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March 1963

Current Acne Therapy: A Compiled Report

Author Affiliations


From the Department of Dermatology, University of Pittsburgh School of Medicine and Mercy Hospital.

Arch Dermatol. 1963;87(3):361-365. doi:10.1001/archderm.1963.01590150077013

This report emphasizes that the treatment of acne continues to be an individualized problem. One can summarize the material in this compilation by outlining the treatment procedures most frequently used in the two groups of acne.

Simple Acne.—Dietary Restrictions—Prohibit: chocolate, cocoa, nuts, iodized salt, cola drinks. Restrict: Fatty foods, dairy products, sweets. Oral Treatment (a) vitamin A 50,000 to 100,000 u. daily. (b) Estrogenic hormones, natural estrogen 0.625 mg. to 1.25 mg. daily, continuously or premenstrually. Local Therapy: (a) medicated soapless cleanser; (b) proprietary drying agent; (c) antiseborrheic shampoo. Physical Therapy: ultraviolet exposure.

Complex Acne.—In general, the same regimen used in simple acne is employed with the following additions: Oral Treatment: tetracycline, 250 mg. 2 or 3 times daily for one week; then 1 or 2 times daily for 3 to 4 weeks. Surgery: As an office procedure, the comedones are expressed and pustules and cysts drained. Physical Therapy: (a) roentgen ray—In selected cases, patients 13 yr. of age or older, 75 to 100 roentgens 3 to 4 times per month. Total dosage will not exceed 1,000 r. (b) hot moist compresses; (c) cryotherapy. Other Treatment: staphylococcic vaccine.