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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/ms2025-358</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-9402</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЗАБОЛЕВАНИЯ КОЖИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DERMAL DISEASES</subject></subj-group></article-categories><title-group><article-title>Азелаиновая кислота как препарат выбора при акне легкой степени тяжести</article-title><trans-title-group xml:lang="en"><trans-title>Azelaic acid as the treatment of choice for mild acne</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5723-6573</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жукова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhukova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жукова Ольга Валентиновна - д.м.н., профессор, заведующая кафедрой дерматовенерологии, аллергологии и косметологии Медицинского института, РУДН имени Патриса Лумумбы; главный врач, Московский НПЦ дерматовенерологии и косметологии;</p><p>117198, Москва, ул. Миклухо-Маклая, д. 6; 119071, Москва, Ленинский проспект, д. 17</p></bio><bio xml:lang="en"><p>Olga V. Zhukova - Dr. Sci. (Med.), Professor, Head of the Department of Dermatovenereology, Allergology and Cosmetology, Medical Institute, PFUR named after Patrice Lumumba; Chief Medical Officer, MSPC of Dermatovenereology and Cosmetology;</p><p>6, Miklukho-Maklai St., Moscow, 117198; 17, Leninsky Ave., Moscow, 119071</p></bio><email xlink:type="simple">klinderma@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2793-8862</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артемьева</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Artemyeva</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артемьева Софья Иосифовна - ассистент кафедры дерматовенерологии, аллергологии и косметологии Медицинского института; РУДН имени Патриса Лумумбы; научный сотрудник отдела клинической дерматовенерологии и косметологии, врач-дерматовенеролог, Московский НПЦ дерматовенерологии и косметологии</p><p>117198, Москва, ул. Миклухо-Маклая, д. 6; 119071, Москва, Ленинский проспект, д. 17</p></bio><bio xml:lang="en"><p>Sofya I. Artemyeva - Assistant of the Department of Dermatovenereology, Allergology and Cosmetology, Medical Institute, PFUR named after Patrice Lumumba; Researcher of the Department of Clinical Dermatovenereology and Cosmetology, Dermatovenerologist, MSPC of Dermatovenereology and Cosmetology</p><p>6, Miklukho-Maklai St., Moscow, 117198; 17, Leninsky Ave., Moscow, 119071</p></bio><email xlink:type="simple">sofya.chern@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский университет дружбы народов имени Патриса Лумумбы; Московский научно-практический центр дерматовенерологии и косметологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba; Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>14</issue><fpage>23</fpage><lpage>28</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жукова О.В., Артемьева С.И., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Жукова О.В., Артемьева С.И.</copyright-holder><copyright-holder xml:lang="en">Zhukova O.V., Artemyeva S.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/9402">https://www.med-sovet.pro/jour/article/view/9402</self-uri><abstract><p>Акне легкой степени тяжести является одним из наиболее распространенных дерматологических состояний, особенно в подростковом и молодом взрослом возрасте. Несмотря на благоприятное течение, даже легкие формы акне могут существенно снижать качество жизни пациентов и требуют своевременной эффективной терапии. Азелаиновая кислота, входящая в состав современных топических средств, обладает доказанным комедонолитическим, противовоспалительным и бактериостатическим действием, не вызывая при этом устойчивости микрофлоры. Это делает ее важным компонентом терапии, особенно в условиях амбулаторной практики. В настоящей работе представлен обзор современных подходов к лечению акне легкой степени тяжести с акцентом на клинический потенциал азелаиновой кислоты. Дополнительно описан опыт применения лекарственного средства Скиноклир, выпускаемого в форме крема с концентрацией 20% и геля с концентрацией 15%. Препарат применялся в рамках амбулаторной практики с документированной фотофиксацией кожного процесса до и после терапии. У всех пациентов было отмечено снижение количества воспалительных и невоспалительных элементов в течение 4–8 нед. Лечение переносилось хорошо, случаев выраженных побочных реакций или отмены терапии не зарегистрировано. Таким образом, азелаиновая кислота в составе препарата Скиноклир демонстрирует хорошую клиническую эффективность и переносимость, подтверждая свою значимость как компонента выбора в терапии акне легкой степени тяжести.</p></abstract><trans-abstract xml:lang="en"><p>Mild acne is one of the most common dermatological conditions, particularly among adolescents and young adults. Despite its generally favorable course, even mild forms of acne can significantly reduce patients’ quality of life and require timely and effective treatment. Azelaic acid, included in modern topical formulations, has well-documented comedolytic, anti-inflammatory, and bacteriostatic properties, without contributing to microbial resistance. This makes it an important component of acne therapy, especially in outpatient clinical settings. This paper presents a review of current approaches to the treatment of mild acne, with a focus on the clinical potential of azelaic acid. In addition, the authors describe clinical experience with the topical medication Skinoclear, available in cream form with a 20% concentration and gel form with a 15% concentration. The product was used in outpatient practice, with photographic documentation of the skin condition before and after treatment. All patients showed a reduction in both inflammatory and non-inflammatory lesions within 4 to 8 weeks. The treatment was well tolerated, with no reported significant adverse reactions or treatment discontinuations. Thus, azelaic acid as part of the Skinoclear formulation demonstrates good clinical efficacy and tolerability, supporting its role as a treatment of choice in the management of mild acne.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>акне легкой степени тяжести</kwd><kwd>азелаиновая кислота</kwd><kwd>топическая терапия</kwd><kwd>угревая болезнь</kwd><kwd>клиническая эффективность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mild acne</kwd><kwd>azelaic acid</kwd><kwd>topical therapy</kwd><kwd>acne vulgaris</kwd><kwd>clinical efficacy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Nazzaro-Porro M. Azelaic acid. J Am Acad Dermatol. 1987;17(6):1033–1041. https://doi.org/10.1016/S0190-9622(87)70294-1.</mixed-citation><mixed-citation xml:lang="en">Nazzaro-Porro M. Azelaic acid. J Am Acad Dermatol. 1987;17(6):1033–1041. https://doi.org/10.1016/S0190-9622(87)70294-1.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Nazzaro-Porro M, Passi S. Identification of tyrosinase inhibitors in cultures of Pityrosporum. J Invest Dermatol. 1978;71(3):205–208. https://doi.org/10.1111/1523-1747.ep12547184.</mixed-citation><mixed-citation xml:lang="en">Nazzaro-Porro M, Passi S. Identification of tyrosinase inhibitors in cultures of Pityrosporum. J Invest Dermatol. 1978;71(3):205–208. https://doi.org/10.1111/1523-1747.ep12547184.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Pandey A, Mishra RK, Tiwari AK, Kumar A, Bajaj AK, Dikshit A. Management of cosmetic embarrassment caused by Malassezia spp. with fruticose lichen Cladia using phylogenetic approach. Biomed Res Int. 2013;2013:169794. https://doi.org/10.1155/2013/169794.</mixed-citation><mixed-citation xml:lang="en">Pandey A, Mishra RK, Tiwari AK, Kumar A, Bajaj AK, Dikshit A. Management of cosmetic embarrassment caused by Malassezia spp. with fruticose lichen Cladia using phylogenetic approach. Biomed Res Int. 2013;2013:169794. https://doi.org/10.1155/2013/169794.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Nazzaro-Porro M, Passi S, Zina G, Bernengo A, Breathnach A, Gallagher S, Morpurgo G. Effect of azelaic acid on human malignant melanoma. Lancet. 1980;1(8178):1109–1111. https://doi.org/10.1016/s01406736(80)91555-x.</mixed-citation><mixed-citation xml:lang="en">Nazzaro-Porro M, Passi S, Zina G, Bernengo A, Breathnach A, Gallagher S, Morpurgo G. Effect of azelaic acid on human malignant melanoma. Lancet. 1980;1(8178):1109–1111. https://doi.org/10.1016/s01406736(80)91555-x.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Li N, Wu X, Jia W, Zhang MC, Tan F, Zhang J. Effect of ionization and vehicle on skin absorption and penetration of azelaic acid. Drug Dev Ind Pharm. 2012;38(8):985–994. https://doi.org/10.3109/03639045.2011.635376.</mixed-citation><mixed-citation xml:lang="en">Li N, Wu X, Jia W, Zhang MC, Tan F, Zhang J. Effect of ionization and vehicle on skin absorption and penetration of azelaic acid. Drug Dev Ind Pharm. 2012;38(8):985–994. https://doi.org/10.3109/03639045.2011.635376.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Charnock C, Brudeli B, Klaveness J. Evaluation of the antibacterial efficacy of diesters of azelaic acid. Eur J Pharm Sci. 2004;21(5):589–596. https://doi.org/10.1016/j.ejps.2003.12.006.</mixed-citation><mixed-citation xml:lang="en">Charnock C, Brudeli B, Klaveness J. Evaluation of the antibacterial efficacy of diesters of azelaic acid. Eur J Pharm Sci. 2004;21(5):589–596. https://doi.org/10.1016/j.ejps.2003.12.006.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ozkan M, Durmaz G, Sabuncu I, Saraçoğlu N, Akgün Y, Ürer SM. Clinical Efficacy of Topical Clindamycin Phosphate and Azelaic Acid on Acne Vulgaris and Emergence of Resistant Coagulase-Negative Staphylococci. Turk J Med Sci. 2000;30(5):483–488. Available at: https://journals.tubitak.gov.tr/medical/vol30/iss5/14/.</mixed-citation><mixed-citation xml:lang="en">Ozkan M, Durmaz G, Sabuncu I, Saraçoğlu N, Akgün Y, Ürer SM. Clinical Efficacy of Topical Clindamycin Phosphate and Azelaic Acid on Acne Vulgaris and Emergence of Resistant Coagulase-Negative Staphylococci. Turk J Med Sci. 2000;30(5):483–488. Available at: https://journals.tubitak.gov.tr/medical/vol30/iss5/14/.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Maple PA, Hamilton-Miller JM, Brumfitt W. Comparison of the in-vitro activities of the topical antimicrobials azelaic acid, nitrofurazone, silver sulphadiazine and mupirocin against methicillin-resistant Staphylococcus aureus. J Antimicrob Chemother. 1992;29(6):661–668. https://doi.org/10.1093/jac/29.6.661.</mixed-citation><mixed-citation xml:lang="en">Maple PA, Hamilton-Miller JM, Brumfitt W. Comparison of the in-vitro activities of the topical antimicrobials azelaic acid, nitrofurazone, silver sulphadiazine and mupirocin against methicillin-resistant Staphylococcus aureus. J Antimicrob Chemother. 1992;29(6):661–668. https://doi.org/10.1093/jac/29.6.661.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Farmery M, Jones’ C, Eady E, Cove J, Cunliffe W. In vitro activity of azelaic acid, benzoyl peroxide and zinc acetate against antibiotic-resistant propionibacteria from acne patients. J Dermatol Treat. 1994;5(2):63–65. https://doi.org/10.3109/09546639409084531.</mixed-citation><mixed-citation xml:lang="en">Farmery M, Jones’ C, Eady E, Cove J, Cunliffe W. In vitro activity of azelaic acid, benzoyl peroxide and zinc acetate against antibiotic-resistant propionibacteria from acne patients. J Dermatol Treat. 1994;5(2):63–65. https://doi.org/10.3109/09546639409084531.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Yu W, Shen H, Cai B, Xie Y, Wang Y, Wang J. 15% Azelaic acid gel modify the skin microbiota of acne vulgaris. J Dermatol Sci Cosmet Technol. 2024;1(4):100041. https://doi.org/10.1016/j.jdsct.2024.100041.</mixed-citation><mixed-citation xml:lang="en">Yu W, Shen H, Cai B, Xie Y, Wang Y, Wang J. 15% Azelaic acid gel modify the skin microbiota of acne vulgaris. J Dermatol Sci Cosmet Technol. 2024;1(4):100041. https://doi.org/10.1016/j.jdsct.2024.100041.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Nguyen QH, Bui TP. Azelaic acid: pharmacokinetic and pharmacodynamic properties and its therapeutic role in hyperpigmentary disorders and acne. Int J Dermatol. 1995;34(2):75–84. https://doi.org/10.1111/j.13654362.1995.tb03583.x.</mixed-citation><mixed-citation xml:lang="en">Nguyen QH, Bui TP. Azelaic acid: pharmacokinetic and pharmacodynamic properties and its therapeutic role in hyperpigmentary disorders and acne. Int J Dermatol. 1995;34(2):75–84. https://doi.org/10.1111/j.13654362.1995.tb03583.x.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Gollnick H. Azelaic acid-pharmacology, toxicology and mechanisms of action on keratinization in vitro and in vivo. J Dermatol Treat. 1993;4(1 Suppl.):S3–S7. https://doi.org/10.3109/09546639309082151.</mixed-citation><mixed-citation xml:lang="en">Gollnick H. Azelaic acid-pharmacology, toxicology and mechanisms of action on keratinization in vitro and in vivo. J Dermatol Treat. 1993;4(1 Suppl.):S3–S7. https://doi.org/10.3109/09546639309082151.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Barbareschi M, Hendricks IE, Angius AG, Cattaneo M, Monti M. The anticomedonic activity of azelaic acid investigated by means of scanning electron microscopy on horny layer biopsy. J Dermatol Treat. 1991;2(2):55–57. https://doi.org/10.3109/09546639109086775.</mixed-citation><mixed-citation xml:lang="en">Barbareschi M, Hendricks IE, Angius AG, Cattaneo M, Monti M. The anticomedonic activity of azelaic acid investigated by means of scanning electron microscopy on horny layer biopsy. J Dermatol Treat. 1991;2(2):55–57. https://doi.org/10.3109/09546639109086775.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Breathnach A. Pharmacological properties of azelaic acid: a rationale for clinical use. Clin Drug Investig. 1995;10(Suppl. 2):27–33. https://doi.org/10.2165/00044011-199500102-00005.</mixed-citation><mixed-citation xml:lang="en">Breathnach A. Pharmacological properties of azelaic acid: a rationale for clinical use. Clin Drug Investig. 1995;10(Suppl. 2):27–33. https://doi.org/10.2165/00044011-199500102-00005.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Mazurek K, Pierzchała E. Comparison of efficacy of products containing azelaic acid in melasma treatment. J Cosmet Dermatol. 2016;15(3):269–282. https://doi.org/10.1111/jocd.12217.</mixed-citation><mixed-citation xml:lang="en">Mazurek K, Pierzchała E. Comparison of efficacy of products containing azelaic acid in melasma treatment. J Cosmet Dermatol. 2016;15(3):269–282. https://doi.org/10.1111/jocd.12217.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Shucheng H, Zhou X, Du D, Li J, Yu C, Jiang X. Effects of 15% Azelaic Acid Gel in the Management of Post-Inflammatory Erythema and PostInflammatory Hyperpigmentation in Acne VulgarisDermatol Ther. 2024;14(5):1293–1314. https://doi.org/10.1007/s13555-024-01176-2.</mixed-citation><mixed-citation xml:lang="en">Shucheng H, Zhou X, Du D, Li J, Yu C, Jiang X. Effects of 15% Azelaic Acid Gel in the Management of Post-Inflammatory Erythema and PostInflammatory Hyperpigmentation in Acne VulgarisDermatol Ther. 2024;14(5):1293–1314. https://doi.org/10.1007/s13555-024-01176-2.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Coda AB, Hata T, Miller J, Audish D, Kotol P, Two A et al. Cathelicidin, kallikrein 5, and serine protease activity is inhibited during treatment of rosacea with azelaic acid 15% gel. J Am Acad Dermatol. 2013;69(4):570–577. https://doi.org/10.1016/j.jaad.2013.05.019.</mixed-citation><mixed-citation xml:lang="en">Coda AB, Hata T, Miller J, Audish D, Kotol P, Two A et al. Cathelicidin, kallikrein 5, and serine protease activity is inhibited during treatment of rosacea with azelaic acid 15% gel. J Am Acad Dermatol. 2013;69(4):570–577. https://doi.org/10.1016/j.jaad.2013.05.019.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Panday A, Sahoo MK, Osorio D, Batra S. NADPH oxidases: an overview from structure to innate immunity-associated pathologies. Cell Mol Immunol. 2015;12(1):5–23. https://doi.org/10.1038/cmi.2014.89.</mixed-citation><mixed-citation xml:lang="en">Panday A, Sahoo MK, Osorio D, Batra S. NADPH oxidases: an overview from structure to innate immunity-associated pathologies. Cell Mol Immunol. 2015;12(1):5–23. https://doi.org/10.1038/cmi.2014.89.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Akamatsu H, Komura J, Asada Y, Miyachi Y, Niwa Y. Inhibitory effect of azelaic acid on neutrophil functions: a possible cause for its efficacy in treating pathogenetically unrelated diseases. Arch Dermatol Res. 1991;283(3):162–166. https://doi.org/10.1007/BF00372056.</mixed-citation><mixed-citation xml:lang="en">Akamatsu H, Komura J, Asada Y, Miyachi Y, Niwa Y. Inhibitory effect of azelaic acid on neutrophil functions: a possible cause for its efficacy in treating pathogenetically unrelated diseases. Arch Dermatol Res. 1991;283(3):162–166. https://doi.org/10.1007/BF00372056.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ et al. Management of acne: a report from a global alliance to improve outcomes in acne. J Am Acad Dermatol. 2003;49(1 Suppl.):S1–S37. https://doi.org/10.1067/mjd.2003.618.</mixed-citation><mixed-citation xml:lang="en">Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ et al. Management of acne: a report from a global alliance to improve outcomes in acne. J Am Acad Dermatol. 2003;49(1 Suppl.):S1–S37. https://doi.org/10.1067/mjd.2003.618.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Thiboutot D, Gollnick H, Bettoli V, Dréno B, Kang S, Leyden JJ et al. New insights into the management of acne: an update from the Global Alliance to Improve Outcomes in Acne group. J Am Acad Dermatol. 2009;60(5 Suppl.):S1–S50. https://doi.org/10.1016/j.jaad.2009.01.019.</mixed-citation><mixed-citation xml:lang="en">Thiboutot D, Gollnick H, Bettoli V, Dréno B, Kang S, Leyden JJ et al. New insights into the management of acne: an update from the Global Alliance to Improve Outcomes in Acne group. J Am Acad Dermatol. 2009;60(5 Suppl.):S1–S50. https://doi.org/10.1016/j.jaad.2009.01.019.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Briganti S, Flori E, Mastrofrancesco A, Kovacs D, Camera E, Ludovici M et al. Azelaic acid reduced senescence-like phenotype in photo-irradiated human dermal fibroblasts: possible implication of PPARγ. Exp Dermatol. 2013;22(1):41–47. https://doi.org/10.1111/exd.12066.</mixed-citation><mixed-citation xml:lang="en">Briganti S, Flori E, Mastrofrancesco A, Kovacs D, Camera E, Ludovici M et al. Azelaic acid reduced senescence-like phenotype in photo-irradiated human dermal fibroblasts: possible implication of PPARγ. Exp Dermatol. 2013;22(1):41–47. https://doi.org/10.1111/exd.12066.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Zaenglein AL, Pathy AL, Schlosser BJ, Alikhan A, Baldwin HE, Berson DS et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016;74(5):945–973.e33. https://doi.org/10.1016/j.jaad.2015.12.037.</mixed-citation><mixed-citation xml:lang="en">Zaenglein AL, Pathy AL, Schlosser BJ, Alikhan A, Baldwin HE, Berson DS et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016;74(5):945–973.e33. https://doi.org/10.1016/j.jaad.2015.12.037.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Nast A, Dréno B, Bettoli V, Bukvic Mokos Z, Degitz K, Dressler C et al. European evidence-based (S3) guideline for the treatment of acne – update 2016 – short version. J Eur Acad Dermatol Venereol. 2016;30(8):1261–1268. https://doi.org/10.1111/jdv.13776.</mixed-citation><mixed-citation xml:lang="en">Nast A, Dréno B, Bettoli V, Bukvic Mokos Z, Degitz K, Dressler C et al. European evidence-based (S3) guideline for the treatment of acne – update 2016 – short version. J Eur Acad Dermatol Venereol. 2016;30(8):1261–1268. https://doi.org/10.1111/jdv.13776.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Thiboutot DM, Dréno B, Abanmi A, Alexis AF, Araviiskaia E, Barona Cabal MI et al. Practical management of acne for clinicians: An international consensus from the Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol. 2018;78(2 Suppl. 1):S1–S23.e1. https://doi.org/10.1016/j.jaad.2017.09.078.</mixed-citation><mixed-citation xml:lang="en">Thiboutot DM, Dréno B, Abanmi A, Alexis AF, Araviiskaia E, Barona Cabal MI et al. Practical management of acne for clinicians: An international consensus from the Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol. 2018;78(2 Suppl. 1):S1–S23.e1. https://doi.org/10.1016/j.jaad.2017.09.078.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Thielitz A, Lux A, Wiede A, Kropf S, Papakonstantinou E, Gollnick H. A randomized investigator-blind parallel-group study to assess efficacy and safety of azelaic acid 15% gel vs. adapalene 0.1% gel in the treatment and maintenance treatment of female adult acne. J Eur Acad Dermatol Venereol. 2015;29(4):789–796. https://doi.org/10.1111/jdv.12823.</mixed-citation><mixed-citation xml:lang="en">Thielitz A, Lux A, Wiede A, Kropf S, Papakonstantinou E, Gollnick H. A randomized investigator-blind parallel-group study to assess efficacy and safety of azelaic acid 15% gel vs. adapalene 0.1% gel in the treatment and maintenance treatment of female adult acne. J Eur Acad Dermatol Venereol. 2015;29(4):789–796. https://doi.org/10.1111/jdv.12823.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Szymańska A, Budzisz E, Erkiert-Polguj A. Long-term effect of azelaic acid peel on sebum production in acne. Dermatol Ther. 2022;35(1):e15186. https://doi.org/10.1111/dth.15186.</mixed-citation><mixed-citation xml:lang="en">Szymańska A, Budzisz E, Erkiert-Polguj A. Long-term effect of azelaic acid peel on sebum production in acne. Dermatol Ther. 2022;35(1):e15186. https://doi.org/10.1111/dth.15186.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Kainz JT, Berghammer G, Auer-Grumbach P, Lackner V, Perl-Convalexius S, Popa R, Wolfesberger B. Azelaic acid 20 % cream: effects on quality of life and disease severity in adult female acne patients. J Dtsch Dermatol Ges. 2016;14(12):1249–1259. https://doi.org/10.1111/ddg.12889.</mixed-citation><mixed-citation xml:lang="en">Kainz JT, Berghammer G, Auer-Grumbach P, Lackner V, Perl-Convalexius S, Popa R, Wolfesberger B. Azelaic acid 20 % cream: effects on quality of life and disease severity in adult female acne patients. J Dtsch Dermatol Ges. 2016;14(12):1249–1259. https://doi.org/10.1111/ddg.12889.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Schaller M, Sebastian M, Ress C, Seidel D, Hennig M. A multicentre, randomized, single-blind, parallel-group study comparing the efficacy and tolerability of benzoyl peroxide 3%/clindamycin 1% with azelaic acid 20% in the topical treatment of mild-to-moderate acne vulgaris. J Eur Acad Dermatol Venereol. 2016;30(6):966–973. https://doi.org/10.1111/jdv.13541.</mixed-citation><mixed-citation xml:lang="en">Schaller M, Sebastian M, Ress C, Seidel D, Hennig M. A multicentre, randomized, single-blind, parallel-group study comparing the efficacy and tolerability of benzoyl peroxide 3%/clindamycin 1% with azelaic acid 20% in the topical treatment of mild-to-moderate acne vulgaris. J Eur Acad Dermatol Venereol. 2016;30(6):966–973. https://doi.org/10.1111/jdv.13541.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Farshi S. Comparative study of therapeutic effects of 20% azelaic acid and hydroquinone 4% cream in the treatment of melasma. J Cosmet Dermatol. 2011;10(4):282–287. https://doi.org/10.1111/j.1473-2165.2011.00580.x.</mixed-citation><mixed-citation xml:lang="en">Farshi S. Comparative study of therapeutic effects of 20% azelaic acid and hydroquinone 4% cream in the treatment of melasma. J Cosmet Dermatol. 2011;10(4):282–287. https://doi.org/10.1111/j.1473-2165.2011.00580.x.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Mahajan R, Kanwar AJ, Parsad D, Kumaran MS, Sharma R. Glycolic Acid peels/azelaic Acid 20% cream combination and low potency triple combination lead to similar reduction in melasma severity in ethnic skin: results of a randomized controlled study. Indian J Dermatol. 2015;60(2):147–152. Available at: https://journals.lww.com/ijd/fulltext/2015/60020/glycolic_acid_peels_azelaic_acid_20_cream.6.aspx.</mixed-citation><mixed-citation xml:lang="en">Mahajan R, Kanwar AJ, Parsad D, Kumaran MS, Sharma R. Glycolic Acid peels/azelaic Acid 20% cream combination and low potency triple combination lead to similar reduction in melasma severity in ethnic skin: results of a randomized controlled study. Indian J Dermatol. 2015;60(2):147–152. Available at: https://journals.lww.com/ijd/fulltext/2015/60020/glycolic_acid_peels_azelaic_acid_20_cream.6.aspx.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
