Effects of isotretinoin treatment on sleep in patients with severe acne: a pilot study

Background  There are a few case reports in literature that isotretinoin treatment may alter sleep architecture. Also studies in mice suggest a role of retinoids in the contribution of delta oscillations to the sleep electroencephalography. Objectives  The aim of this study was to investigate the ef...

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Veröffentlicht in:Journal of the European Academy of Dermatology and Venereology 2012-06, Vol.26 (6), p.778-781
Hauptverfasser: Ismailogullari, S, Ferahbas, A, Aksu, M, Baydemir, R, Utas, S
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container_issue 6
container_start_page 778
container_title Journal of the European Academy of Dermatology and Venereology
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creator Ismailogullari, S
Ferahbas, A
Aksu, M
Baydemir, R
Utas, S
description Background  There are a few case reports in literature that isotretinoin treatment may alter sleep architecture. Also studies in mice suggest a role of retinoids in the contribution of delta oscillations to the sleep electroencephalography. Objectives  The aim of this study was to investigate the effect of isotretinoin treatment on sleep architecture using polysomnography (PSG). Patients and methods  Twelve severe acne vulgaris patients without any psychiatric and sleep disorders were treated with 0.5 mg/kg of isotretinoin. Clinician‐administered acne questionnaire, psychiatric examination, Epworth sleepiness scale and PSG recordings were performed after the first month of treatment. Results  Sleep efficiency was increased from 83.5% (62.8–89.0%, quartiles) to 89.5% (81.5–93.5%, quartiles; P = 0.036) and sleep latency decreased from 18.0 min (11.1–36.3, quartiles) to 15.5 min (9.3–19.0, quartiles; P = 0.023) following 1‐month isotretinoin treatment. There were no significant changes in other sleep parameters of PSG and scores of Epworth sleepiness scale. Conclusions  This study suggests that isotretinoin treatment slightly improves night‐time sleep without any effects on sleep stages and daytime sleepiness.
doi_str_mv 10.1111/j.1468-3083.2011.04095.x
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Also studies in mice suggest a role of retinoids in the contribution of delta oscillations to the sleep electroencephalography. Objectives  The aim of this study was to investigate the effect of isotretinoin treatment on sleep architecture using polysomnography (PSG). Patients and methods  Twelve severe acne vulgaris patients without any psychiatric and sleep disorders were treated with 0.5 mg/kg of isotretinoin. Clinician‐administered acne questionnaire, psychiatric examination, Epworth sleepiness scale and PSG recordings were performed after the first month of treatment. Results  Sleep efficiency was increased from 83.5% (62.8–89.0%, quartiles) to 89.5% (81.5–93.5%, quartiles; P = 0.036) and sleep latency decreased from 18.0 min (11.1–36.3, quartiles) to 15.5 min (9.3–19.0, quartiles; P = 0.023) following 1‐month isotretinoin treatment. There were no significant changes in other sleep parameters of PSG and scores of Epworth sleepiness scale. 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Also studies in mice suggest a role of retinoids in the contribution of delta oscillations to the sleep electroencephalography. Objectives  The aim of this study was to investigate the effect of isotretinoin treatment on sleep architecture using polysomnography (PSG). Patients and methods  Twelve severe acne vulgaris patients without any psychiatric and sleep disorders were treated with 0.5 mg/kg of isotretinoin. Clinician‐administered acne questionnaire, psychiatric examination, Epworth sleepiness scale and PSG recordings were performed after the first month of treatment. Results  Sleep efficiency was increased from 83.5% (62.8–89.0%, quartiles) to 89.5% (81.5–93.5%, quartiles; P = 0.036) and sleep latency decreased from 18.0 min (11.1–36.3, quartiles) to 15.5 min (9.3–19.0, quartiles; P = 0.023) following 1‐month isotretinoin treatment. There were no significant changes in other sleep parameters of PSG and scores of Epworth sleepiness scale. 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subjects Acne Vulgaris - drug therapy
Adolescent
Adult
Dermatologic Agents - adverse effects
Dermatologic Agents - therapeutic use
Female
Humans
Isotretinoin - adverse effects
Isotretinoin - therapeutic use
Male
Pilot Projects
Polysomnography
Sleep - drug effects
Surveys and Questionnaires
Young Adult
title Effects of isotretinoin treatment on sleep in patients with severe acne: a pilot study
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