NECASA I: A Practical Algorithm Integrating Skincare in the Management of Acne Patients in the Nordic European Countries.

IF 1.5 4区 医学 Q3 DERMATOLOGY Journal of Drugs in Dermatology Pub Date : 2024-09-01 DOI:10.36849/JDD.8472
Peter Bjerring, Oxana Anckar, Anneke Andriessen, Carl Kyrklund, Alyson Layton, Anne Brigitte Thomas Nordal, Cristina Oprica
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Abstract

Background: Acne vulgaris is a multifactorial dermatosis primary of the face and trunk. Erythema, pruritus, and xerosis are frequent adverse effects of first-line acne treatment and, if not appropriately counseled and managed, can exacerbate, leading to regimen nonadherence and poor outcomes.

Methods: A panel of 6 dermatologists (five from the Nordic European Countries and one from the UK) employed a modified Delphi method and reached a consensus on a practical acne treatment and maintenance algorithm integrating skincare based on the best available evidence, and the panels' clinical experience, and opinions.

Results: The Nordic European Countries Acne Skincare Algorithm (NECASA) recommends integrating skincare and nonprescription acne treatment into acne regimens, addressing the relative lack of standardized guidance on their use as mono or adjunctives to acne treatment. The algorithm uses stratification by acne subtype and discusses management approaches per type of acne (comedonal, papulopustular, and nodulocystic acne), severity (mild to moderate and severe), and maintenance treatment. Skincare monotherapy may reduce acne lesions and maintain clearance in patients with mild acne. Adjunctive skincare may enhance the efficacy and improve tolerability of acne treatment, reduce pigmentary alterations, and improve skin barrier function.

Conclusions: The NECASA algorithm may serve as a roadmap for integrating skincare in managing acne patients and tailoring acne treatment to improve adherence and tolerance to treatment and patient outcomes. J Drugs Dermatol. 2024;23(9):782-788. doi:10.36849/JDD.8472.

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NECASA I:北欧欧洲国家痤疮患者综合护肤管理实用算法。
背景:寻常痤疮是一种多因素皮肤病,主要发生在面部和躯干。红斑、瘙痒和皮肤干燥症是一线痤疮治疗中经常出现的不良反应,如果不给予适当的指导和管理,可能会加重病情,导致患者不坚持治疗,疗效不佳:由 6 位皮肤科医生(5 位来自北欧欧洲国家,1 位来自英国)组成的专家小组采用改良德尔菲法,根据现有的最佳证据、专家小组的临床经验和意见,就综合护肤的实用痤疮治疗和维护算法达成共识:结果:北欧欧洲国家痤疮护肤算法(NECASA)建议将护肤和非处方药痤疮治疗纳入痤疮治疗方案,以解决相对缺乏标准化指导的问题,即如何将护肤和非处方药痤疮治疗作为痤疮治疗的单一或辅助手段。该算法根据痤疮亚型进行分层,并讨论了每种痤疮类型(粉刺、丘疹脓疱和结节囊肿型痤疮)、严重程度(轻度至中度和重度)和维持治疗的管理方法。对轻度痤疮患者来说,单一护肤疗法可减少痤疮皮损,维持痤疮的清除。辅助护肤可提高痤疮治疗的疗效,改善耐受性,减少色素改变,改善皮肤屏障功能:结论:NECASA算法可作为将护肤融入痤疮患者管理的路线图,并可根据痤疮治疗的具体情况改善治疗的依从性和耐受性,提高患者的治疗效果。J Drugs Dermatol.2024;23(9):782-788. doi:10.36849/JDD.8472.
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
289
审稿时长
3-6 weeks
期刊介绍: The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology. We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality. Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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