Article: Azelaic acid for rosacea.(Literature Review & Commentary)

Two hundred fifty-one patients with papulopustular rosacea with persistent erythema and telangiectasia were randomly assigned to receive, in double-blind fashion, a 15% azelaic acid gel or 0.75% metronidazole gel. The respective treatments were applied topically twice a day for 15 weeks. Azelaic acid gel was more effective than metronidazole gel, as demonstrated by a greater reduction in the mean number of lesions (-12.9 vs. -10.7; p = 0.003) and by a greater mean percent decrease in inflammatory lesions (-72.7% vs. -55.8%; p

Comment: Azelaic acid is a nontoxic 9-carbon dicarboxylic acid that has been shown to be effective as a topical treatment for acne vulgaris, ...

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