Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments

Introduction and objective: Acne vulgaris is a common chronic inflammatory skin disease affecting hair and sebaceous follicles, characterized by skin lesions most commonly appearing on the face. Several factors predispose individuals to the development of acne, including hormonal imbalances, geneti...

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Main Authors: Krzysztof Dobrzeniecki, Anna Zygmunt, Karolina Karoń, Łukasz Karoń, Patrycja Karnas-Bogacka
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/57570
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author Krzysztof Dobrzeniecki
Anna Zygmunt
Karolina Karoń
Łukasz Karoń
Patrycja Karnas-Bogacka
author_facet Krzysztof Dobrzeniecki
Anna Zygmunt
Karolina Karoń
Łukasz Karoń
Patrycja Karnas-Bogacka
author_sort Krzysztof Dobrzeniecki
collection DOAJ
description Introduction and objective: Acne vulgaris is a common chronic inflammatory skin disease affecting hair and sebaceous follicles, characterized by skin lesions most commonly appearing on the face. Several factors predispose individuals to the development of acne, including hormonal imbalances, genetic predisposition, and the use of certain medications. This review aims to evaluate and summarize first-line and advanced pharmacological treatments for acne vulgaris, highlighting their efficacy, safety, and emerging therapies for optimal management. Review methods: The literature review utilized databases covering sources from PubMed, Google Scholar, Scopus, and Web of Science using the search terms encompassing the following keywords: ‘acne vulgaris’ and ‘topical retinoid therapy’, ‘benzoyl peroxide’, ‘azelaic acid’, ‘topical antibiotics’, ‘oral antibiotics’, ‘contraceptive agents’, ‘antiandrogen therapy’, ‘isotretinoin’. Brief description of the state of knowledge: Current treatment methods range from topical therapies (i.e. antibiotics and retinoids) for mild cases to systemic medications (i.e. antibiotics, retinoids, and hormonal) for moderate to severe acne. In most cases, treatment should start with topical therapy. Summary: Early intervention is crucial to mitigate the risk of scarring and psychosocial consequences. Emerging therapeutic strategies have the potential to enhance treatment outcomes.
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institution Kabale University
issn 2391-8306
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publishDate 2025-02-01
publisher Kazimierz Wielki University
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series Journal of Education, Health and Sport
spelling doaj-art-8dd0cdad7aa94831a65db1796d510de52025-02-06T08:18:20ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-02-017810.12775/JEHS.2025.78.57570Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological TreatmentsKrzysztof Dobrzeniecki0https://orcid.org/0009-0003-2743-2233Anna Zygmunt1https://orcid.org/0009-0002-5849-6347Karolina Karoń2https://orcid.org/0009-0005-0356-8907Łukasz Karoń3https://orcid.org/0009-0009-5083-8307Patrycja Karnas-Bogacka4https://orcid.org/0009-0007-9633-1718University Clinical Hospital of Poznan, Dluga 1/2, 61-848 PoznanDepartment of Pathology and Molecular Diagnostics, Medical University of Silesia in Katowice, Medyków 18, 40-752 KatowiceMunicipal Hospital in Zabrze, Zamkowa 4, 41-803 ZabrzeDepartment of Pathology and Molecular Diagnostics, Medical University of Silesia in Katowice, Medyków 18, 40-752 KatowiceCounty Hospital in Strzyżów, 700-lecia Strzyżowa 1, 38-100 Strzyżów Introduction and objective: Acne vulgaris is a common chronic inflammatory skin disease affecting hair and sebaceous follicles, characterized by skin lesions most commonly appearing on the face. Several factors predispose individuals to the development of acne, including hormonal imbalances, genetic predisposition, and the use of certain medications. This review aims to evaluate and summarize first-line and advanced pharmacological treatments for acne vulgaris, highlighting their efficacy, safety, and emerging therapies for optimal management. Review methods: The literature review utilized databases covering sources from PubMed, Google Scholar, Scopus, and Web of Science using the search terms encompassing the following keywords: ‘acne vulgaris’ and ‘topical retinoid therapy’, ‘benzoyl peroxide’, ‘azelaic acid’, ‘topical antibiotics’, ‘oral antibiotics’, ‘contraceptive agents’, ‘antiandrogen therapy’, ‘isotretinoin’. Brief description of the state of knowledge: Current treatment methods range from topical therapies (i.e. antibiotics and retinoids) for mild cases to systemic medications (i.e. antibiotics, retinoids, and hormonal) for moderate to severe acne. In most cases, treatment should start with topical therapy. Summary: Early intervention is crucial to mitigate the risk of scarring and psychosocial consequences. Emerging therapeutic strategies have the potential to enhance treatment outcomes. https://apcz.umk.pl/JEHS/article/view/57570acne vulgaristopical retinoid therapysystemic antibioticstopical antibioticsisotretinoin
spellingShingle Krzysztof Dobrzeniecki
Anna Zygmunt
Karolina Karoń
Łukasz Karoń
Patrycja Karnas-Bogacka
Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
Journal of Education, Health and Sport
acne vulgaris
topical retinoid therapy
systemic antibiotics
topical antibiotics
isotretinoin
title Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
title_full Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
title_fullStr Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
title_full_unstemmed Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
title_short Acne Vulgaris Management: A Review of First-Line and Advanced Pharmacological Treatments
title_sort acne vulgaris management a review of first line and advanced pharmacological treatments
topic acne vulgaris
topical retinoid therapy
systemic antibiotics
topical antibiotics
isotretinoin
url https://apcz.umk.pl/JEHS/article/view/57570
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AT annazygmunt acnevulgarismanagementareviewoffirstlineandadvancedpharmacologicaltreatments
AT karolinakaron acnevulgarismanagementareviewoffirstlineandadvancedpharmacologicaltreatments
AT łukaszkaron acnevulgarismanagementareviewoffirstlineandadvancedpharmacologicaltreatments
AT patrycjakarnasbogacka acnevulgarismanagementareviewoffirstlineandadvancedpharmacologicaltreatments