Laboratory Monitoring During Isotretinoin Therapy for Acne: A Systematic Review and Meta-analysis.

Author: ChenAllshine, Gupta-EleraGaytri, KirbyJoslyn S, LeeYoung H, MuscatJoshua, ScharnitzThomas P

Paper Details 
Original Abstract of the Article :
IMPORTANCE: Oral isotretinoin has been associated with several adverse effects, but evidence-based estimates of laboratory changes during isotretinoin therapy in large patient samples are limited. OBJECTIVE: To develop estimates of the laboratory changes that occur during isotretinoin therapy for a...See full text at original site
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引用元:
https://doi.org/10.1001/jamadermatol.2015.3091

データ提供:米国国立医学図書館(NLM)

Isotretinoin for Acne: A Meta-Analytic Review of Laboratory Monitoring

The treatment of [acne vulgaris] often involves the use of oral [isotretinoin], a powerful medication known for its effectiveness but also for its potential adverse effects. This comprehensive [systematic review and meta-analysis] aimed to provide a comprehensive understanding of the laboratory changes associated with [isotretinoin therapy] in a large patient population. By analyzing data from [61 studies], the authors investigated the impact of [isotretinoin] on [lipid levels, hepatic function, and complete blood cell count].

A Balanced Perspective on Laboratory Monitoring

The meta-analysis revealed that [isotretinoin] treatment significantly impacted [several laboratory test parameters] including [white blood cell count and hepatic and lipid panels]. However, the authors emphasize that the observed changes, while statistically significant, did not meet their criteria for [high-risk] in the overall patient group. Moreover, the proportion of patients exhibiting [laboratory abnormalities] was found to be [low].

Navigating the Landscape of Isotretinoin Therapy

This comprehensive analysis provides valuable insights for healthcare professionals treating patients with [acne vulgaris]. While [isotretinoin] therapy has the potential to induce [laboratory changes], the authors suggest that [routine monthly laboratory testing] may not be necessary for the majority of patients receiving [standard doses] of [isotretinoin] for [acne vulgaris]. However, [individual patient factors] should always be considered, and close monitoring of [specific laboratory parameters] may be warranted in certain cases, especially when [higher doses] or [pre-existing health conditions] are involved.

Dr.Camel's Conclusion

This research, like a guiding star in the vast desert of medical knowledge, helps us navigate the complex landscape of [isotretinoin therapy]. The authors, through meticulous analysis, provide clarity regarding the need for laboratory monitoring during [isotretinoin treatment]. Their findings suggest a balanced approach, where routine monitoring may not be necessary for most patients, but careful consideration of individual factors is key.

Date :
  1. Date Completed 2016-05-19
  2. Date Revised 2022-03-17
Further Info :

Pubmed ID

26630323

DOI: Digital Object Identifier

10.1001/jamadermatol.2015.3091

SNS
PICO Info
in preparation
Languages

English

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