Study of the effectiveness of the combined method of acne therapy with the use of rf-microneedles and acne monotherapy with isotretinoin in standard doses

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Abstract

Acne is one of the most common diseases of the sebaceous glands and hair follicles. Given the diversity of clinical forms of acne, the choice of therapy must take into account all the peculiarities of the pathological process, as well as gender, age, emotional state of the patient, comorbidities and the degree of compliance of the patient. There were 65 patients diagnosed with acne under observation. To study the morphofunctional features of the skin of patients with acne and their cytokine profile, all patients were divided into 2 groups. Group 1 patients (n = 33) were treated with low-dose combination therapy with isotretinoin followed by RF-microneedles.group 2 patients (n = 32) were treated with standard doses of isotretinoin. All patients underwent the investigation of qualitative characteristics of the skin with the help of salumerie, corneometry, pH-metry. Also, all patients had a blood sample (serum) to determine the concentration of Pro-inflammatory cytokines.

The effectiveness was assessed using the GSS dermatology index (Global Severity Ssore), the modified IgA scale (Investigator’s Global Assessment), the high-valide quality of life index DIKJ, and APSEA (Assessment of the Psychological and Social Effects of Acne). The combined assessment, taking into account clinical research methods with a sufficient degree of confidence, revealed the advantages of a combined method of moderate acne therapy with the use of low doses of isotretinoin and RF-microneedles in comparison with isotretinoin monotherapy at standard dosages.

About the authors

Polina A. Kolcheva

Central State Medical Academy of the Administration of the President of Russian Federation

Email: tynrik@yandex.ru
SPIN-code: 5080-9227

PhD

Russian Federation, Moscow

Aliya P. Talibova

JSC Institute of Plastic Surgery and Cosmetology

Email: tynrik@yandex.ru
ORCID iD: 0000-0003-2081-7416

PhD

Russian Federation, Moscow

Natalia V. Gryazeva

Central State Medical Academy of the Administration of the President of Russian Federation

Author for correspondence.
Email: tynrik@yandex.ru
ORCID iD: 0000-0003-3437-5233
SPIN-code: 1309-4668

PhD

Russian Federation, Moscow

References

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  6. Khismatullina ZR, Kantiukova GS, Kiselev VI, Drukh VM. Results of an open controlled comparative randomized study of clinical efficiency and safety of epigallocatechin-3-gallate gel in patients presenting with acne disease. Clinical Dermatology and Venereology. 2010:4:45-50. (In Russ.)

Supplementary files

Supplementary Files
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2. Fig. 1. Dynamics of changes in corneometry indicators during therapy in patients with acne (n = 65)

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3. Fig. 2. Dynamics of indicators of the concentration of pro-inflammatory cytokines after the completion of the course of therapy. IL - interleukin; INF-γ - interferon-gamma; TNFα - tumor necrosis factor-alpha

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4. Fig. 3. Comparative data on the therapeutic efficacy of the combined method of acne therapy with the use of RF microneedles and acne monotherapy with isotretinoin in standard doses

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