Efficacy and Safety of 30% Supramolecular Salicylic Acid Peeling Combined with Isotretinoin Erythromycin Gel in the Treatment of Moderate-to-Severe Acne Vulgaris: A Comparative Study
Background: Both 30% supramolecular salicylic acid (SA) and isotretinoin erythromycin gel (IEG) have proven efficacy with good safety profiles in the treatment of acne vulgaris. Objectives: This study compared the clinical efficacy and safety of 30% SA peeling and IEG in the treatment of moderate-to-severe acne vulgaris. Methods: Patients with moderate-to-severe acne vulgaris were randomized into 3 groups of 30 persons each, and treated with SA peel, or IEG, or SA combine with IEG (SA + IEG group). Evaluation of acne was done by effective rate and individual lesion counts. And the adverse effects and recurrence were recorded. Results: The SA + IEG group was better in clinical efficacy and treating noninflammatory and inflammatory lesions than that of single treatment group (P < 0.05). No serious adverse effects were recorded. There were no significant differences in adverse effects and recurrence between groups (P > 0.05). Conclusion: 30% SA combined with IEG had a significant effect in the treatment of moderate-to-severe acne lesions.
References
[1]
Eichenfield, D.Z., Sprague, J. and Eichenfield, L.F. (2021) Management of Acne Vulgaris: A Review. JAMA, 326, 2055-2067. https://doi.org/10.1001/jama.2021.17633
[2]
Xu, J., Mavranezouli, I., Kuznetsov, L., et al. (2021) Management of Acne Vulgaris: Summary of NICE Guidance. BMJ, 374, n1800. https://doi.org/10.1136/bmj.n1800
[3]
Vos, T., Flaxman, A.D., Naghavi, M., et al. (2012) Years Lived with Disability (YLDs) for 1160 Sequelae of 289 Diseases and Injuries 1990-2010: A Systematic Analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2163-2196. https://doi.org/10.1016/S0140-6736(12)61729-2
[4]
Dainichi, T., Ueda, S., Imayama, S., et al. (2008) Excellent Clinical Results with a New Preparation for Chemical Peeling in Acne: 30% Salicylic Acid in Polyethylene Glycol Vehicle. Dermatologic Surgery, 34, 891-899. https://doi.org/10.1097/00042728-200807000-00005
[5]
Dayal, S., Kalra, K.D. and Sahu, P. (2020) Comparative Study of Efficacy and Safety of 45% Mandelic acid Versus 30% Salicylic Acid Peels in Mild-to-Moderate Acne Vulgaris. Journal of Cosmetic Dermatology, 19, 393-399. https://doi.org/10.1111/jocd.13168
[6]
Trivedi, M.K., Bosanac, S.S., Sivamani, R.K., et al. (2018) Emerging Therapies for Acne Vulgaris. American Journal of Clinical Dermatology, 19, 505-516. https://doi.org/10.1007/s40257-018-0345-x
[7]
Valente Duarte de Sousa, I.C. (2021) An Overview of Sarecycline for the Treatment of Moderate-to-Severe Acne Vulgaris. Expert Opinion on Pharmacotherapy, 22, 145-154. https://doi.org/10.1080/14656566.2020.1813279
[8]
Jiang, Y., Zhang, J., Guo, H., et al. (2021) Transcriptome Comparison of Isotretinoin-Effective and Isotretinoin-Ineffective Severe Acne Vulgaris Patients. Journal of Cosmetic Dermatology, 20, 2619-2626. https://doi.org/10.1111/jocd.13898
[9]
Lee, K.C., Wambier, C.G., Soon, S.L., et al. (2019) Basic Chemical Peeling: Superficial and Medium-Depth Peels. Journal of the American Academy of Dermatology, 81, 313-324. https://doi.org/10.1016/j.jaad.2018.10.079
[10]
Handog, E.B., Datuin, M.S. and Singzon, I.A. (2012) Chemical Peels for Acne and Acne Scars in Asians: Evidence Based Review. Journal of Cutaneous and Aesthetic Surgery, 5, 239-246. https://doi.org/10.4103/0974-2077.104911
[11]
Castillo, D.E. and Keri, J.E. (2018) Chemical Peels in the Treatment of Acne: Patient Selection and Perspectives. linical, Cosmetic and Investigational Dermatology, 11, 365-372. https://doi.org/10.2147/CCID.S137788
[12]
Chen, X., Wang, S., Yang, M., et al. (2018) Chemical Peels for Acne Vulgaris: A Systematic Review of Randomised Controlled Trials. BMJ Open, 8, e019607. https://doi.org/10.1136/bmjopen-2017-019607
[13]
Kontochristopoulos, G. and Platsidaki, E. (2017) Chemical Peels in Active Acne and Acne Scars. Clinics in Dermatology, 35, 179-182. https://doi.org/10.1016/j.clindermatol.2016.10.011
[14]
Pena, S., Hill, D. and Feldman, S.R. (2016) Use of Topical Retinoids by Dermatologists and Non-Dermatologists in the Management of Acne Vulgaris. Journal of the American Academy of Dermatology, 74, 1252-1254. https://doi.org/10.1016/j.jaad.2016.01.011
[15]
Bs, C., Vadlamudi, S.L. and Shenoy, C. (2021) Safety of Performing Superficial Chemical Peels in Patients on Oral Isotretinoin for Acne and Acne-Induced Pigmentation. The Journal of Clinical and Aesthetic Dermatology, 14, 41-43.