The Management and Treatment of Acne

May 2015 in “ Primary Health Care ”

Kathy Radley

topical adapalene benzoyl peroxide oral isotretinoin comedonal acne papulopustular acne nodular acne conglobate acne teratogenic risks mood changes lower glycaemic index diets Differin Accutane low GI diets

TLDR Effective acne treatment varies by type, with topical and oral medications showing strong evidence, and patient education and support are crucial.

The 2015 document provides a comprehensive overview of acne management and treatment, detailing the clinical types of acne and the psychosocial impacts it can have on patients. It outlines evidence-based treatments, which are categorized by acne type and the strength of evidence supporting each treatment. For example, high evidence supports the use of topical adapalene + benzoyl peroxide for comedonal acne and oral isotretinoin monotherapy for severe papulopustular/moderate nodular and nodular/conglobate acne. The document also addresses the controversial side effects of oral isotretinoin, including teratogenic risks and potential mood changes. It emphasizes the importance of nurses' roles in patient education, treatment adherence, and referral to specialist services when necessary. Additionally, it discusses the lack of evidence for dietary causes of acne, although lower glycaemic index diets may improve symptoms. The document concludes by highlighting the importance of assessing the psychosocial aspects of acne and the need for comprehensive patient support.

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