South-East Asia study alliance guidelines on the management of acne vulgaris in South-East Asian patients

Chee Leok Goh, Flordeliz Abad-Casintahan, Derrick Chen Wee Aw, Roshidah Baba, Lee Chin Chan, Nguyen Thanh Hung, Kanokvalai Kulthanan, Hoe Nam Leong, Marie Socouer Medina-Oblepias, Nopadon Noppakun, Irma Bernadette Sitohang, Titi Lestari Sugito, Su Ni Wong

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)


The management of acne in South-East Asia is unique, as Asian skin and local variables require a clinical approach unlike that utilized in other parts of the world. There are different treatment guidelines per country in the region, and a group of leading dermatologists from these countries convened to review these guidelines, discuss current practices and recent advances, and formulate consensus guidelines to harmonize the management of acne vulgaris in the region. Emphasis has been placed on formulating recommendations to impede the development of antibiotic resistance in Propionibacterium acnes. The group adopted the Acne Consensus Conference system for grading acne severity. The group recommends that patients may be treated with topical medications including retinoids, benzoyl peroxide (BPO), salicylic acid, a combination of retinoid and BPO, or a combination of retinoids and BPO with or without antibiotics for mild acne; topical retinoid with topical BPO and a oral antibiotic for moderate acne; and oral isotretinoin if the patient fails first-line treatment (a 6- or 8-week trial of combined oral antibiotics and topical retinoids with BPO) for severe acne. Maintenance acne treatment using topical retinoids with or without BPO is recommended. To prevent the development of antibiotic resistance, topical antibiotics should not be used as monotherapy or used simultaneously with oral antibiotics. Skin care, comprised of cleansing, moisturizing and sun protection, is likewise recommended. Patient education and good communication is recommended to improve adherence, and advice should be given about the characteristics of the skin care products patients should use.

Original languageEnglish
Pages (from-to)945-953
Number of pages9
JournalJournal of Dermatology
Issue number10
Publication statusPublished - Oct 2015


  • Asian
  • acne
  • management
  • oral antibiotics
  • topical retinoids


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