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Dermatol Clin. 2019 Apr;37(2):183-193. doi: 10.1016/j.det.2018.12.001. Epub 2019 Feb 14.

An Overview of Acne Therapy, Part 1: Topical therapy, Oral Antibiotics, Laser and Light Therapy, and Dietary Interventions.

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Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane West, Piscataway, NJ 08854, USA.
The Acne Treatment and Research Center, Morristown, NJ 07960, USA; Rutgers Robert Wood Johnson Medical Center, New Brunswick, NJ 08901, USA. Electronic address:


Therapeutic actives for acne have changed little in the last decade. Recognition that acne is an inflammatory condition, not an infectious one, has led to a call for reduction in antibiotic use. This has culminated in a re-evaluation of highly efficacious combination topical therapy and improved vehicle technology. Laser and light modalities, although not sufficiently studied for first-line use, show promise for the future. The role that diet plays in the initiation and continuation of acne is unclear but remains one of our patients' most frequently asked questions.


Acne; Adult female acne; Antibiotic resistance; Therapy; Treatment


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