Harms M
Schweiz Med Wochenschr. 1983 Oct 22;113(42):1549-54.
56 patients with nodulocystic acne, hidrosadenitis (2 cases) and steatocystoma multiplex (2 cases) were treated with oral isotretinoin. 52 patients cleared completely or were much improved without local treatment; 2 failures involved patients with steatocystoma, while 2 patients with ano-inguinal lesions were only improved. 19 patients received a dose of 0.5 mg/kg/day for six months; in 37 patients the dose was adapted to the initial response but did not exceed 1 mg/kg/day. Reversible elevated triglyceride concentration was observed in 5% of the patients. 18 patients were followed up and 4 (22%) presented moderate relapses.
56例结节囊肿性痤疮、汗腺炎(2例)和多发性皮脂囊肿(2例)患者接受了口服异维A酸治疗。52例患者未经局部治疗即完全清除或明显改善;2例治疗失败的患者患有皮脂囊肿,而2例患有肛门腹股沟病变的患者仅有所改善。19例患者接受0.5mg/kg/天的剂量,持续6个月;37例患者的剂量根据初始反应进行调整,但不超过1mg/kg/天。5%的患者观察到甘油三酯浓度可逆性升高。18例患者接受随访,4例(22%)出现中度复发。