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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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.

作者简介

Polina Kolcheva

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

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

PhD

俄罗斯联邦, Moscow

Aliya Talibova

JSC Institute of Plastic Surgery and Cosmetology

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

PhD

俄罗斯联邦, Moscow

Natalia Gryazeva

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

编辑信件的主要联系方式.
Email: tynrik@yandex.ru
ORCID iD: 0000-0003-3437-5233
SPIN 代码: 1309-4668

PhD

俄罗斯联邦, Moscow

参考

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  2. Webster GF. Acne vulgaris. Br. Med. J. 2002;325(7362):475-9.
  3. Kligman AM, Plewig G. Classification of acne. Cutis. 1976;17(3): 520-2.
  4. Thiboutot DM, Gollnick HPM, Bettoli V, Dréno B, Kang S, 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):S1-S50. doi: 10.1016/j.jaad.2009.01.019.
  5. Gollnick HPM, Cunliffe WJ, Berson D, Dréno B, Finlay AY. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. J. Am. Acad. Dermatol. 2003;49(Suppl. 1):S1-S37. doi: 10.1067/MJD.2003.618.
  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.)

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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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