Study of the results of acne vulgaris treatment with oral isotretinoin and vitamin D

  • Phạm Thị Bích Na Đại học Y khoa Phạm Ngọc Thạch
  • Phạm Thị Lan Đại học Y Hà Nội
  • Đặng Văn Em 108 Military Central Hospital

Main Article Content

Keywords

isotretinoin, Acne Vulgaris, vitamin D

Abstract

Objective: To evaluate the results of acne vulgaris treatment with oral isotretinoin and vitamin D (Vit D). Subject and method: A controlled clinical trials, comparing the treatment effectiveness of 70 patients with moderate and severe Acne vulgaris. Patients were randomized to 2 groups, each of 35 patients, the study group used Isotretinoin 20mg/day and Vit D 1000UI/day, the control group only used Isotretinoin 20mg/day in 3 months treatment. Result: Both study group and control group had statistically significant differences in the severity of acne vulgaris and GAGS scores at 1 - 2 - 3 months after treatment compared with before treatment. After 3 months, both study and control groups showed very good, good and rather good improvement in more than 90% of patients. There was no statistically significant difference in GAGS score, disease severity, disease improvement as well as clinical side effects after 1 - 2 - 3 months of treatment between the 2 groups. Conclusion: In the treatment of moderate and severe acne vulgaris, oral Isotretinoin in combination with Vit D showed no difference in treatment results and side effects compared with using isotretinoin alone.

Article Details

References

1. Dương Thị Lan, Nguyễn Văn Thường (2018) Điều trị trứng cá thông thường mức độ trung bình bằng uống isotretinoin phối hợp desloratadine. Da liễu học (27), tr. 87-94.
2. Đặng Văn Em (2007) Kết quả điều trị bệnh trứng cá mức độ vừa và nặng bằng acnotin. Tài liệu hội nghị chuyên đề khoa học Hà Nội, tr. 11-15.
3. Nguyễn Thị Trà My, Văn Thế Trung (2016) Nghiên cứu về tác dụng phụ của isotretinoin uống ở bệnh nhân mụn trứng cá tại Bệnh viện Đại học Y dược Thành phố Hồ Chí Minh. Tạp chí Y học Thành phố Hồ Chí Minh (21), tr. 16-23.
4. Agak GW, Qin M, Nobe J, Kim M (2014) Propionibacterium acnes induces an IL-17 response in acne vulgaris that is regulated by vitamin A and vitamin D. Journal of Investigative Dermatology 134(2): 366-373.
5. El-Hamd MA, Moustafa AE, Ibrahim HM, Aly SS (2019) Vitamin D levels in acne vulgaris patients treated with oral isotretinoin. J Cosmet Dermatol, 18(1): 16-20.
6. Katsambas AD (2004) Guidelines for treating ance. Clin Dermatol 22(5): 439-44. doi: 10.1016/j.clindermatol.2004.03.002.
7. Lee WJ, Choi YH, Sohn MY, Lee SJ (2013) Expression of inflammatory biomarkers from cultured sebocytes was influenced by treatment with Vitamin D. Indian J Dermatol 58(4): 327.
8. Lim SK, Ha JM, Lee YH, Lee Y (2016) Comparison of Vitamin D Levels in Patients with and without Acne: a case-control study combined with a randomized controlled trial. PLoS One 11(8): 161-162.
9. Navarro-Triviño FJ, Arias-Santiago S, Gilaberte-Calzada Y (2019) Vitamin D and the skin: A review for dermatologists. Actas Dermosifiliogr 110(4): 262-272.
10. Wafaa MA, Essam AM, Hassan MH (2018) Lesional and circulating levels of interleukin-17 and 25-hydroxycholecalciferol in active acne vulgaris: Correlation to disease severity. Journal of Cosmetic dermatology 18(2): 1-6.