Between 2004 and 2013, the number of spironolactone courses per 100 females with acne rose from 2.08 to 8.13 among dermatologists and from 1.43 to 4.09 among nondermatologists, researchers report.
The transgender dermatology patient may face a unique set of challenges doctors should be prepared to address, says Dr. Brian Ginsberg.
Female patients with hormonal acne that typically flares before or after menstrual cycles may be ideal candidates for spironolactone, said Emmy M. Graber, M.D., president of the Dermatology Institute of Boston who spoke at AAD 2018 in San Diego this week.
Despite recommendations to limit the use of oral antibiotics, dermatologists continue to prescribe them in high numbers, according to results of a large, retrospective analysis of U.S. prescribing trends from 2004 to 2013.
Dermatologist evaluations of patient acne photos submitted via smartphone compare favorably to in-person evaluations, a JAMA Dermatology study shows.
The cost of doxycycline hyclate prescriptions increased 1,854% between 2011 and 2013 in a retrospective analysis of commercial claims data, and there was no association between market concentration and price of the oral antibiotic. Clinician or pharmacy level interventions to choose less costly oral tetracycline-class antibiotics could result in substantial cost savings.
Dermatologists and others are increasingly using lasers and light-based therapies to treat acne, but the literature proving efficacy among these therapies is limited by few high-powered trials and lots of small, low-quality studies.
Lasers and photodynamic therapy are practical treatment options for acne patients who fail or aren’t compliant with traditional first-line therapies. Today’s energy devices might also enhance acne treatment as adjuvant therapy, a review shows.
Transient topical corticosteroids could take edge off severe irritation from topical retinoid acne treatment without decreasing efficacy.
Striking the perfect balance for retinoid use isn't easy. In this article, Dr. Michael Kolodney outlines his techniques for applying and managing retinoids.