Department of Dermatology, Brigham and Women's Hospital, 41 Avenue Louis Pasteur, 317A, Boston, MA 02115, USA; Department of Dermatology, Harvard Medical School, Boston, MA, USA; Department of Dermatology, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115, USA.
Department of Dermatology, Brigham and Women's Hospital, 41 Avenue Louis Pasteur, 317A, Boston, MA 02115, USA.
Dermatol Clin. 2025 Jan;43(1):11-25. doi: 10.1016/j.det.2024.08.002. Epub 2024 Sep 10.
Although many treatments are available for acne, these can be limited by lack of effectiveness, patient tolerance and adherence, and accessibility. This review provides a comprehensive summary of the latest developments in acne management, exploring a range of topical, systemic, and procedural treatments. The mechanisms of action, pivotal trial data, and potential role in clinical practice are reviewed for emerging therapies such as 1726 nm laser, sarecycline, clascoterone, trifarotene, minocycline foam, and fixed-dose combination topicals. The clinical pipeline is also summarized. In addition, opportunities to improve the patient experience with spironolactone and isotretinoin are discussed.
尽管有许多治疗痤疮的方法,但这些方法可能会受到疗效不佳、患者耐受性和依从性以及可及性的限制。本综述全面总结了痤疮管理的最新进展,探讨了一系列局部、系统和程序性治疗方法。本文综述了新兴疗法(如 1726nm 激光、沙尔塞林、氯司替隆、曲法罗汀、米诺环素泡沫和固定剂量联合局部制剂)的作用机制、关键试验数据及其在临床实践中的潜在作用。还总结了临床研发管线。此外,还讨论了改善螺内酯和异维 A 酸患者体验的机会。