[From the Cochrane Library: Improvement of photodamaged skin with retinoid creams and not with other local treatments]
Author(s): Hamerlynck JV, Middeldorp S, Scholten RJ
Affiliation(s): Academisch Medisch Centrum/Universiteit van Amsterdam, Dutch Cochrane Centre, Amsterdam. j.v.hamerlynck@amc.uva.nl
Publication date & source: 2006-01-21, Ned Tijdschr Geneeskd., 150(3):140-2.
Publication type: Review
A Cochrane systematic review of 30 randomised clinical trials assessed the effects of current treatments for adults with mild-to-severe changes in facial and forearm skin that occurred as a result of prolonged exposure to the sun ('photodamage'). Topical tretinoin > or = 0.02% improved the appearance of mild-to-severe photodamage. Tazarotene 0.01-0.1% and isotretinoin 0.1% provided benefit to patients with moderate photodamage. The treatment duration was 4-11 months. Adverse effects were pain and redness. Both the efficacy and adverse effects were dose-dependent. Other treatments, such as polysaccharides, hydroxy acids, surgical procedures and laser, cannot be recommended.
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