Innovative Approaches and Comprehensive Strategies in the Treatment of Acne Vulgaris. A Multi Faceted Review
DOI:
https://doi.org/10.12775/QS.2024.16.52886Keywords
acne vulgaris, sebum, skin, chemical peels, pores, dermatology, retinolAbstract
Introduction
Acne vulgaris, widely recognized as one of the most prevalent skin disorders, presents numerous diagnostic and therapeutic challenges. It affects not only adolescents during puberty but also adults, constituting a multifaceted phenomenon that influences both the physical condition of the skin and the psychological well-being of individuals. Acne's impact extends to overall well-being and social life. Given the complexity of this condition, a thorough understanding of its etiologies and the pursuit of effective therapeutic methods are essential. This review aims to evaluate fractional laser therapy as a potentially effective and safe treatment for acne vulgaris, emphasizing its potential to improve the quality of life and comfort for individuals suffering from this condition.
Aim of the Study
The objective of this review is to delineate the causes of common acne occurrence and explore solutions in its treatment process. The primary aim is to present fractional laser therapy as an effective treatment modality for acne vulgaris.
Material and Method
This article synthesizes the current state of knowledge regarding acne vulgaris, drawing on various scientific articles.
Conclusions
The path to eliminating skin lesions necessitates a multifaceted and holistic approach, with essential guidance from a dermatologist. Effective acne treatment requires an individualized strategy that considers multiple factors. In practice, a combination of different treatment modalities often yields the best results.
References
Alam M, Omura N, Kaminer MS. Subcision for acne scarring: technique and outcomes in 40 patients. Dermatol Surg. 2005 Jun;31(6):310-7. doi: 10.1111/j.1524-4725.2005.31030. PMID: 15962719.
Haider A, Shaw JC. Treatment of acne vulgaris. JAMA. 2004 Jan 21;291(3):307-10. doi: 10.1001/jama.291.3.307. PMID: 14734595.
Skroza N, Tolino E, Proietti I, Bernardini N, Nicolucci F, Mambrin A, La Viola G, Soccodato V, Zuber S, Balduzzi V, Marchesiello A, Bernardeschi C, Potenza C. Adult Acne Versus Adolescent Acne: A Retrospective Study of 1,167 Patients. J Clin Aesthet Dermatol. 2018 Sep;11(9):21-25. PMID: 30416597; PMCID: PMC6199756.
White GM. Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris. J Am Acad Dermatol. 1998 Jul;39(1 Suppl):S34-7. doi: 10.1016/s0190-9622(98)70442-6. PMID: 9669146.
Simonart T. Newer approaches to the treatment of acne vulgaris. Am J Clin Dermatol. 2012 Apr 1;13(2):357-64. doi: 10.2165/11598910-000000000-00000. PMID: 22268388.
Piskin S., Uzunali E. (2006). A review of the use of adapalene for the treatment of acne vulgaris. Therapeutics and Clinical Risk Management, 2(2), 251–265.
Czarnecka-Operacz M., Adamski Z. (2009). Nowoczesne metody leczenia trądziku pospolitego. Forum Medycyny Rodzinnej, 3(2), 107-114.
Thiboutot D, Gollnick H, Bettoli V, et al. New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group. J Am Acad Dermatol. 2009;60(5 Suppl):S1-S50.
Kurokawa I, Danby FW, Ju Q, et al. New developments in our understanding of acne pathogenesis and treatment. Exp Dermatol. 2009;18(10):821-832.
Gollnick HP, Bettoli V, Lambert J, et al. A consensus-based practical and daily guide for the treatment of acne patients. J Eur Acad Dermatol Venereol. 2016;30(9):1480-1490.
Platsidaki E, Dessinioti C. Recent advances in understanding Propionibacterium acnes (Cutibacterium acnes) in acne. F1000Res. 2018 Nov 28;7:F1000 Faculty Rev-1953. doi: 10.12688/f1000research.15791.1. PMID: 30564531; PMCID: PMC6281023.
Wollina U. (2016). Recent advances in the understanding and management of acne vulgaris. F1000Research, 5, F1000 Faculty Rev–1632
Anstead GM, Hartman CS. Topical retinoids in acne vulgaris: Update on efficacy and safety. Am J Clin Dermatol. 2011;12(4):217-226.
Piquero-Martin J, Serra-Baldrich E, Salleras-Redonnet M, Lizan-Garcia M. Combined oral contraceptive effectiveness on female acne: clinical characteristics impact. Eur J Clin Pharmacol. 2018 Aug;74(8):1079-1084. doi: 10.1007/s00228-018-2470-9. Epub 2018 Apr 26. PMID: 29696409.
Dréno B, Poli F. Epidemiology of acne. Dermatology. 2003;206(1):7-10. doi: 10.1159/000067802. PMID: 12566808.
Tan JK, Bhate K. A global perspective on the epidemiology of acne. Br J Dermatol. 2015 Jul;172 Suppl 1:3-12. doi: 10.1111/bjd.13462. PMID: 25597339.
Zouboulis CC. Acne as a chronic systemic disease. Clin Dermatol. 2014 Jan-Feb;32(1):389-96. doi: 10.1016/j.clindermatol.2013.06.013. PMID: 24314375.
Beylot C, Auffret N, Poli F, Claudel JP, Leccia MT, Del Giudice P, Dreno B. Propionibacterium acnes: an update on its role in the pathogenesis of acne. J Eur Acad Dermatol Venereol. 2014 Jun;28(6):271-8. doi: 10.1111/jdv.12224. Epub 2013 Aug 19. PMID: 23957783.
Haider A, Shaw JC. Treatment of acne vulgaris. JAMA. 2004 Jan 21;291(3):307-10. doi: 10.1001/jama.291.3.307. PMID: 14734595.
Czarnecka-Operacz M., Adamski Z. (2012). Wpływ czynników endogennych i egzogennych na nasilenie trądziku pospolitego. Dermatologia Kliniczna, 14(4), 162-167.
Nowicka D., Kędzia A., Hryszko M., Karczewski J. (2016). Rola diety w etiopatogenezie trądziku pospolitego. Dermatologia Kliniczna, 18(4), 207-210.
Kaszuba A, Adamski Z. Leksykon dermatologiczny. Lublin: Wydawnictwo Czelej, 2011. s.730-731.
Czarnecka-Operacz M., Adamski Z. (2012). Wpływ czynników endogennych i egzogennych na nasilenie trądziku pospolitego. Dermatologia Kliniczna, 14(4), 162-167.
Krakowski AC, Eichenfield LF, Dohil MA. Management of acne vulgaris: a pediatric dermatologist's perspective. Semin Cutan Med Surg. 2008 Sep;27(3):188-94. doi: 10.1016/j.sder.2008.07.004. PMID: 18928821.
Goulden V, Clark SM, McGeown C, Cunliffe WJ. Treatment of acne with intermittent isotretinoin. Br J Dermatol. 1997 May;136(5):690-4. doi: 10.1111/j.1365-2133.1997.tb03745.x. PMID: 9209021.
Cunliffe WJ, Goulden V. Phototherapy and acne vulgaris. Br J Dermatol. 2000 Oct;143(4):725-7. doi: 10.1046/j.1365-2133.2000.03842.x. PMID: 11069466.
Lehmann HP, Robinson KA, Andrews JS, Holloway V, Goodman SN. Acne therapy: a methodologic review. J Am Acad Dermatol. 2002 Jul;47(1):231-40. doi: 10.1067/mjd.2002.124530. PMID: 12077584.
Simonart T. Newer approaches to the treatment of acne vulgaris. Am J Clin Dermatol. 2012 Apr 1;13(2):357-64. doi: 10.2165/11598910-000000000-00000. PMID: 22268388.
Adamski Z., Kaszuba A., Reich A. (2011). Antybiotyki w leczeniu trądziku pospolitego. Dermatologia Kliniczna, 13(3), 143-147.
Zaremba J., Czarnecka-Operacz M. (2008). Leczenie farmakologiczne trądziku pospolitego. Dermatologia Kliniczna, 10(2), 87-91.
Thiboutot D, Gollnick H, Bettoli V, et al. New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group. J Am Acad Dermatol. 2009;60(5 Suppl):S1-S50.
Alexis AF, Callender VD, Baldwin HE, Desai SR, Rendon MI, Taylor SC. Global epidemiology and clinical spectrum of acne vulgaris. J Drugs Dermatol. 2011;10(8):742-750.
Anstead GM, Hartman CS. Topical retinoids in acne vulgaris: Update on efficacy and safety. Am J Clin Dermatol. 2011;12(4):217-226.
Dreno B, Layton A, Zouboulis CC, López-Estebaranz JL, Zalewska-Janowska A, Bagatin E, Zampeli VA, Yutskovskaya Y, Harper JC, Thiboutot D. Adult female acne: a new paradigm. J Eur Acad Dermatol Venereol. 2013 May;27(5):1063-70. doi: 10.1111/j.1468-3083.2012.04610.x. Epub 2012 May 3. PMID: 22554256
Cunliffe, W. J., & Goulden, V. (2000). Phototherapy and acne vulgaris. British Journal of Dermatology, 142(5), 855–856. https://doi.org/10.1046/j.1365-2133.2000.03433.x
Elman, M., & Lebzelter, J. (2004). Light therapy in the treatment of acne vulgaris. Dermatologic Surgery, 30(2), 139–146. https://doi.org/10.1111/j.1524-4725.2004.30033.x
Lee, S. Y., You, C. E., & Park, M. Y. (2007). Blue and red light combination LED phototherapy for acne vulgaris in patients with skin phototype IV. Lasers in Surgery and Medicine, 39(2), 180–188. https://doi.org/10.1002/lsm.20428
Fabi, S., & Sundaram, H. (2014). The potential of topical and injectable growth factors and cytokines for skin rejuvenation. Facial Plastic Surgery Clinics of North America, 22(4), 415–427. https://doi.org/10.1016/j.fsc.2014.07.009
Lee, J. B., Bae, S. H., & Lee, H. S. (2014). Treatment of acne scars with hyaluronic acid: An improved approach. Journal of the American Academy of Dermatology, 70(5), e102–e103. https://doi.org/10.1016/j.jaad.2013.10.057
El-Domyati, M., Abd-El-Raheem, T., Abdel-Wahab, H., & Medhat, W. (2016). Efficacy of chemical peeling in treatment of facial acne scars. The Journal of Cosmetics, Dermatological Sciences and Applications, 6(3), 115–123. https://doi.org/10.4236/jcdsa.2016.63015
Fabbrocini, G., Annunziata, M. C., D'arco, V., De Vita, V., Lodi, G., Mauriello, M. C., Pastore, F., & Monfrecola, G. (2010). Acne scars: Pathogenesis, classification and treatment. Dermatology Research and Practice, 2010, 1–13. https://doi.org/10.1155/2010/893080
Sobanko J. F., Alster T. S. (2016). Laser treatment for improvement and minimization of facial scars. Seminars in Cutaneous Medicine and Surgery, 35(1), 36–41.
Tierney EP, Hanke CW. Fractionated carbon dioxide laser treatment of photoaging: Prospective study in 45 patients and review of the literature. Dermatol Surg. 2011;37(9):1270-1279.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Adrian Maj, Martyna Warno

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 154
Number of citations: 0