetracycline in the management of acne (...) vulgaris has demonstrated that trimethoprim/sulfamethoxazole is an equally effective and as safe therapeutic agent as oxytetracycline. The results of this study are shown to confirm the works of other authors.

1980 Cutis; cutaneous medicine for the practitioner

864. Physicians underutilize topical retinoids in the management of acne vulgaris: analysis of U.S. National Practice Data. (PubMed)

Physicians underutilize topical retinoids in the management of acne vulgaris: analysis of U.S. National Practice Data. Topical retinoids are effective in the treatment of acne, yet no current guidelines existed in the literature until recently recommending their use as an integral part of mild to moderate acne treatment.To assess whether underutilization of topical retinoids occurs in clinical practice.Weighted data on representative office visits with acne vulgaris diagnoses were analyzed (...) using the National Ambulatory Medical Care Survey (NAMCS), from 1990 to 1999.Of the 54.2 million acne vulgaris visits, retinoids were prescribed at 35.3% visits. Dermatologists prescribed significantly more retinoids than non-dermatologists (39.4%' versus 23%). Dermatology visit was a significant predictor of topical retinoid prescription (RR: 2.27,95% CI: 1.63-3.17). Data suggest that prescribing retinoids for acne has been increasing over the past decade, primarily among dermatologists.There

2003 Journal of Dermatological Treatment

865. Guidelines of care for acne vulgaris management. (PubMed)

Guidelines of care for acne vulgaris management. Adherence to these guidelines will not ensure successful treatment in every situation. Furthermore, these guidelines should not be deemed inclusive of all proper methods of care or exclusive of other methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific therapy must be made by the physician and the patient in light of all the circumstances presented by the individual

2007 Journal of American Academy of Dermatology

866. Pityrosporum folliculitis: diagnosis and management in 6 female adolescents with acne vulgaris. (PubMed)

Pityrosporum folliculitis: diagnosis and management in 6 female adolescents with acne vulgaris. Pityrosporum folliculitis is a common inflammatory skin disorder that may mimic acne vulgaris. Some adolescents with recalcitrant follicular pustules or papules may have acne and Pityrosporum folliculitis simultaneously. Clinical response is dependent on treating both conditions.To demonstrate the similarity in clinical manifestation between acne vulgaris and Pityrosporum folliculitis, the benefit (...) patients also required some ongoing therapy for their acne.These patients demonstrate that follicular papulopustular inflammation of the face, back, and chest may be due to a combination of acne vulgaris and Pityrosporum folliculitis, a common yet less frequently identified disorder. Symptoms often wax and wane depending on the patient's activities, time of the year, current treatment regimens, and other factors. Pityrosporum folliculitis will often worsen with traditional acne therapy and dramatically

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2005 Archives of Pediatrics & Adolescent Medicine

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