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Archives de pédiatrie
Volume 14, n° 9
pages 1152-1156 (septembre 2007)
Doi : 10.1016/j.arcped.2007.05.011
Prise en charge de l'acné chez l'adolescent
Management of acne in adolescent
 

M. Faure
Service de dermatologie, hôpital Édouard-Herriot, pavillon R, 5, place d'Arsonval, 69437 Lyon cedex 03, France 

Résumé

L'acné est une affection inflammatoire du follicule pilosébacé sous influence hormonale. Les agents thérapeutiques peuvent être classés en antiséborrhéiques (isotrétinoïne et antiandrogènes), « antirétentionnels » (antiandrogènes et rétinoïdes topiques), anti-inflammatoires (rétinoïdes et peroxyde de benzoyle topiques, cyclines). Le choix thérapeutique dépend du type et de la sévérité de l'acné, de l'âge et du sexe. Parfois, l'acné juvénile est le reflet d'un hyperandrogénisme ovarien ou même surrénalien.

The full text of this article is available in PDF format.
Abstract

Acne is an androgen-dependant inflammatory folliculitis with non-inflammatory lesions (open and closed comedos) and inflammatory papules, pustules and sometimes nodules. Topical retinoïds, benzoyl peroxyde, antibiotics with anti-inflammatory properties, antiandrogens in female acne (antiandrogens and antiandrogenic oral contraceptives), and isotretinoin are the major drugs used in the management of the affection. Acne has to be treated according to the type of acne, severity, age and sex. Acne may also be the major sign of ovarian (PCOS) or adrenal hyperandrogenism in either female teenagers or both sexes, respectively.

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Mots clés : Acné, Adolescence, Hormones, Thérapeutique




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