Prescribing isotretinoin
Some 80% of teenagers suffer with acne that would benefit from treatment. In men, the spontaneous remission rate is very high, so that only 1% of 25-year-old men have acne, while the figure for women is near to 30%, falling to 10% for the over-40s. There is also considerable variation in the severity of acne, depending on the type of clinical disease, its ability to produce scarring and its psychological effects. All of these factors will influence the choices of treatment. In addition, the nature of the patient’s response to their disease is critical.
Dermatology in practice 2005; 13(2): 20–21
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