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中度至重度痤疮中个体化异维A酸治疗的优势:真实世界数据

Advantages of Tailored Isotretinoin Treatment in Moderate to Severe Acne: Real-Life Data.

作者信息

Skroza Nevena, Tolino Ersilia, Balduzzi Veronica, Bernardini Nicoletta, Mambrin Alessandra, Marchesiello Anna, Marraffa Federica, Rossi Giovanni, Volpe Salvatore, Proietti Ilaria, Potenza Concetta

机构信息

Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Terracina, Italy.

出版信息

Front Pharmacol. 2021 Nov 12;12:733526. doi: 10.3389/fphar.2021.733526. eCollection 2021.

DOI:10.3389/fphar.2021.733526
PMID:34867340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8632712/
Abstract

This retrospective single-center study analyzes the efficacy and safety of isotretinoin for the treatment of moderate to severe acne in real-life clinical practice, particularly with regard to acne severity, isotretinoin cumulative dosage, and patients' gender. The results suggest the opportunity of an early isotretinoin systemic treatment in patients affected by moderate acne and emphasize the importance of an appropriate dose adjustment in order to minimize adverse events.

摘要

这项回顾性单中心研究分析了异维A酸在现实临床实践中治疗中度至重度痤疮的疗效和安全性,特别是在痤疮严重程度、异维A酸累积剂量和患者性别方面。结果表明,对于中度痤疮患者,有机会尽早进行异维A酸全身治疗,并强调了适当调整剂量以尽量减少不良事件的重要性。

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Advantages of Tailored Isotretinoin Treatment in Moderate to Severe Acne: Real-Life Data.中度至重度痤疮中个体化异维A酸治疗的优势:真实世界数据
Front Pharmacol. 2021 Nov 12;12:733526. doi: 10.3389/fphar.2021.733526. eCollection 2021.
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Efficacy and safety of systemic isotretinoin treatment for moderate to severe acne (insights from the real-life clinical setting).系统用异维 A 酸治疗中重度痤疮的疗效和安全性(来自真实临床环境的观察)。
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Lidose-Isotretinoin Administered Without Food Improves Quality of Life in Patients With Severe Recalcitrant Nodular Acne: An Open-Label, Single-Arm, Phase IV Study.空腹服用利度胺-异维A酸可改善重度顽固性结节性痤疮患者的生活质量:一项开放标签、单臂、IV期研究。
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Clinical evaluation of Double Strength Isotrexin versus Benzamycin in the topical treatment of mild to moderate acne vulgaris.双效异维甲酸与苄星霉素局部治疗轻至中度寻常痤疮的临床评估
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Isotretinoin for acne vulgaris.异维A酸治疗寻常痤疮。
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Combination of low-dose isotretinoin and pulsed oral azithromycin in the management of moderate to severe acne: a preliminary open-label, prospective, non-comparative, single-centre study.低剂量异维 A 酸联合脉冲口服阿奇霉素治疗中重度痤疮:一项初步的开放标签、前瞻性、非对照、单中心研究。
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Efficacy of fixed daily 20 mg of isotretinoin in moderate to severe scar prone acne.每日固定剂量20毫克异维A酸治疗中度至重度易形成瘢痕痤疮的疗效。
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本文引用的文献

1
Investigation of relapse rate and factors affecting relapse after oral isotretinoin treatment in patients with acne vulgaris.寻常痤疮患者口服异维A酸治疗后复发率及影响复发因素的研究。
Dermatol Ther. 2021 Nov;34(6):e15109. doi: 10.1111/dth.15109. Epub 2021 Sep 2.
2
The rates of major malformations after gestational exposure to isotretinoin: a systematic review and meta-analysis.孕期暴露于异维甲酸后严重畸形的发生率:一项系统评价和荟萃分析。
Obstet Gynecol Sci. 2021 Jul;64(4):364-373. doi: 10.5468/ogs.20373. Epub 2021 Mar 17.
3
The use of isotretinoin for acne - an update on optimal dosing, surveillance, and adverse effects.异维 A 酸治疗痤疮——最佳剂量、监测和不良反应的最新进展。
Expert Rev Clin Pharmacol. 2020 Aug;13(8):885-897. doi: 10.1080/17512433.2020.1796637. Epub 2020 Aug 1.
4
Optimizing Isotretinoin Treatment of Acne: Update on Current Recommendations for Monitoring, Dosing, Safety, Adverse Effects, Compliance, and Outcomes.优化异维 A 酸治疗痤疮:当前监测、剂量、安全性、不良反应、依从性和结局建议的更新。
Am J Clin Dermatol. 2020 Jun;21(3):411-419. doi: 10.1007/s40257-020-00508-0.
5
Isotretinoin exposure during pregnancy: a population-based study in The Netherlands.孕期异维甲酸暴露:荷兰一项基于人群的研究。
BMJ Open. 2014 Nov 12;4(11):e005602. doi: 10.1136/bmjopen-2014-005602.
6
Isotretinoin: dose, duration and relapse. What does 30 years of usage tell us?异维 A 酸:剂量、疗程和复发。30 年的使用经验告诉了我们什么?
Australas J Dermatol. 2013 Aug;54(3):157-62. doi: 10.1111/j.1440-0960.2012.00947.x. Epub 2012 Sep 26.
7
Systemic isotretinoin therapy normalizes exaggerated TLR-2-mediated innate immune responses in acne patients.系统性异维 A 酸治疗可使痤疮患者过度的 TLR-2 介导的固有免疫反应恢复正常。
J Invest Dermatol. 2012 Sep;132(9):2198-205. doi: 10.1038/jid.2012.111. Epub 2012 Apr 19.
8
[S2k-guideline for therapy of acne].[严重寻常痤疮治疗的S2k指南]
J Dtsch Dermatol Ges. 2010 Jul;8 Suppl 2:s1-59. doi: 10.1111/j.1610-0387.2010.07466.x.
9
Temporal changes in gene expression in the skin of patients treated with isotretinoin provide insight into its mechanism of action.接受异维甲酸治疗的患者皮肤中基因表达的时间变化为其作用机制提供了线索。
Dermatoendocrinol. 2009 May;1(3):177-87. doi: 10.4161/derm.1.3.8258.
10
Isotretinoin use in acne: prospective evaluation of adverse events.异维A酸治疗痤疮:不良事件的前瞻性评估
J Cutan Med Surg. 2000 Apr;4(2):66-70. doi: 10.1177/120347540000400205.