Efficacy and safety of topical spironolactone versus topical dapsone in the treatment of acne vulgaris.


Journal

Archives of dermatological research
ISSN: 1432-069X
Titre abrégé: Arch Dermatol Res
Pays: Germany
ID NLM: 8000462

Informations de publication

Date de publication:
01 Nov 2024
Historique:
received: 22 06 2024
accepted: 30 09 2024
revised: 14 09 2024
medline: 1 11 2024
pubmed: 1 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

Acne vulgaris is a common skin disease that greatly impacts the quality of life of affected individuals. Several treatment modalities are available for acne, with variable degrees of success. Our aim was to compare the safety and efficacy of topical spironolactone 5% gel and topical dapsone 5% gel as treatment modalities for acne vulgaris. The study included 28 patients with mild to moderate acne. They were randomly divided into two equal groups. Group I treated with topical spironolactone 5% gel, and group II treated with topical dapsone 5% gel. In both groups, the gel was applied twice daily for 12 weeks, and patients were evaluated using the acne severity index. Group I included 14 patients [11 (78.6%) females and 3 (21.4%) males]. More than one-half of this group (64.3%) had moderate acne severity. Group II included 14 patients [12 (85.7%) females and 2 (14.3%) males]. Half of patients had moderate acne severity. Therapeutic response was poor, moderate, good, and excellent (14.3%), (28.6%), (50%), (7.1%), respectively, in topical spironolactone group versus poor, moderate, and good (50%), (42.9%), (7.1%), respectively, in topical dapsone group. The therapeutic response between the studied groups was statistically significant in favor of the topical spironolactone group. Regarding adverse effects, burning sensation was evident after application of topical spironolactone while itching was significantly common with topical dapsone. The data provided by the current study support the use of topical spironolactone 5% gel in treating acne vulgaris in both male and female patients.

Identifiants

pubmed: 39485505
doi: 10.1007/s00403-024-03430-1
pii: 10.1007/s00403-024-03430-1
doi:

Substances chimiques

Dapsone 8W5C518302
Spironolactone 27O7W4T232
Gels 0

Types de publication

Journal Article Randomized Controlled Trial Comparative Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

732

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Khaled Gharib (K)

Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. kmgharib@medicine.zu.edu.eg.

Mai Samir (M)

Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Gehad Mohamed (G)

Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Mahmoud A Rageh (MA)

Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

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