Scroll Up
Scroll Down
Play Play Play Play
Unregistered User
Click here if this is not your Personal Edition
 
Contact Us | Free E-Mail Updates | Journals | Register a colleague
 
 
Paediatrics
 
   
 
SEARCH   
Doctor's Guide Free CME
Medline
Congress Resource Centre
 

 EXPLORE :
   Most Read News
 All News  All News
 All Webcasts / CME  All Webcasts / CME
 All Cases  All Cases
 Congress Resource Centre  Congress Resource Centre
 All Medical Resources  All Medical Resources
 Medical  My Personal Edition



Warning | Privacy

 

 
 Recent news - Paediatrics
    SIDS Risk Greater When Women Smoke During Pregnancy - (DGNews)
    Magnesium Sulfate Reduces the Risk of Cerebral Palsy in Preterm Infants - (DGNews)
    Risperidone Improves Cognitive Skills in Children With Autism - (DGNews)
    High-Fat Ketogenic Diet Lowers Cholesterol in Children With Epilepsy - (DGNews)
    Preliminary Study Shows Allopurinol Lowers Blood Pressure in Adolescents With Hypertension - (DGNews)

    News archive

     Recent webcasts/CME - Paediatrics
      The Current and Future State of Asthma Treatment
      Eradicating Lice: Myths and Facts
      Type 1 Diabetes - New Insights into Pathophysiology, Treatment, and the Search for a Cure
      Asthma in Childhood: An Overview and Update
      Pharmacotherapy for Pediatric HIV Infection

      Webcasts/CME archive

       Recent cases - Paediatrics
        Ball and Socket Ankle Joint in Connection with Bilateral Tarsal Synostosis in a Boy with Congenital Absence of the Portal Vain: A Novel Malformation Complex
        Achondroplasia Manifesting as Enchondromatosis and Ossification of the Spinal Ligaments: A Case Report
        Lateral Rectus Muscle Disinsertion and Reattachment to the Lateral Orbital Wall in Exotropic Duane Syndrome: A Case Report
        Diabetic Fetopathy Associated with Bilateral Adrenal Hyperplasia and Ambiguous Genitalia: A Case Report
        Normothermic Treatment in Acute Clinical Encephalitis: A Case Report

        Cases archive
          




        my personal edition > paediatrics > news
        divider

          E-Mail this DGDispatch to a colleague

        DGDispatch


        New Acne Guidelines Emphasize Importance of Retinoids: Presented at AAP

        By Brian Reid

        WASHINGTON, DC -- October 11, 2005 -- Physicians treating non-cystic acne should initiate therapy with a retinoid and maintain the use of that drug, even if other treatments are added to the therapy, according to new guidelines for the treatment of acne developed by the Global Alliance to Improve Outcomes in Acne.

        Spearheaded by Diane Berson, Assistant Professor of Dermatology, Weill Medical College of Cornell University, and Attending Physician, New York-Presbyterian Hospital, New York, United States, the new guidelines followed an expert review of acne literature.

        Fred Ghali, MD, Private Practitioner, Pediatric Dermatology of North Texas, Grapevine, Texas, presented the guidelines here on October 8th at the American Academy of Pediatrics (APP) National Conference and Exhibition.

        The guidelines emphasize the importance of topical retinoid agents in treating not only viable lesions, but also acne precursors, and caution against overuse of oral antibiotics.

        "The bottom line is that topical retinoids work on all classes of acne," Dr. Ghali said. "Doctors want to abandon the topical retinoids too early."

        Patients with mild comedonal acne should be started with a retinol, he said, which target microcomedo -- microscopic precursors to the more-familiar blackheads and whiteheads.

        Most patients will see results when adding a benzoperoxide or benzoperoxide/antibiotic combination, according to Dr. Ghali, allowing for both the anti-comedo effect of the topical retinoid and the antimicrobial effect of benzoperoxide and topical antibiotics.

        Only for patients with moderate acne do the guidelines suggest the use of oral antibiotics -- once the mainstay of acne therapy -- and then only as long as systems persist. "Long-term use of antibiotics should be minimized," he said.

        Dr. Ghali presented data showing that therapy with a retinol and benzoperoxide/topical antibiotic regimen was significantly better than benzoperoxide therapy alone, though differences in the treatment groups could take as long as 2 months to appear, underscoring the importance of maintaining the topical retinoid therapy.

        Isotretinoin remains the treatment of choice for severe nodular acne, he said.

        Improvements in the topical retinoids have made this treatment more tolerable and effective, he said. Adapalene appears less irritating than older members of the class, he added, and is more stable in light, so that patients do not have to worry about exposure to the sun.


        [Presentation title: Expert Committee Recommendations for Acne Management.]



        E-Mail this DGDispatch to a colleague   To print, use this version






        All contents Copyright (c) 1995-2008 Doctor's Guide Publishing Limited. All rights reserved.



        The NTK initiative. Physicians helping physicians identify Need-To-Know science
           Feedback
        Please rate this article: Strongly DISAGREE...Strongly AGREE NTK logo
        Question 1 - Physicians need to become aware of this information as soon as possible. Question 2 - This information is likely to have an impact on the way physicians practice medicine.
        1
        2
        3
        4
        5
        6
        7
        Send