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Basic introduction to acne grading therapy
(1) Level 1 Generally, topical treatment is used, and topical retinoids are preferred.
(2) Grade 2 combined with topical retinoids and benzoyl peroxide or antibiotics, if necessary, in combination with oral antibiotics.
(3) Level 3 often requires combination therapy. Oral antibiotics combined with topical benzoyl peroxide and/or retinoids are preferred. Indicated female patients may also consider antiandrogen therapy.
(4) Level 4 Oral isotretinoin is the most effective treatment and can be used as first-line treatment. For those with more inflammatory papules and pustules, antibiotics combined with topical benzoyl peroxide can also be applied first. After a significant improvement in the lesions, sequential oral isotretinoin treatment should be used.
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