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.2020 Feb;10(1):1-14.
doi: 10.1007/s13555-019-00335-0. Epub 2019 Nov 7.

Acne Vulgaris: A Patient and Physician's Experience

Affiliations

Acne Vulgaris: A Patient and Physician's Experience

Nicola I Espinosa et al. Dermatol Ther (Heidelb).2020 Feb.

Abstract

In this article, the first coauthor, a young woman with acne vulgaris, shares her experience with the condition; she not only describes the clinical presentation and the eventual successful treatment of her acne, but also the emotional consequences that this skin disorder caused. The second coauthor, the patient's dermatologist, reviews some of the features of acne vulgaris: morphologic manifestations, pathogenesis, and treatment options. He also summarizes the patient's response to isotretinoin therapy. In addition, he reveals his subsequent enlightenment regarding the acne-related non-dermatologic effects that the patient experienced and the significant improvement of her self-image that occurred following the successful treatment of her acne.

Keywords: 13-cis-retinoic; Acid; Acne vulgaris; Acutane; Experience; Isotretinoin; Patient; Physician; Trans-retinoic; Treatment.

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Conflict of interest statement

Nicola I. Espinosa has nothing to disclose. Philip R. Cohen is a member of the journal’s Editorial Board.

Figures

Fig. 1
Fig. 1
A 19-year-old woman with severe and recalcitrant acne. Prior to treatment with isotretinoin, right side (a), frontal (b) and left side (c) views of her face show inflammatory papules and nodules, pustules, comedones and scarring on both cheeks
Fig. 2
Fig. 2
Closer views of the right (a) and left (b) cheeks prior to isotretinoin therapy. In addition to erythematous atrophic scars on her bilateral malar cheeks, there are pustules and inflammatory papules and nodules
Fig. 3
Fig. 3
Resolution of acne after 5 months of isotretinoin therapy. The right side (a), frontal (b) and left side (c) views of the woman’s face shows essentially complete clearing of her acne lesions. There is a single papule on her forehead. The scars on her cheeks are less prominent
Fig. 4
Fig. 4
Closer views of the right (a) and left (b) cheeks after treatment with isotretinoin for 5 months. She received 40 mg daily of isotretinoin the first month and 60 mg daily of tretinoin for the second thru fifth months of treatment. The scars on her bilateral cheeks are less erythematous. Inflammatory and comedonal acne lesions are absent
Fig. 5
Fig. 5
Comparison of frontal views of the face prior to (a) and following (b) treatment with isotretinoin for 5 months. There has been significant improvement of her acne with resolution of nearly all inflammatory and comedonal lesions. Her malar scars are less erythematous and less prominent
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