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Benefits of Accutane. Guy F. Webster MD, PhD Vice Chair, Department of Dermatology Jefferson Medical College. Accutane. Orals and Topicals. Orals. Topicals. Psychosocial Effects of Acne. Acne is a long-lasting chronic disease Increased anxiety Increased depression
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Benefits of Accutane Guy F. Webster MD, PhD Vice Chair, Department of Dermatology Jefferson Medical College
Accutane Orals and Topicals Orals Topicals
Psychosocial Effects of Acne • Acne is a long-lasting chronic disease • Increased anxiety • Increased depression • Increased self consciousness and other parameters
Emotional Impairment Due to Acne • Dermatology out-patients had higher prevalence of psychiatric disorders (Hughes et al, 1983) • Patients with severe acne were more anxious (van der Meeren et al, 1985) • Patients with severe acne had higher states of anxiety and anger (Wu et al, 1988) PSY130 6/16/00
Isotretinoin • Correcting the altered pattern of follicular keratinization • Suppress sebaceous gland activity • Decrease P.acnes (the only organism implicated in the causation of nodular acne) • Anti-inflammatory
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Accutane Improves Anxiety • Isotretinoin treatment produced significant improvements across wide variety of psychological functions (Kellett and Gawkrodger,1999) • Treatment with isotretinoin reduced anxiety and depression scores (Rubinow and Peck, 1987) PSY 040, (303), 9/1/00
Benefits of Isotretinoin in Acne • Lasting response in disfiguring disease • Short duration of treatment • Long-term improvement in self-esteem and function