Optimizing the use of topical retinoids in Asian acne patients

See, Jo Ann; Goh, Chee Leok; Hayashi, Nobuyuki; Suh, Dae Hun; Casintahan, Flordeliz Abad

doi:10.1111/1346-8138.14314

Cited by 26 publications

(32 citation statements)

References 54 publications

(145 reference statements)

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“…Furthermore, patients seldom express their concerns and often do not ask questions about their diagnosis or treatment during consultations [ 31 , 32 ]. Educational interventions aim to empower patients in self-management of their disease [ 33 ] and an increase in disease knowledge is associated with better therapy adherence and higher patient satisfaction [ 34 , 35 ]. A recent US study on adults, adolescents and parents of children who had been prescribed an EAI revealed that 61% of participants desired more effective patient education and 47% desired more time dedicated to patient education during the physician visit to improve clinical anaphylaxis management [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of a 90-min educational intervention for patients with insect venom allergy: a prospective controlled pilot study

Schoeben

Mohr

Bubak

et al. 2021

Allergy Asthma Clin Immunol

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Background Anaphylactic sting reactions need a prompt management. A structured educational intervention for patients with insect sting allergy has not been implemented so far. The purpose of this study was to analyze the effects of a structured 90-min educational intervention for patients with insect sting allergy. Methods Patients with an insect venom allergy were offered to participate in a structured 90-min group education (intervention group (IG)) or to attend a control group (CG). The patients’ subjective self-assurance in using the emergency medication, the willingness to always carry the emergency medication, the mental health status, absolute one-time willingness-to-pay (WTP) for complete cure, a disease knowledge assessment and a simulation test to examine the ability to manage an acute sting reaction were estimated at baseline (t0) and at follow-up (t1) as outcome parameters. Results 55 patients participated in the IG (n = 25, 52.0% female, mean age 55.9 years) or the CG (n = 30, 56.7% female, mean age 52.0 years). Both arms showed a significant gain in self-assurance in using the emergency medication (IG: 6.1 at t0 vs. 8.6 at t1, p < 0.0001 and CG: 7.1 vs. 8.0, p = 0.0062) and ability to manage an acute sting reaction (IG: 6.7 vs. 11.4, p < 0.0001 and CG: 9.0 vs. 10.5, p = 0.0002) at t1. However, trained participants showed a significantly higher gain in the respective parameters. There were no significant changes regarding the remaining examined outcome parameters. Conclusions Patients who are willing to invest 90 min in a patient education intervention benefit significantly by an increased subjective and objective empowerment to manage an acute sting reaction.

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Section: Discussionmentioning

confidence: 99%

Effects of a 90-min educational intervention for patients with insect venom allergy: a prospective controlled pilot study

Schoeben

Mohr

Bubak

et al. 2021

Allergy Asthma Clin Immunol

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“…12 Topical retinoids are the mainstay for acne management, and also for maintenance therapy. 13 There is a need for early and efficacious treatment to minimize the potential impact of acne-associated PIH. 13 Beneficial action of topical retinoids on the dermis has further demonstrated their efficacy on secondary lesions of acne, i.e.…”

Section: Acne-induced Post-inflammatory Hyperpigmentationmentioning

confidence: 99%

“…13 There is a need for early and efficacious treatment to minimize the potential impact of acne-associated PIH. 13 Beneficial action of topical retinoids on the dermis has further demonstrated their efficacy on secondary lesions of acne, i.e. scarring and pigmentation.…”

Section: Acne-induced Post-inflammatory Hyperpigmentationmentioning

confidence: 99%

See 1 more Smart Citation

Consensus on management of acne-induced post-inflammatory hyperpigmentation: an Indian perspective

Thomas¹,

Shankar

Pujara

et al. 2021

Int J Res Dermatol

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<p class="abstract">Post-inflammatory hyperpigmentation (PIH) is a multifactorial disorder linked to alterations in melanin pigment because of inflammatory skin condition or any injury. Acne-induced PIH is one of the common presentations observed in dermatological consultations in India, especially in females of younger age group. A wide range of topical depigmenting agents are available for effective clearance of hyperpigmentation in patients affected with acne. Besides, chemical peels and cosmetic procedures like lasers and light therapies are commonly employed. However, treatment of acne-induced PIH is challenging in Indian clinical settings for multiple reasons such as relapsing of the condition and long-standing nature of the disease; the tendency of treatment to cause pigmentation; insufficient clinical data on natural ingredients; and lack of clinical practice guidelines, exclusively for the management of PIH in Indian patients. An experts’ panel discussion involving dermatologists all over India was conducted to review the evidence-based concept of acne-induced hyperpigmentation, and to obtain expert opinions on effective and practical management of acne-induced PIH in Indian settings. This article outlines consensus expert opinions aimed at identifying, diagnosing, and managing acne-induced PIH using topical depigmenting agents in Indian patients. It also highlights effective preventive strategies, the role of patient counselling and education regarding awareness about the disease and its treatment strategies. </p>

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“…Também é fortemente recomendado o uso da combinação de PBO e Clindamicina para esse tipo de acne. Ainda segundo esse Guidelines, com força média de recomendação estão: o ácido azelaico, o peróxido de benzoíla, a combinação de antibiótico sistêmico com adapaleno, a associação de clindamicina e de tretinoína tópicas, além de retinoides tópicos 31 .…”

Section: Tratamento Da Acne Papulo-pustular Leve a Moderadaunclassified

Acne Vulgar: Associações Terapêuticas Estéticas E Farmacológicas

Pereira

Costa

Sobrinho

2019

RBMC

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A acne vulgar é a afecção cutânea mais frequente na população mundial. Consiste em uma doença crônica da unidade pilossebácea com importantes repercussões psicossociais. Este estudo objetivou revisar as principais modalidades terapêuticas para o tratamento da acne vulgar, ressaltando-se os benefícios e a eficácia das terapias farmacológicas e estéticas nas diferentes formas clínicas da acne. Trata-se de uma revisão narrativa de literatura sobre a associação de terapias farmacológicas e estéticas no tratamento da acne vulgar. Para a pesquisa foram utilizadas as bases de dados PubMed e Scielo. A busca das publicações foi realizada no período de Julho do ano de 2017 a Julho do ano de 2018. Foram selecionados artigos publicados de 2009 a 2018, com amostra final de 37 artigos. A classificação da acne vulgar quanto à gravidade das lesões em leve (comedoniana ou papulo-pustulosa), moderada (papulo-pustulosa ou nodular) e grave (nódulo-cística ou conglobata) mostra-se útil na determinação da terapêutica a ser escolhida, sendo adotada nos algoritmos terapêuticos de consensos internacionais. Os fármacos incluem retinoides tópicos e sistêmicos, antimicrobianos tópicos e sistêmicos, peróxido de benzoíla, ácido azelaico, além de fototerapia e procedimentos estéticos. O tratamento visa proporcionar a resolução das lesões cutâneas da acne, prevenir o desenvolvimento de cicatrizes e reduzir o aparecimento de novas lesões. Algumas terapias são recentes e promissoras, como é o caso de abordagens estéticas utilizando-se o laser, peelings químicos, microagulhamento e microdermoabrasão que podem colaborar com o tratamento coadjuvante à terapia medicamentosa podendo apresentar efeitos sinérgicos no tratamento da acne leve a moderada.

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Optimizing the use of topical retinoids in Asian acne patients

Cited by 26 publications

References 54 publications

Effects of a 90-min educational intervention for patients with insect venom allergy: a prospective controlled pilot study

Effects of a 90-min educational intervention for patients with insect venom allergy: a prospective controlled pilot study

Consensus on management of acne-induced post-inflammatory hyperpigmentation: an Indian perspective

Acne Vulgar: Associações Terapêuticas Estéticas E Farmacológicas

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