• Ann Dermatol Vener · Jan 1999

    [Acne in the male resistant to isotretinoin and responsibility of androgens: 9 cases, therapeutic implications].

    • C Chaspoux, D Lehucher-Ceyrac, P Morel, H Lefrancq, P Boudou, J Fiet, and P Vexiau.
    • Service d'Endocrinologie, Hôpital Saint-Louis, Paris.
    • Ann Dermatol Vener. 1999 Jan 1; 126 (1): 17-9.

    IntroductionTreatment failures with isotretinoin in female patients are frequently related to endocrinological dysfunctions. Such a concept has never been discussed in male patients.Case ReportsAn extensive endocrinological work-up has been performed in nine male patients who presented with an acne refractory to conventional treatment and to isotretinoin. Adrenal dysfunction was found in four patients and isolated 5-alpha reductase hyperactivity in 2 cases. Three work-ups were normal. A suppressive treatment in three patients with adrenal dysfunction provided immediate efficacy.CommentsThese results would provide insight into the mechanism of refractory acne in men.

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