Acta Medica Medianae (Jan 2009)
EPIDEMIOLOGICAL CHARACTERISTICS OF THE WHOOPING COUGH IN SERBIA AND SUMADIA REGION
Abstract
The introduction of retinoids for the treatment of acne vulgaris in the 1970′s was revolutionary in dermatology. For the first time, dermatologists had effective comedolytic medication that could attenuate multiple aspects of acne pathogenesis, resulting in superior clinical and cosmetic outcomes. The quest for more stable molecules able to produce therapeutic effects similar to tretinoin lead to the evolution of adapalen, which has completely new chemical composition attained as a derivate of naphtoic-acid. Nowdays, the accepted opinion is that acne is accounted by multifactor processes, i.e. that there are many elements which determine the course of disease in pilosebaceous folicle. Ideal topical treatment of acne vulgaris could acheive therapeutic effects at four key components of this pathogen process: abnormal keratinization, proliferation and differentiation, augmented creation of sebum, settlement of pilosebaceous unit from Propionbacterium acnes (P. acnes) and inflammatory reaction on antigenes and mediators which originate from P. acnes. The aims of this research were to establish the efficiency of treatments with adapalen, to establish eventual undesirable effects of this therapy, quality of life during the therapy and importance of home attendance.The research included 35 subjects. The selection of subjects was based on clinical analysis and anamnestic data. The research was conducted in the Centre of Esthetic Medicine in the Primary Health Care Centre in Nis. The subjects of experimental subsample (20 of them) applied adapalen (Airol cream), Pantenol gel cream and Plantoderm unquent (Actavis co) for night use. Subjects of control subsample applied only Pantenol gel cream and Plantoderm unquent (Actavis co) for nightly usage. The research lasted 12 weeks. All subjects underwent complete treatment. The subjects of experimental subsample treated with adapalen showed visible amelioration after second therapy, and results were clear after four weeks of treatment. Undesirable effects mostly appeared during the second and third week and were present until the end of the therapy, but they did not significantly affect the positive results.
