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. 2014 Mar;7(3):18–26.

TABLE 5.

Skin barrier dysfunction and acne treatment

# AUTHORS/JOURNAL TITLE OF STUDY SKIN BARRIER DYSFUNCTION AND ACNE TREATMENT LEVEL OF EVIDENCE
1 Kurokawa I, Dan by FW, Ju Q, et al. Exp Dermatol. 2009;18(10):821-832. New developments in our understanding of acne pathogenesis and treatment. Skin barrier dysfunction coupled with various triggering events contributes to the signs and symptoms of acne. 2
2 Pavicic T, Wollenweber U, Farwick, et al. Int J Cosmet Sci. 2007;29(3):181-190. Anti-microbial and -inflammatory activity and efficacy of Phytosphingosine (PS): an in vitro and in vivo study addressing acne vulgaris. In acne-affected skin, PS is depleted leading to an impaired skin barrier, inflammation, and infection. 2
3 Jeremy AH, Holland DB, Roberts SG, Thomson KF, Cunliffe WJ. J Invest Dermatol. 2003:121(1): 20-27. Inflammatory events are involved in acne lesion initiation. In acne-affected skin, Phytosphingosine is depleted, making the skin prone to inflammation. 2
4 Yamamoto A, Takenouchi K, Ito M. Arch Dermatol Res. 95;287(2):214-218. Impaired water barrier function in acne vulgaris. In acne, lower amounts of ingolipids were observed corresponding with diminished WBF. 2
5 Madison KC. J Invest Dermatol. 2003;121(2):231-241. Barrier function of the skin: “la raison d’etre” of the epidermis Skin barrier dysfunction mechanisms are described. 3
6 Johnson AW. In: Draelos ZD, ed. Procedures in Cosmetic Dermatology Series: Cosmeceuticals. 1st ed. Philadelphia: Elsevier; 2005:97-102 Cosmeceuticals: Function and the skin barrier. Cholesterol, ceramides and fatty acid are important components of lipid bilayers. 3
7 Elias PM, Hatnano Y, Williams ML. J Alter Clin Immunol. 2008;121:1337-1343. Skin barrier dysfunction mechanisms in inflammatory dermatosis. Skin barrier dysfunction leading to inflammation. 1