Evidence map›Paper›PMID 34691199›Full record

ReviewDrugs in context2021

Dermatology: how to manage acne vulgaris.

Alexander Kc Leung, Benjamin Barankin, Joseph M Lam, Kin Fon Leong, Kam Lun Hon

Open access · goldAbstract readReview
In one paragraph

Review in Drugs in context, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
20.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 151 citations in OpenAlex.

  1. Trial
  2. Safety and Clinical Efficacy of KūlarisClinical, cosmetic and investigational dermatology · 2025
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  6. The association betweenJournal of medicine and life · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Alexander Kc LeungDepartment of Pediatrics, The University of Calgary, and The Alberta Children's Hospital, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-2254-6971
Benjamin BarankinToronto Dermatology Centre, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-9010-8968
Joseph M LamDepartment of Dermatology and Skin Sciences, University of British Columbia and BC Children's Hospital, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-7808-3369
Kin Fon LeongPediatric Institute, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-1984-7960
Kam Lun HonDepartment of Paediatrics and Adolescent Medicine, The Hong Kong Children's Hospital, Hong Kong.ORCID https://orcid.org/0000-0002-6682-5529
Hospital Kuala Lumpur · MYUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcne vulgaris is the most common skin disease that can lead to disfigurement and psychological distress. This article aims to provide a narrative updated review on the management of acne vulgaris.

methodsA PubMed search was performed with Clinical Queries using the key term "acne". The search strategy included clinical trials, meta-analyses, randomized controlled trials, observational studies and reviews. The search was restricted to articles published in English.

resultsTreatments of acne include proper skin care, topical medications, oral medications and procedural therapies. Topical agents are the first-line treatment for mild-to-moderate acne and can be used as combination therapy for more severe acne. Systemic therapies are usually prescribed for the initial treatment of moderate-to-severe acne as well as for acne that is refractory to topical therapies.

conclusionTopical retinoids are the drugs of choice for the treatment and maintenance therapy of patients with mild-to-moderate acne vulgaris. Depending on the severity of the acne, topical retinoids may be used alone or in combination with benzoyl peroxide and topical or oral antibiotics. Oral antibiotics are an important therapy for inflammatory acne unresponsive to topical therapy. Neither topical nor oral antibiotics should be used as monotherapy. Oral contraceptives and/or spironolactone are useful for many women with acne. Oral isotretinoin is the drug of choice for severe, extensive, nodular acne vulgaris but is also often used in moderate cases where scarring is evident, acne-related psychosocial distress is significant or other treatment modalities have failed.

Indexed as

acneantibioticsbenzoyl peroxidecomedoneserythematous papulesoral contraceptivespustulesretinoidsspironolactone

Identifiers

PMID34691199
PMCPMC8510514
OpenAlexW3207302795

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.