Low-dose isotretinoin versus minocycline in the treatment of rosacea.


Journal

Dermatologic therapy
ISSN: 1529-8019
Titre abrégé: Dermatol Ther
Pays: United States
ID NLM: 9700070

Informations de publication

Date de publication:
07 2021
Historique:
received: 18 02 2021
accepted: 12 05 2021
pubmed: 17 5 2021
medline: 24 8 2021
entrez: 16 5 2021
Statut: ppublish

Résumé

Rosacea is a common inflammatory facial skin condition affecting the adult population. Its papulopustular subtype is mainly treated pharmacologically by topical and oral antibiotics. For severe or antibiotics-recalcitrant disease, daily low-dose isotretinoin has also been reported to be effective. However, no previous study has assessed the efficacy of once-weekly administered isotretinoin for papulopustular rosacea. For this purpose, a retrospective comparative study was conducted. For severe rosacea, 40 mg/week isotretinoin (24 patients) was administered. For mild to moderate rosacea, once-weekly 20 mg/week isotretinoin (28 patients) was compared with 100 mg/day minocycline (24 patients). Treatment courses lasted 4 to 7 months. Forty milligrams per week isotretinoin was highly effective for severe rosacea, achieving complete response (over 90% improvement) in 62.5% of patients and partial response (50%-90% improvement) in additional 29.2% of patients. Twenty milligrams per week isotretinoin and hundred milligrams per day minocycline showed comparable efficacy for mild to moderate rosacea (complete response of 10.7% vs 8.3% and partial response of 28.6% vs 33.3%, respectively). This study demonstrates that that the use of a weekly low-dose isotretinoin is an effective treatment for papulopustular rosacea, including among patients with severe disease.

Identifiants

pubmed: 33993601
doi: 10.1111/dth.14986
doi:

Substances chimiques

Anti-Bacterial Agents 0
Dermatologic Agents 0
Isotretinoin EH28UP18IF
Minocycline FYY3R43WGO

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14986

Informations de copyright

© 2021 Wiley Periodicals LLC.

Références

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Auteurs

Avner Shemer (A)

Department of Dermatology, Sheba Medical Center, Tel-Hashomer, Tel Aviv University, Ramat-Gan, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Aditya K Gupta (AK)

Mediprobe Research Inc., London, Ontario, Canada.
Division of Dermatology, Department of Medicine, University of Toronto School of Medicine, Toronto, Canada.

Riad Kassem (R)

Department of Dermatology, Sheba Medical Center, Tel-Hashomer, Tel Aviv University, Ramat-Gan, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Nechama Sharon (N)

Pediatric Hemato-oncology Department, Laniado Hospital, Netanya, Israel.
Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.

Emma M Quinlan (EM)

Mediprobe Research Inc., London, Ontario, Canada.

Eran Galili (E)

Department of Dermatology, Sheba Medical Center, Tel-Hashomer, Tel Aviv University, Ramat-Gan, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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