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Avalia??o e tratamento do doente com acne - Parte II: Tratamento tópico, sistémico e cirúrgico, tratamento da acne na grávida, algoritmo terapêutico

Keywords: acne vulgaris, therapeutics, retinoids, anti-bacterial agents, pregnancy.

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Abstract:

the portuguese acne advisory board (paab), a group of portuguese dermatologists with a special interest in acne, develop, as other international groups in this field, consensus recommendations for the treatment of acne. overall, the goal is to provide a practice guideline to all physicians dealing with this entity. the continuing medical education dossier was divided in two parts: part i - etiopathogeny and clinical features; part ii - therapy. this part ii reviews the therapeutic approach of acne patients, including topical and oral medications, according to the clinical acne type. retinoids and antimicrobial agents are discussed and strategies for limiting antibiotic resistance are provided. appropriate patient selection for hormonal therapy and treatment of acne during pregnancy are also discussed. a variety of surgical techniques useful in the management of acne scars are referred. finally, the recommendations outlined in the treatment algorithm reflect a consensus approach that takes into account the severity and the specific clinical subtypes of acne.

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