TY  - JOUR
T1  - A consensus on acne management focused on specific patient features
LA  - English
AU  - Lynde, Charles
AU  - Tan, Jerry
AU  - Andriessen, Anneke
AU  - Barankin, Benjamin
AU  - Dutil, Maha
AU  - Gilbert, Martin
AU  - Hong, Chih-Ho
AU  - Humphrey, Shannon
AU  - Rochette, Linda
AU  - Toole, Jack
AU  - Thomas, Richard
AU  - Vender, Ronald
AU  - Wiseman, Marni
AU  - Zip, Catherine
AB  - BACKGROUND
Most treatment guidelines for acne are based on clinical severity. Our objective was to expand that approach to one that also comprised individualized patient features: a case-based approach.
METHODS
An expert panel of Canadian dermatologists was established to develop demographic and clinical features considered to be particularly important in acne treatment selection. A nominal group consensus process was used for inclusion of features and corresponding appropriate treatments.
RESULTS
Consensus was achieved on the following statements: follicular epithelial dysfunction contributes to acne pathogenesis; inflammation from underlying disease(s) or prior treatment may impact further patient management; management focusing on specific patient features and on addressing psychosocial factors, including impact on quality of life, may improve treatment adherence and outcomes; and case-based scenarios are a practical approach to illustrate the effect of these factors. To address the latter, eight case profiles were developed.
CONCLUSIONS
Management of acne should be based on multifactorial considerations beyond clinically determined acne severity and should include patient-reported impact, gender, skin sensitivity (including preexisting dermatoses), and phototype.
DO  - 10.2310/7750.2013.13154
IS  - 4
PY  - 2014
SN  - 1203-4754
SP  - 243
EP  - 255
PM  - 25008441
JF  - Journal of cutaneous medicine and surgery
KW  - 2 Publikation Acne
ER  -