A three-stage strategy in treating acne vulgaris in patients with atopic dermatitis- a pilot study

Background Heightened susceptibility to skin infection occurs in patients with atopic dermatitisbecause their skin has a poor barrier against microorganisms. Acne is the most common skin condition worldwide. However, the lack of full understanding of its pathogenesis, and the high risk of scarring as a sequel, necessitates continuous trials to reach effective and rapid control. Thus the aim of this study was assessing the effectiveness of a newer treatment strategy in treating acne in patients with atopic dermatitis.Patients and methods Ten female patients with atopic dermatitis suffering acne of moderate to severe grades, followed a three-stages treatment strategy. Stage I aimed at effective control of the inflamed acne lesions, stage II at minimisation of scarring and postinflammatory hyperpigmentation, while stage III aimed at naturally nourishing facial skin for cosmetic purpose.Results Stage I regimen induced marked and rapid disappearance of acne lesions. Moreover, the stage II regimen caused marked diminution of scar lesions and hyperpigmentation. During stage III, facial skin showed a silky touch with brighter appearance.Conclusion The three-stage strategy is a successful and safe method in effectively treating acne in patients with atopic dermatitis and in improving the facial skin status