Adverse effects in the female external genitalia of patients with acne vulgaris treated with isotretinoin

Adverse effects on the external genitalia have been reported and are likely to be underreported in patients receiving isotretinoin. The aim of this study was to evaluate adverse effects on the female external genitalia in patients with acne vulgaris treated with isotretinoin. This is an analytical c...

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Detalles Bibliográficos
Autores: Batista, Cinthia Christina Modesto, Lopes, Lauro Rodolpho Soares, Lopes, Laiane Patrícia Soares, Lopes, Ione Maria Ribeiro Soares
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/27533
Acceso en línea:https://rsdjournal.org/index.php/rsd/article/view/27533
Access Level:acceso abierto
Palabra clave:Acne Vulgaris
Isotretinoin
Side effects
Adverse reactions
Medicines.
Acné vulgar
Isotretinoína
Efectos colaterales
Reacciones adversas
Medicamentos.
Acne Vulgar
Efeitos Colaterais
Reações Adversas
Descripción
Sumario:Adverse effects on the external genitalia have been reported and are likely to be underreported in patients receiving isotretinoin. The aim of this study was to evaluate adverse effects on the female external genitalia in patients with acne vulgaris treated with isotretinoin. This is an analytical cross-sectional design, developed in a university hospital in northeastern Brazil. The study population comprised patients undergoing follow-up treatment for acne with isotretinoin. Sampling was non-probabilistic, of the convenience type, and consisted of 10 participants. Socioeconomic variables, background, isotretinoin treatment data, and adverse effects on female external genitalia were collected. Univariate and bivariate statistics were calculated. Adverse effects on the external genitalia were presented by 40.0% of the women, with a minimum of three and a maximum of five complaints per participant. The most prevalent adverse effects were dyspareunia (40.0%), vaginal dryness (40.0%) and vulvovaginal burning (40.0%), occurring concomitantly. Most patients who underwent waxing on the external genitalia had adverse effects (75.0%). The mean number of platelets was significantly lower in women with adverse effects on the external genitalia (p=0.005). Women with acne grade III had a higher prevalence of adverse effects on the female external genitalia (75.0%). The mean time of use of isotretinoin was 7.5 months, with a mean daily dose of 0.5 mg/kg/day. Adverse effects on the female external genitalia resulting from the use of isotretinoin for the treatment of acne vulgaris appear mainly in the form of mucocutaneous alterations, but not in isolation.