Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.
Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
Skin Therapy Lett. 2024 Jul;29(4):1-4.
Acne vulgaris is a common, often chronic inflammatory disease that can affect all ages and skin tones. Beyond acute lesions, the sequelae of acne - specifically scarring and dyspigmentation - can be long-lasting, challenging to treat and have substantial psychosocial impact on affected individuals. For acne scarring, treatment modalities include topical, physical, and laser and light therapies, with combination approaches typically yielding optimal outcomes. Trifarotene is a novel fourth generation retinoid with targeted action towards retinoid acid receptor gamma (RAR-γ), the most common isotype found in the epidermis, that has previously been approved for the management of moderate-to-severe facial and truncal acne in individuals over the age of 12 years. Recently, data on trifarotene supports its application in acne scarring. Herein, we provide a succinct review on various treatments for acne scarring and explore how trifarotene and its mechanism of action present an additional topical approach to target atrophic acne scarring.
寻常痤疮是一种常见的、常为慢性的炎症性疾病,可发生于所有年龄段和肤色人群。除了急性皮损外,痤疮的后遗症,特别是瘢痕和色素沉着异常,可能持久存在,治疗具有挑战性,并对患者造成重大的心理社会影响。对于痤疮瘢痕,治疗方法包括局部、物理、激光和光疗,联合治疗通常可获得最佳效果。三芳维甲酸是一种新型的第四代维甲酸,其作用靶点为视黄酸受体γ(RAR-γ),这是在表皮中最常见的同种型,以前已被批准用于治疗 12 岁以上人群的中重度面部和躯干痤疮。最近,三芳维甲酸在痤疮瘢痕中的应用数据支持了其应用。在此,我们简要综述了各种痤疮瘢痕的治疗方法,并探讨了三芳维甲酸及其作用机制如何为治疗萎缩性痤疮瘢痕提供了一种额外的局部治疗方法。