Treatments
Acne
About Acne
Acne is a chronic skin disease involving inflammation of the sebaceous glands. It usually appears on the face but can also appear on the back and chest. It affects 80% of teenagers and many adults, especially women, 35% being between the ages of 30 and 40. Acne represents 15-20% of consultations in dermatology.
About Acne
Acne is a chronic, recurrent disease that requires initial treatment, as well as maintenance therapy. Initial treatment is based on topical retinoids alone or in a combination with topical and/or oral antimicrobials (topical benzoyl peroxide, systemic antibiotics), depending on the severity of the disease. The most severe form is treated with oral isotretinoin. All patients should use maintenance therapy, which includes topical retinoids.
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Androgenic Alopecia
About Androgenic Alopecia
Androgenic Alopecia is a common form of hair loss in both men and women. In men, this concern is also known as male-pattern baldness. Hair is lost in a well-defined pattern, beginning above both temples. Over time, the hairline recedes to form a characteristic “M” shape. Hair also thins at the crown (near the top of the head), often progressing to partial or complete baldness.
Advice
Currently there is no cure for the disease. Only 2 drugs currently have US Food and Drug Administration (FDA) approval for the treatment of androgenic alopecia: minoxidil and finasteride.
Minoxidil’s method of action is essentially unknown., minoxidil appears to lengthen the duration of the anagen phase, and it may increase the blood supply to the follicle. Regrowth is more pronounced at the vertex than in the frontal areas and is not noted for atleast 4 months. Continuing topical treatment with the drug is necessary indefinately because discontinuation of treatment produces a rapid reversion to the pretreatment balding pattern. Patients who respond best to this drug are those who have a recent onset of androgenic alopecia and small areas of hair loss.
Finasteride is given orally and is a 5-alpha-reductase type 2 inhibitor. It is not an antiandrogen. The drug can be used only in men because it can produce ambiguous genitalia in a developing fetus. Finasteride has been shown to diminish the progression of androgenic alopecia in males who are treated, and, in many patients, it has stimulated new regrowth.
Although it affects vertex balding more than frontal hair loss, the medication has been shown to increase regrowth in the frontal areas as well. Finasteride must be continued indefinitely because discontinuation results in gradual progression of the disorder. A study in postmenopausal women indicated no beneficial effect of the medication in treating female androgenic alopecia.
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About Atopic Dermatitis
Atopic dermatitis is a chronic inflammatory skin disease, associated with intense itching. It can occur in all age groups, but is most frequent during early infancy and childhood (10-20%). It is increasingly prevalent, especially in industrialised countries.