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Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review

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Resumo:Abstract Acne is a chronic, inflammatory, multifactorial disorder of the pilosebaceous unit, with no associated mortality but often accompanied by high physical and psychological morbidity. Metformin is an antihyperglycemic drug under investigation as a therapeutic option for acne in adults and adolescents. The authors performed an evidence-based review, according to the population, intervention, control, and outcomes methodology, to assess whether there is evidence for the use of metformin (monotherapy or adjuvant) in the treatment of acne in adolescents and adults in the absence of polycystic ovary syndrome (PCOS). At the end of the review method, five original studies were eligible for this review. All studies showed a statistically significant improvement in acne lesions in patients receiving metformin. Despite the small number of articles included in this review, results suggest that the use of metformin for the management of acne can be an option, although further investigation is required. According to the current evidence, metformin could be a therapeutic option in the treatment of acne without PCOS, with strength of recommendation taxonomy B level of evidence. This treatment has shown clinical benefits, particularly in acne resistant to other therapies or in more severe acne cases, improving the number and severity of the lesions.
Autores principais:Jesus,Ana M.
Outros Autores:Ribeiro,Ana S.; Cunha-Santos,Catarina; Ferreira,Joana F.; Freitas-Osório,Mafalda; Ribeiro-Almeida,Sílvia; Andrade,Jorge; Leal-Pinto,Teresa; Coelho,Jacinta; Bernardo,Diana
Assunto:Acne Acneiform eruptions Evidence-based medicine Metformin Treatment
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
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author Jesus,Ana M.
author2 Ribeiro,Ana S.
Cunha-Santos,Catarina
Ferreira,Joana F.
Freitas-Osório,Mafalda
Ribeiro-Almeida,Sílvia
Andrade,Jorge
Leal-Pinto,Teresa
Coelho,Jacinta
Bernardo,Diana
author2_role author
author
author
author
author
author
author
author
author
author_facet Jesus,Ana M.
Ribeiro,Ana S.
Cunha-Santos,Catarina
Ferreira,Joana F.
Freitas-Osório,Mafalda
Ribeiro-Almeida,Sílvia
Andrade,Jorge
Leal-Pinto,Teresa
Coelho,Jacinta
Bernardo,Diana
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Jesus,Ana M.\"},{\"Person.name\":\"Ribeiro,Ana S.\"},{\"Person.name\":\"Cunha-Santos,Catarina\"},{\"Person.name\":\"Ferreira,Joana F.\"},{\"Person.name\":\"Freitas-Osório,Mafalda\"},{\"Person.name\":\"Ribeiro-Almeida,Sílvia\"},{\"Person.name\":\"Andrade,Jorge\"},{\"Person.name\":\"Leal-Pinto,Teresa\"},{\"Person.name\":\"Coelho,Jacinta\"},{\"Person.name\":\"Bernardo,Diana\"}]
datacite.creators.creator.creatorName.fl_str_mv Jesus,Ana M.
Ribeiro,Ana S.
Cunha-Santos,Catarina
Ferreira,Joana F.
Freitas-Osório,Mafalda
Ribeiro-Almeida,Sílvia
Andrade,Jorge
Leal-Pinto,Teresa
Coelho,Jacinta
Bernardo,Diana
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
datacite.titles.title.fl_str_mv Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
dc.creator.none.fl_str_mv Jesus,Ana M.
Ribeiro,Ana S.
Cunha-Santos,Catarina
Ferreira,Joana F.
Freitas-Osório,Mafalda
Ribeiro-Almeida,Sílvia
Andrade,Jorge
Leal-Pinto,Teresa
Coelho,Jacinta
Bernardo,Diana
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2795-50012024000300167
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Permanyer Publications
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Portuguese Journal of Dermatology and Venereology v.82 n.3 2024
dc.subject.none.fl_str_mv Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
dc.title.fl_str_mv Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Abstract Acne is a chronic, inflammatory, multifactorial disorder of the pilosebaceous unit, with no associated mortality but often accompanied by high physical and psychological morbidity. Metformin is an antihyperglycemic drug under investigation as a therapeutic option for acne in adults and adolescents. The authors performed an evidence-based review, according to the population, intervention, control, and outcomes methodology, to assess whether there is evidence for the use of metformin (monotherapy or adjuvant) in the treatment of acne in adolescents and adults in the absence of polycystic ovary syndrome (PCOS). At the end of the review method, five original studies were eligible for this review. All studies showed a statistically significant improvement in acne lesions in patients receiving metformin. Despite the small number of articles included in this review, results suggest that the use of metformin for the management of acne can be an option, although further investigation is required. According to the current evidence, metformin could be a therapeutic option in the treatment of acne without PCOS, with strength of recommendation taxonomy B level of evidence. This treatment has shown clinical benefits, particularly in acne resistant to other therapies or in more severe acne cases, improving the number and severity of the lesions.
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identifier.url.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2795-50012024000300167
instacron_str SciELO
institution Fundação para a Ciência e Tecnologia
instname_str Fundação para a Ciência e Tecnologia
language eng
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oai_identifier_str oai:scielo:S2795-50012024000300167
organization_str_mv urn:organizationAcronym:scielo
person_str_mv Jesus,Ana M.
Ribeiro,Ana S.
Cunha-Santos,Catarina
Ferreira,Joana F.
Freitas-Osório,Mafalda
Ribeiro-Almeida,Sílvia
Andrade,Jorge
Leal-Pinto,Teresa
Coelho,Jacinta
Bernardo,Diana
publishDate 2024
publisher.none.fl_str_mv Permanyer Publications
reponame_str SciELO Portugal
repository_id_str urn:repositoryAcronym:scielopt
service_str_mv urn:repositoryAcronym:scielopt
spelling Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature reviewJesus,Ana M.Ribeiro,Ana S.Cunha-Santos,CatarinaFerreira,Joana F.Freitas-Osório,MafaldaRibeiro-Almeida,SílviaAndrade,JorgeLeal-Pinto,TeresaCoelho,JacintaBernardo,DianaAcneAcneiform eruptionsEvidence-based medicineMetforminTreatmentopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2795-50012024000300167URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2795-50012024000300167URLHasVersion2024-09-01Abstract Acne is a chronic, inflammatory, multifactorial disorder of the pilosebaceous unit, with no associated mortality but often accompanied by high physical and psychological morbidity. Metformin is an antihyperglycemic drug under investigation as a therapeutic option for acne in adults and adolescents. The authors performed an evidence-based review, according to the population, intervention, control, and outcomes methodology, to assess whether there is evidence for the use of metformin (monotherapy or adjuvant) in the treatment of acne in adolescents and adults in the absence of polycystic ovary syndrome (PCOS). At the end of the review method, five original studies were eligible for this review. All studies showed a statistically significant improvement in acne lesions in patients receiving metformin. Despite the small number of articles included in this review, results suggest that the use of metformin for the management of acne can be an option, although further investigation is required. According to the current evidence, metformin could be a therapeutic option in the treatment of acne without PCOS, with strength of recommendation taxonomy B level of evidence. This treatment has shown clinical benefits, particularly in acne resistant to other therapies or in more severe acne cases, improving the number and severity of the lesions.Permanyer PublicationsPortuguese Journal of Dermatology and Venereology v.82 n.3 2024text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature
spellingShingle Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
Jesus,Ana M.
Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
status SINGLETON
subject.fl_str_mv Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
title Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
title_full Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
title_fullStr Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
title_full_unstemmed Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
title_short Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
title_sort Use of metformin for the treatment of acne in the absence of polycystic ovarian syndrome: a literature review
topic Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
topic_facet Acne
Acneiform eruptions
Evidence-based medicine
Metformin
Treatment
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S2795-50012024000300167
visible 1