Arrington Elizabeth A, Patel Nishit S, Gerancher Karen, Feldman Steven R
Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, USA.
Cutis. 2012 Aug;90(2):83-90.
Many therapies exist in the arsenal of drugs available to dermatologists for the treatment of acne vulgaris. Among them, hormonal therapy stands out as a unique and highly efficacious treatment modality. Although some dermatologists may be hesitant to prescribe hormonal therapies, they can be safely and appropriately used in eligible female patients to treat acne vulgaris. Herein, current issues regarding the hormonal treatment of acne in the form of combined oral contraceptives (COCs) are presented, and a practical method for implementing this therapy is proposed. Specifically, drug selection, associated risks, benefits, monitoring, and counseling are discussed, with emphasis on the practicality of use in the clinical setting.
皮肤科医生治疗寻常痤疮的药物库中有多种疗法。其中,激素疗法作为一种独特且高效的治疗方式脱颖而出。尽管一些皮肤科医生可能对开具激素疗法有所犹豫,但它们可安全、适当地用于符合条件的女性患者以治疗寻常痤疮。本文介绍了以复方口服避孕药(COC)形式进行痤疮激素治疗的当前问题,并提出了实施该疗法的实用方法。具体讨论了药物选择、相关风险、益处、监测和咨询,重点在于在临床环境中使用的实用性。