A Consensus on Acne Management Focused on Specific Patient Features Academic Article uri icon

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abstract

  • BACKGROUND: Most treatment guidelines for acne are based on clinical severity. Our objective was to expand that approach to one that also comprised individualized patient features: a case-based approach. METHODS: An expert panel of Canadian dermatologists was established to develop demographic and clinical features considered to be particularly important in acne treatment selection. A nominal group consensus process was used for inclusion of features and corresponding appropriate treatments. RESULTS: Consensus was achieved on the following statements: follicular epithelial dysfunction contributes to acne pathogenesis; inflammation from underlying disease(s) or prior treatment may impact further patient management; management focusing on specific patient features and on addressing psychosocial factors, including impact on quality of life, may improve treatment adherence and outcomes; and case-based scenarios are a practical approach to illustrate the effect of these factors. To address the latter, eight case profiles were developed. CONCLUSIONS: Management of acne should be based on multifactorial considerations beyond clinically determined acne severity and should include patient-reported impact, gender, skin sensitivity (including preexisting dermatoses), and phototype.

authors

  • Lynde, Charles
  • Tan, Jerry
  • Andriessen, Anneke
  • Barankin, Benjamin
  • Dutil, Maha
  • Gilbert, Martin
  • Hong, Chih-ho
  • Humphrey, Shannon
  • Rochette, Linda
  • Toole, Jack
  • Thomas, Richard
  • Vender, Ronald
  • Wiseman, Marni
  • Zip, Catherine

publication date

  • July 2014