Study of serum zinc level before after treatment of patients with moderate and severe acne vulgaris by isotretinoin combined with zinc
Main Article Content
Keywords
Abstract
Objective: To determine the serum zinc level and its relationship with clinical characteristics in patients with moderate and severe acne vulgaris (AV) before and after treatment with isotretinoin (ISO) combined with zinc. Subject and method: Controlled clinical trial. Ninety patients with moderate and severe AV were treated as outpatients at Bach Mai Hospital, along with 45 healthy subjects. Result: The serum zinc level in patients with moderate and severe AV was significantly lower compared to healthy individuals (p<0.001) and was related to the severity of the disease but did not related to age and body mass index (BMI). After treatment, the serum zinc level in the ISO combined with zinc treatment group was significantly higher compared to the ISO monotherapy group and the healthy control group (all p<0.001). There was no significant difference in serum zinc level after treatment between the ISO-only and healthy control groups (p>0.05). Conclusion: The serum zinc level in patients with moderate and severe AV differs significantly from that of healthy individuals. Serum zinc levels after treatment with isotretinoin monotherapy and combined zinc improved better than before, however, a better treatment effect was shown in the isotretinoin combined zinc.
Article Details
References
2. Butool F AM, Parween AS, Rasheed AM (2019) Role of serum Zinc and Copper levels in patients with acne vulgaris. J Orofac Res 8(4): 71-75.
3. Dreno B, Moyse D, Alirezai M, Amblard P, Auffret N, Beylot C, Bodokh I, Chivot M, Daniel F, Humbert P, Meynadier J, Poli F; Acne Research and Study Group (2001) Multicenter randomized comparative double blind controlled clinical trial of the safety and efficacy of zinc gluconate versus minocycline hydrochloride in the treatment of inflammatory acne vulgaris. Dermatology 203: 135-140.
4. Jarrousse V, Castex-Rizzi N, Khammari A, Charveron M, Dréno B (2007) Zinc salts inhibit in vitro Toll-like receptor 2 surface expression by keratinocytes. Eur J Dermatol 17(6): 492-496.
5. Mogaddam RM, Safavi Ardabili N, Maleki N, Soflaee M (2014) Correlation between the severity and type of acne lesions with serum zinc levels in patients with acne vulgaris. Biomed Res Int 2014: 474108.
6. Usmani TM, Alam SM, Ghafoor R, Latif AQ, Saeed F (2022) Association of serum zinc levels with acne vulgaris: A case-control study. Pakistan Journal of Health Sciences 2022: 195-198.
7. Ozuguz P, Dogruk Kacar S, Ekiz O, Takci Z, Balta I, Kalkan G (2013) Evaluation of serum vitamins A and E and zinc levels according to the severity of acne vulgaris. Cutan Ocul Toxicol 33(2): 99-102.
8. Salah E (2022) Oral zinc as a novel adjuvant and sparing therapy for systemic isotretinoin in acne vulgaris: A preliminary comparative study. J Clin Aesthet Dermatol 15(10): 58-61.
9. Yeşim Kaymak EA, Murat Erhan, Bülent Çelik, Mehmet Ali Gurer (2007) Zinc levels in patients with acne vulgaris. J Turk Acad Dermatol 21(3):71302.