Zusammenfassung
Diese kurze Übersicht soll die Ursachen erhellen, aus denen Patienten mit Akne ein Behandlungsproblem darstellen können, und gleichzeitig Therapieoptionen vorschlagen. Es gibt vier Hauptgründe, weshalb Patienten suboptimal auf die Behandlung ansprechen:
-
1.
Der Patient ist verantwortlich durch schlechte Mitarbeit (Compliance).
-
2.
Der Arzt ist verantwortlich durch unzulängliche Diagnose der Akne.
-
3.
Bestimmte Akne-Formen sind trotz adequater Zusammenarbeit zwischen Arzt und Patient schwer therapierbar.
-
4.
Medikamenten-Nebenwirkungen können die Therapie beeinträchtigen.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Plewig G, Kligman AM (1975) Acne; morphogenesis and treatment. Springer, Berlin Heidelberg New York, pp 162–163
O’Brien SC, Lewis JB, Cunliffe WJ (1998) The Leeds Revised Acne Grading System. J Dermatol Treat 9:215–220
Pepall LM, Cosgrove MP, Cunliffe WJ (1991) Ablation of whiteheads by cautery under topical anaesthesia. Br J Dermatol 125:256–259
Bottomley WW, Yip J, Knaggs H, Cunliffe WJ (1993) Treatment of close comedones — comparisons of fulguration with topical tretinoin and electrocautery with fulguration. Dermatology 186:253–257
Motley RJ, Finlay AY (1989) How much disability is caused by acne? Clin Exp Dermatol 14:194–198
Lim CC, Tan TC (1992) Personality, disability and acne in college students. Clin Exp Dermatol 16:371–373
Motley RJ, Finlay AY (1992) Practical use of a disability index in the routine management of acne. Clin Exp Dermatol 17:1–3
Goulden V, Cunliffe WJ (1997) Post adolescent acne: a review of the clinical features. Br J Dermatol 136:66–70
Cunliffe WJ, Van de Kerkhof P, Caputo R et al. (1997) Roaccutane treatment Guidelines: results of an international survey. Dermatology 194:351–357
Harms M, Masooye I, Radeff B (1986) The relapses of cystic acne after isotretinoin treatment are age-related: a long term follow up study. Dermatologica 172:148–153
Eady EA, Jones CE, Tipper JL et al. (1993) Antibiotic resistant Propionibacteria in acne: need for policies to modify antibiotic usage. BMJ 306:555–556
Dreno B, Legallou F, de Sainte Marie I, Richet HK (1997) Prevalence of erythromycin resistant Propionibacteria and Staphylococcus epidermidis in acne patients in France. J Invest Dermatol 108:379
Hammerstein J, Cupceancu B (1969) Behandlung des Hirsutismus mit Cyproteronacetat. Dtsch Med Wochenschr 94:829–834
Goodfellow A, Alaghband-Zadeh J, Carter C et al. (1984) Oral spironolactone improves acne vulgaris and reduces sebum excretion. Br J Dermatol 111:209–214
Clark SM, Goulden V, Cunliffe WJ (1996) The management of acne patients who respond slowly to oral isotretinoin. Br J Dermatol 135:20
Shahidullah M, Tham SN, Goh CL (1994) Isotretinoin therapy in acne vulgaris: a 10-year retrospective study in Singapore. Int J Dermatol 33:60–63
Parker TL, Roth JG, Esterly NB (1997) Isotretinoin for acne in Apert syndrome. Br J Dermatol 136:298–300
Goulden V, Cunliffe WJ, Stead J (1996) Intermittent isotretinoin for adults with acne. Pharm J 1996 (letter) 257:234
Cunliffe WJ, Stables G (1996) Optimum use of isotretinoin in acne. J Cut Med & Surg 1, Suppl 2:14–25
Thomson K, Cunliffe WJ (??) Acne fulminans sine fulminans. In preparation.
Dwyer CM, Cuddihy AM, Kerr REI et al. (1993) Skin pigmentation due to minocycline treatment of facial dermatoses. Br J Dermatol 129:158–162
Goulden V, Glass D, Cunliffe WJ (1996) Safety of long term high dose minocycline in the treatment of acne. Br J Dermatol 134:693–695
Kaufmann D, Pichler W, Beer JH (1994) Severe episode of high fever with rash, lymphadenopathy, neutropenia and eosinophilia after minocycline therapy for acne. Arch Intern Med 154:1983–1984
Byrne PAC, Williams BD, Pritchard MH (1994) Minocycline-related lupus. Br J Rheumatol 33:674–676
Kellett SC, Gawkrodger DJG (1999) The psychological and emotional impact of acne and the effect of treatment with isotretinoin. Br J Dermatol 140:273–282
Rubinow DR, Peck GL, Squillace KM, Gantt GG (1987) Reduced anxiety and depression cystic in acne patients after successful treatment with oral isotretinoin. J Am Acad Dermatol 17:25–32
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Sommer, S., Cunliffe, W.J. (2000). Über die Therapie der Komplizierten Acne Vulgaris. In: Plettenberg, A., Meigel, W.N., Moll, I. (eds) Dermatologie an der Schwelle zum neuen Jahrtausend. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57191-6_68
Download citation
DOI: https://doi.org/10.1007/978-3-642-57191-6_68
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63042-2
Online ISBN: 978-3-642-57191-6
eBook Packages: Springer Book Archive