The American Academy of Dermatology published the much-anticipated new guidelines for diagnosing and treating acne in adolescent and adult patients. To develop the guidelines, a work group of 17 recognized acne experts, 1 general practitioner, 1 pediatrician, and 1 patient was convened to determine the scope of the guideline and identify clinical questions in the diagnosis and management of acne vulgaris (AV).
The committee analyzed 242 newly identified clinical questions from 2 online databases from May 2006 to September 2014.
Then it graded the evidence based on the quality of methodology and the overall focus of the evidence using a 3-point scale. The guidelines discuss various acne treatments, including topical therapies, systemic agents, and physical modalities, including lasers and photodynamic therapy. In addition, grading/classification system, microbiology and endocrinology testing, complementary/alternative therapies, and the role of diet are reviewed. The guideline does not examine the treatment of acne sequelae (eg, scarring or postinflammatory dyschromia).
The committee concluded that combining 2 or more treatment options is optimal for most patients. The guideline includes table that discuss recommendations for therapies used in combination.
In addition, there is “limited evidence to recommend the use and benefit of physical modalities for the routine treatment of acne, including pulsed dye laser, glycolic acid peels, and salicylic acid peels.” The committee also noted that more research is needed in the areas of alternative therapies, such as herbals, and the role of diet in acne. “Given the current data, no specific dietary changes are recommended in the management of acne. Emerging data suggest that high glycemic index diets may be associated with acne. Limited evidence suggests that some dairy, particularly skim milk, may influence acne,” they reported.
Finally, the investigators noted that they have described “the significant progress that has been made in understanding the pathogenesis and treatment of acne, but there are still large gaps in our knowledge base. “ The guidelines include a table that addresses some of the most important current gaps in research.
For more information and to read the full text of the guideline, please visit https://www.jaad.org/article/S0190-9622(15)02614-6/fulltext.
The American Academy of Dermatology published the much-anticipated new guidelines for diagnosing and treating acne in adolescent and adult patients. To develop the guidelines, a work group of 17 recognized acne experts, 1 general practitioner, 1 pediatrician, and 1 patient was convened to determine the scope of the guideline and identify clinical questions in the diagnosis and management of acne vulgaris (AV).
The committee analyzed 242 newly identified clinical questions from 2 online databases from May 2006 to September 2014.
Then it graded the evidence based on the quality of methodology and the overall focus of the evidence using a 3-point scale. The guidelines discuss various acne treatments, including topical therapies, systemic agents, and physical modalities, including lasers and photodynamic therapy. In addition, grading/classification system, microbiology and endocrinology testing, complementary/alternative therapies, and the role of diet are reviewed. The guideline does not examine the treatment of acne sequelae (eg, scarring or postinflammatory dyschromia).
The committee concluded that combining 2 or more treatment options is optimal for most patients. The guideline includes table that discuss recommendations for therapies used in combination.
In addition, there is “limited evidence to recommend the use and benefit of physical modalities for the routine treatment of acne, including pulsed dye laser, glycolic acid peels, and salicylic acid peels.” The committee also noted that more research is needed in the areas of alternative therapies, such as herbals, and the role of diet in acne. “Given the current data, no specific dietary changes are recommended in the management of acne. Emerging data suggest that high glycemic index diets may be associated with acne. Limited evidence suggests that some dairy, particularly skim milk, may influence acne,” they reported.
Finally, the investigators noted that they have described “the significant progress that has been made in understanding the pathogenesis and treatment of acne, but there are still large gaps in our knowledge base. “ The guidelines include a table that addresses some of the most important current gaps in research.
For more information and to read the full text of the guideline, please visit https://www.jaad.org/article/S0190-9622(15)02614-6/fulltext.
The American Academy of Dermatology published the much-anticipated new guidelines for diagnosing and treating acne in adolescent and adult patients. To develop the guidelines, a work group of 17 recognized acne experts, 1 general practitioner, 1 pediatrician, and 1 patient was convened to determine the scope of the guideline and identify clinical questions in the diagnosis and management of acne vulgaris (AV).
The committee analyzed 242 newly identified clinical questions from 2 online databases from May 2006 to September 2014.
Then it graded the evidence based on the quality of methodology and the overall focus of the evidence using a 3-point scale. The guidelines discuss various acne treatments, including topical therapies, systemic agents, and physical modalities, including lasers and photodynamic therapy. In addition, grading/classification system, microbiology and endocrinology testing, complementary/alternative therapies, and the role of diet are reviewed. The guideline does not examine the treatment of acne sequelae (eg, scarring or postinflammatory dyschromia).
The committee concluded that combining 2 or more treatment options is optimal for most patients. The guideline includes table that discuss recommendations for therapies used in combination.
In addition, there is “limited evidence to recommend the use and benefit of physical modalities for the routine treatment of acne, including pulsed dye laser, glycolic acid peels, and salicylic acid peels.” The committee also noted that more research is needed in the areas of alternative therapies, such as herbals, and the role of diet in acne. “Given the current data, no specific dietary changes are recommended in the management of acne. Emerging data suggest that high glycemic index diets may be associated with acne. Limited evidence suggests that some dairy, particularly skim milk, may influence acne,” they reported.
Finally, the investigators noted that they have described “the significant progress that has been made in understanding the pathogenesis and treatment of acne, but there are still large gaps in our knowledge base. “ The guidelines include a table that addresses some of the most important current gaps in research.
For more information and to read the full text of the guideline, please visit https://www.jaad.org/article/S0190-9622(15)02614-6/fulltext.
