Increased Vitamin A Level is associated with Clinical Improvement in Mild Acne Vulgaris: A Pre-test and Post-test Clinical Trial

Authors

  • Anis Irawan Anwar Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Rizka Ramadhani Ruray Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Anni Adriani Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Khairuddin Djawad Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Jonathan Kurnia Wijaya Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Asvina Anis Anwar Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9991

Keywords:

Acne vulgaris, Quantitative, Vitamin A, Elisa

Abstract

AV is a global cutaneous disorder that although is benign, can significantly affect the patient’s quality of life. The pathognomonic feature of the disease is the emergence of comedones. There are four known pathophysiology of AV, increased sebum production, ductal cornification, colonization of the bacteria P. acnesin the pilosebaceous unit, and inflammation. Furthermore, Vitamin A although already a well-established acne treatment that can affect all four of these factors, here are still limited data regarding the quantitative measurement of vitamin A itself in acne vulgaris cases. This study seeks to review the association between vitamin A levels measured quantitatively using ELISA with the outcome of inflamed lesions and comedones prior and after treatment with Tretinoin 0.025% in patients with mild AV. Our studies found that increased level of vitamin A is associated with significant clinical improvements in both inflamed and non-inflamed AV lesions.

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References

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990&2013;2019: A systematic analysis for the global burden of disease study 2019. Lancet. 2020;396(10258):1204-22. https://doi.org/10.1016/S0140-6736(20)30925-9 PMid:33069326 DOI: https://doi.org/10.1016/S0140-6736(20)30925-9

Heng AH, Chew FT. Systematic review of the epidemiology of acne vulgaris. Sci Rep. 2020;10(1):5754. https://doi.org/10.1038/s41598-020-62715-3 PMid:32238884 DOI: https://doi.org/10.1038/s41598-020-62715-3

Purdy S, Deberker D. Acne vulgaris. BMJ Clin Evid. 2008;2008:1714. PMid:19450306

Maia SB, Souza AS, Caminha MF, Da Silva SL, Cruz RS, Santos CC, et al. Vitamin A and pregnancy: A narrative review. Nutrients. 2019;11(3):681. https://doi.org/10.3390/nu11030681 PMid:30909386 DOI: https://doi.org/10.3390/nu11030681

Cengiz F, Emiroglu N, Bahali A, Su O, Onsun N. Vitamin A and E levels in patients with mild and moderate acne. Bezmialem Sci. 2017;5:61-3. https://doi.org/10.14235/bs.2016.923 DOI: https://doi.org/10.14235/bs.2016.923

Akram M, Akhtar N, Asif H, Shah PA, Saeed T, Mahmood A. Vitamin A: A review article. J Med Plants Res. 2011;5(20):4977-9.

El-Akawi Z, Abdel-Latif N, Abdul-Razzak K. Does the plasma level of Vitamins A and E affect acne condition? Clin Exp Dermatol. 2006;31(3):430-4. https://doi.org/10.1111/j.1365-2230.2006.02106.x PMid:16681594 DOI: https://doi.org/10.1111/j.1365-2230.2006.02106.x

Schmidt N, Gans EH. Tretinoin: A review of its anti-inflammatory properties in the treatment of acne. J Clin Aesthet Dermatol. 2011;4(11):22-9. PMid:22125655

Milani M, Veraldi S, Barbareschi M, Alessandrini G, Cardinali C, Gimma A, et al. Central evaluation of a combination of retinol, hydroxyl-pinacolone retinoate (Retinsphere), an antibacterial agent (BIOPEP.15), salicylic acid and Vitamin E in subjects suffering from predominant comedonal acne-an Italian multicenter prospective open study. J Dermatol Clin Res. 2016;4(3):1072.

Kotori MG. Low-dose Vitamin “A” tablets-treatment of acne vulgaris. Med Arch. 2015;69(1):28-30. https://doi.org/10.5455/medarh.2015.69.28-30 PMid:25870473 DOI: https://doi.org/10.5455/medarh.2015.69.28-30

Adityan B, Kumari R, Thappa DM. Scoring systems in acne vulgaris. Indian J Dermatol Venereol Leprol. 2009;75(3):323-6. https://doi.org/10.4103/0378-6323.51258 PMid:19439902 DOI: https://doi.org/10.4103/0378-6323.51258

Tan AU, Schlosser BJ, Paller AS. A review of diagnosis and treatment of acne in adult female patients. Int J Womens Dermatol. 2017;4(2):56-71. https://doi.org/10.1016/j.ijwd.2017.10.006 PMid:29872679 DOI: https://doi.org/10.1016/j.ijwd.2017.10.006

Konstantinou GN. Enzyme-linked immunosorbent assay (ELISA). Methods Mol Biol. 2017;1592:79-94. https://doi.org/10.1007/978-1-4939-6925-8_7 PMid:28315213 DOI: https://doi.org/10.1007/978-1-4939-6925-8_7

Vahlquist A, Lee JB, Michaëlsson G, Rollman O. Vitamin A in human skin: II Concentrations of carotene, retinol and dehydroretinol in various components of normal skin. J Invest Dermatol. 1982;79(2):94-7. https://doi.org/10.1111/1523-1747.ep12500033 PMid:7097042 DOI: https://doi.org/10.1111/1523-1747.ep12500033

Ozuguz P, Dogruk Kacar S, Ekiz O, Takci Z, Balta I, Kalkan G. Evaluation of serum Vitamins A and E and zinc levels according to the severity of acne vulgaris. Cutan Ocul Toxicol. 2014;33(2):99-102. https://doi.org/10.3109/15569527.2013.808656 PMid:23826827 DOI: https://doi.org/10.3109/15569527.2013.808656

Akyurek F, Kurtipek G, Kurku H, Akyurek F, Ünlü A, Abusoglu S, et al. Assesment of ADMA, IMA, Vitamin A and E levels in patients with acne vulgaris. J Cosmet Dermatol. 2020;19:3408-13. https://doi.org/10.1111/jocd.13590 DOI: https://doi.org/10.1111/jocd.13590

Zasada M, Budzisz E. Retinoids: Active molecules influencing skin structure formation in cosmetic and dermatological treatments. Postepy Dermatol Alergol. 2019;36(4):392-7. https://doi.org/10.5114/ada.2019.87443 PMid:31616211 DOI: https://doi.org/10.5114/ada.2019.87443

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Published

2022-07-08

How to Cite

1.
Anwar AI, Ruray RR, Adriani A, Djawad K, Wijaya JK, Anwar AA. Increased Vitamin A Level is associated with Clinical Improvement in Mild Acne Vulgaris: A Pre-test and Post-test Clinical Trial. Open Access Maced J Med Sci [Internet]. 2022 Jul. 8 [cited 2024 Apr. 26];10(B):1932-5. Available from: https://oamjms.eu/index.php/mjms/article/view/9991

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