Document Detail


Treatment of photoaged skin. Efficacy, tolerability and costs of available agents.
MedLine Citation:
PMID:  8785463     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Photoaging is a cumulative degenerative process induced by solar irradiation with well defined clinical and histological correlates. Because of its huge psychological impact, there is much demand for effective treatment. Many well constructed trials confirm the clinical efficacy of topical tretinoin for improving fine wrinkling and mild to moderate hyperpigmentation; coarse wrinkling and severe hyperpigmentation respond less well. Histological improvement is well documented, but the precise relationship to clinical response is not clearly established. Tolerability can be a problem. Optimal concentrations are not firmly established and vary between patients. Claims that topical isotretinoin is better tolerated than tretinoin need to be confirmed with well constructed trials. Despite many claims, there have been no adequate trials documenting the efficacy of fish cartilage polysaccharide extracts or alpha-hydroxy acids. Careful patient selection with consideration of alternative treatments such as chemical peeling, dermabrasion and surgery is important to successful management of photoaging.
Authors:
S D Helander
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Drugs & aging     Volume:  8     ISSN:  1170-229X     ISO Abbreviation:  Drugs Aging     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-09-26     Completed Date:  1996-09-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9102074     Medline TA:  Drugs Aging     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  12-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Economics, Pharmaceutical
Humans
Hydroxy Acids / therapeutic use*
Skin Aging / drug effects*
Tretinoin / therapeutic use*
Chemical
Reg. No./Substance:
0/Hydroxy Acids; 302-79-4/Tretinoin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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