В статье представлены современные данные по эпидемиологии, патогенезу, клинической картине акне, а также изучению эффективности лечения стандартными и низкими дозами изотретиноина.
The article presents an update on the epidemiology, pathogenesis and clinical presentation of acne, as well as the economic aspects and efficiency of treatment using isotretinoin.
1. Перламутров Ю.Н., Ольховская К.Б. Современные аспекты эффективной терапии acne vulgaris. Рос. журн. кожных и венерических болезней. 2014; 5. / Perlamutrov Iu.N., Ol'khovskaia K.B. Sovremennye aspekty effektivnoi terapii acne vulgaris. Ros. zhurn. kozhnykh i venericheskikh boleznei. 2014; 5. [in Russian]
2. Zouboulis CC, Piquero-Martin J. Update and future of systemic acne treatment. Dermatology 2003; 206 (1): 37–53.
3. Thiboutot D, Gollnick H, Bettoli V et al. Global Alliance to Improve Outcomes in Acne. New insights into the management of acne: an update from the Global Alliance to Improve Outcomes in Acne group. J Am Acad Dermatol 2009; 60 (Suppl. 5): S1–50. doi: 10.1016/j. jaad.2009.01.019.
4. Gollnick H, Cunliffe W, Berson D et al. Global Alliance to Improve Outcomes in Acne. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol 2003; 49 (Suppl. 1): S1–37.
5. Перламутров Ю.Н., Ольховская К.Б. Клинико-психологические отклонения у больных акне и методы их коррекции. Клин. дерматология и венерология. 2012; 4: 70–2. / Perlamutrov Yu.N., Olkhovskaya K.B. Clinical psychological abnormalities in patients with acne and methods of their correction. Klin. dermatologiya i venerologiya. 2012; 4: 70–2. [in Russian]
6. Dreno B, Alirezai M, Auffret N et al. Clinical and psychological correlation in acne: use of the ECLA and CADI scales. Ann Dermatol Venereol 2007; 134 (5): 451–5.
7. Котова Н.В., Суворова К.Н. Юношеские акне. М.–Новосибирск, 2002; с. 3–54. / Kotova N.V., Suvorova K.N. Iunosheskie akne. M.–Novosibirsk, 2002; s. 3–54. [in Russian]
8. Аравийская Е.Р. Современный взгляд на лечение акне: состояние проблемы и новые возможности. Леч. врач. 2003; 3: 4–6. / Araviiskaia E.R. Sovremennyi vzgliad na lechenie akne: sostoianie problemy i novye vozmozhnosti. Lech. vrach. 2003; 3: 4–6. [in Russian]
9. Cunliffe WJ. Management and differential of diagnosis acne. Berlin, 2001; 8–16.
10. Layton AM, Dreno B, Gollnick HP, Zouboulis CC. A review of the European Directive for prescribing systemic isotretinoin for acne vulgaris. J Eur Acad Dermatol Venereol 2006; 20 (7): 773–6.
11. Heller EH, Shiffman NJ. Syntheticretinoids in dermatology. Can Med Ass J 1985; 132: 10: 1129–36.
12. Goldsmith LA, Bolognia JL, Callen JP et al. American Academy of Dermatology Consensus Conference on the safe and optimal use of isotretinoin: summary and recommendations. J Am Acad Dermatol 2004; 50 (6): 900–6.
13. Hansen SR, Mikkelsen CS, Kroon S. Systemic treatment of acne. Tidsskr Nor Laegeforen 2011; 131 (2): 133–5.
14. Адаскевич В.П. Акне вульгарные и розовые. М: Медицинская книга – Н.Новгород: НГМА, 2005. / Adaskevich V.P. Akne vul'garnye i rozovye. M: Meditsinskaia kniga – N.Novgorod: NGMA, 2005. [in Russian]
15. Аравийская Е.А. Современный взгляд на лечение акне: состояние проблемы и новые возможности. Леч. врач. 2003; 4: 20–5. / Araviiskaia E.A. Sovremennyi vzgliad na lechenie akne: sostoianie problemy i novye vozmozhnosti. Lech. vrach. 2003; 4: 20–5. [in Russian]
16. Масюкова С.А., Ахтямов С.Н. Акне: проблема и решение. Concilium Medicum. Дерматология (Прил.). 2002; 5: 217–23. / Masiukova S.A., Akhtiamov S.N. Akne: problema i reshenie. Concilium Medicum. Dermatology (Suppl.). 2002; 5: 217–23. [in Russian]
17. Потекаев Н.Н., Горячкина М.В., Белоусова Т.Л. Акне (угревая болезнь): современный взгляд на проблему. Concilium Medicum. Дерматология (Прил.). 2008; 1: 12–6. / Potekaev N.N., Goriachkina M.V., Belousova T.L. Akne (ugrevaia bolezn'): sovremennyi vzgliad na problemu. Concilium Medicum. Dermatology (Suppl.). 2008; 1: 12–6. [in Russian]
18. Sardana K, Garg VK. Efficacy of low-dose isotretinoin in acne vulgaris. Indian J Dermatol Venereol Leprol 2010; 76 (1): 7–13.
19. Simpson RC, Grindlay DJ, Williams HC. What’s new in acne? An analysis of systematic reviews and clinically significant trials published in 2010–2011. Clin Exp Dermatol 2011; 36 (8): 840–3.
20. Zouboulis CC. Isotretinoinrevisited: pluripotent effects on human sebaceous gland cells. J Invest Dermatol 2006; 126 (10): 2154–6.
21. Ayer J, Burrows N. Acne: more than skin deep. Postgrad Med J 2006; 82 (970): 500–6.
22. Nelson AM, Zhao W, Gilliland KL et al. Temporal changes in gene expression in the skin of patients treated with isotretinoin provide insight into its mechanism of action. Dermatoendocrinol 2009; 1 (3): 177–87.
23. Amado JM, Matos ME, Abreu AM et al. The prevalence of acne in the north of Portugal. J Eur Acad Dermatol Venereol 2006; 20: 1287–95.
24. Sinclair W, Jordaan HF. Global Alliance to Improve Outcomes in Acne. Acneguideline S Afr Med J 2005; 95 (11): 881–92.
25. Whitney KM, Ditre CM. Management strategies for acne vulgaris. Clin Cosmet Invest Dermatol 2011; 4: 41–53.
26. Akman A, Durusoy C, Senturk M et al. Treatment of acne with intermittent and conventional isotretinoin: a randomized, controlled multicenter study. Arch Dermatol Res 2007; 299 (10): 467–73.
27. Bérard A, Azoulay L, Koren G et al. Isotretinoin, pregnancies, abortions and birth defects: a population-based perspective. Br J Clin Pharmacol 2007; 63 (2): 196–205.
28. Bowe WP, Logan AC. Clinical implications of lipid peroxidation in acne vulgaris: old wine in new bottles. Lipids Health Dis 2010; 9: 141.
29. Zouboulis CC, Piquero-Martin J. Update and future of systemic acne treatment. Dermatology 2003; 206: 37–53.
30. Keri J, Shiman M. An update on the management of acne vulgaris. Clin Cosmet Invest Dermatol 2009; 2: 105–10.
31. Radtke MA, Schäfer I, Augustin M. Pharmacoeconomy in acne – evaluation of benefit and economics. J Dtsch Dermatol Ges 2010; 8 (Suppl. 1): S105–S114.
32. Center for drug evaluation and research. Appl. No 76-041. http://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/076041.pdf
33. Стаценко А.В., Белоусова И.Э., Хайрутдинов В.Р и др. Клинический опыт применения изотретиноина в терапии тяжелых форм акне. Эффективная фармакотерапия. 2014; 4: 4–6. / Statsenko A.V., Belousova I.E., Khairutdinov V.R i dr. Klinicheskii opyt primeneniia izotretinoina v terapii tiazhelykh form akne. Effektivnaia farmakoterapiia. 2014; 4: 4–6. [in Russian]
34. Охлопков В.А., Зубарева Е.Ю., Сукач М.С. и др. Оценка клинической эффективности изотретиноина в терапии больных акне. Сonsilium Medicum. Дерматология (Прил.). 2015; 1: 18–22. / Okhlopkov V.A., Zubareva E.Iu., Sukach M.S. i dr. Otsenka klinicheskoi effektivnosti izotretinoina v terapii bol'nykh akne. Sonsilium Medicum. Dermatology (Suppl.). 2015; 1: 18–22. [in Russian]
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1. Perlamutrov Iu.N., Ol'khovskaia K.B. Sovremennye aspekty effektivnoi terapii acne vulgaris. Ros. zhurn. kozhnykh i venericheskikh boleznei. 2014; 5. [in Russian]
2. Zouboulis CC, Piquero-Martin J. Update and future of systemic acne treatment. Dermatology 2003; 206 (1): 37–53.
3. Thiboutot D, Gollnick H, Bettoli V et al. Global Alliance to Improve Outcomes in Acne. New insights into the management of acne: an update from the Global Alliance to Improve Outcomes in Acne group. J Am Acad Dermatol 2009; 60 (Suppl. 5): S1–50. doi: 10.1016/j. jaad.2009.01.019.
4. Gollnick H, Cunliffe W, Berson D et al. Global Alliance to Improve Outcomes in Acne. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol 2003; 49 (Suppl. 1): S1–37.
5. Perlamutrov Yu.N., Olkhovskaya K.B. Clinical psychological abnormalities in patients with acne and methods of their correction. Klin. dermatologiya i venerologiya. 2012; 4: 70–2. [in Russian]
6. Dreno B, Alirezai M, Auffret N et al. Clinical and psychological correlation in acne: use of the ECLA and CADI scales. Ann Dermatol Venereol 2007; 134 (5): 451–5.
7. Kotova N.V., Suvorova K.N. Iunosheskie akne. M.–Novosibirsk, 2002; s. 3–54. [in Russian]
8. Araviiskaia E.R. Sovremennyi vzgliad na lechenie akne: sostoianie problemy i novye vozmozhnosti. Lech. vrach. 2003; 3: 4–6. [in Russian]
9. Cunliffe WJ. Management and differential of diagnosis acne. Berlin, 2001; 8–16.
10. Layton AM, Dreno B, Gollnick HP, Zouboulis CC. A review of the European Directive for prescribing systemic isotretinoin for acne vulgaris. J Eur Acad Dermatol Venereol 2006; 20 (7): 773–6.
11. Heller EH, Shiffman NJ. Syntheticretinoids in dermatology. Can Med Ass J 1985; 132: 10: 1129–36.
12. Goldsmith LA, Bolognia JL, Callen JP et al. American Academy of Dermatology Consensus Conference on the safe and optimal use of isotretinoin: summary and recommendations. J Am Acad Dermatol 2004; 50 (6): 900–6.
13. Hansen SR, Mikkelsen CS, Kroon S. Systemic treatment of acne. Tidsskr Nor Laegeforen 2011; 131 (2): 133–5.
14. Adaskevich V.P. Akne vul'garnye i rozovye. M: Meditsinskaia kniga – N.Novgorod: NGMA, 2005. [in Russian]
15. Araviiskaia E.A. Sovremennyi vzgliad na lechenie akne: sostoianie problemy i novye vozmozhnosti. Lech. vrach. 2003; 4: 20–5. [in Russian]
16. Masiukova S.A., Akhtiamov S.N. Akne: problema i reshenie. Concilium Medicum. Dermatology (Suppl.). 2002; 5: 217–23. [in Russian]
17. Potekaev N.N., Goriachkina M.V., Belousova T.L. Akne (ugrevaia bolezn'): sovremennyi vzgliad na problemu. Concilium Medicum. Dermatology (Suppl.). 2008; 1: 12–6. [in Russian]
18. Sardana K, Garg VK. Efficacy of low-dose isotretinoin in acne vulgaris. Indian J Dermatol Venereol Leprol 2010; 76 (1): 7–13.
19. Simpson RC, Grindlay DJ, Williams HC. What’s new in acne? An analysis of systematic reviews and clinically significant trials published in 2010–2011. Clin Exp Dermatol 2011; 36 (8): 840–3.
20. Zouboulis CC. Isotretinoinrevisited: pluripotent effects on human sebaceous gland cells. J Invest Dermatol 2006; 126 (10): 2154–6.
21. Ayer J, Burrows N. Acne: more than skin deep. Postgrad Med J 2006; 82 (970): 500–6.
22. Nelson AM, Zhao W, Gilliland KL et al. Temporal changes in gene expression in the skin of patients treated with isotretinoin provide insight into its mechanism of action. Dermatoendocrinol 2009; 1 (3): 177–87.
23. Amado JM, Matos ME, Abreu AM et al. The prevalence of acne in the north of Portugal. J Eur Acad Dermatol Venereol 2006; 20: 1287–95.
24. Sinclair W, Jordaan HF. Global Alliance to Improve Outcomes in Acne. Acneguideline S Afr Med J 2005; 95 (11): 881–92.
25. Whitney KM, Ditre CM. Management strategies for acne vulgaris. Clin Cosmet Invest Dermatol 2011; 4: 41–53.
26. Akman A, Durusoy C, Senturk M et al. Treatment of acne with intermittent and conventional isotretinoin: a randomized, controlled multicenter study. Arch Dermatol Res 2007; 299 (10): 467–73.
27. Bérard A, Azoulay L, Koren G et al. Isotretinoin, pregnancies, abortions and birth defects: a population-based perspective. Br J Clin Pharmacol 2007; 63 (2): 196–205.
28. Bowe WP, Logan AC. Clinical implications of lipid peroxidation in acne vulgaris: old wine in new bottles. Lipids Health Dis 2010; 9: 141.
29. Zouboulis CC, Piquero-Martin J. Update and future of systemic acne treatment. Dermatology 2003; 206: 37–53.
30. Keri J, Shiman M. An update on the management of acne vulgaris. Clin Cosmet Invest Dermatol 2009; 2: 105–10.
31. Radtke MA, Schäfer I, Augustin M. Pharmacoeconomy in acne – evaluation of benefit and economics. J Dtsch Dermatol Ges 2010; 8 (Suppl. 1): S105–S114.
32. Center for drug evaluation and research. Appl. No 76-041. http://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/076041.pdf
33. Statsenko A.V., Belousova I.E., Khairutdinov V.R i dr. Klinicheskii opyt primeneniia izotretinoina v terapii tiazhelykh form akne. Effektivnaia farmakoterapiia. 2014; 4: 4–6. [in Russian]
34. Okhlopkov V.A., Zubareva E.Iu., Sukach M.S. i dr. Otsenka klinicheskoi effektivnosti izotretinoina v terapii bol'nykh akne. Sonsilium Medicum. Dermatology (Suppl.). 2015; 1: 18–22. [in Russian]
Авторы
С.А.Масюкова*, Э.Г.Санакоева
Медицинский институт усовершенствования врачей ФГБОУ ВПО Московский государственный университет пищевых производств. 125080,
Россия, Москва, Волоколамское ш., д. 11
*skin-net@mail.ru