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NECASA II: A Practical Algorithm Integrating Skincare in the Management of Adult Female Acne in the Nordic European
Background:
Adult female acne presents challenges, including increased prevalence, distinct clinical manifestations, heightened skin sensitivity, treatment-related intolerance, and reduced treatment adherence. Integrating skincare into acne management is essential, particularly in Nordic European countries, where environmental factors influence skin physiology. The Nordic European Countries Acne Skincare Algorithm (NECASA) II algorithm serves as an evidence-based practical tool for clinicians in this region to select appropriate skincare based on individual patients' needs to optimize acne care for adult females.
Methods:
Dermatologists from six Nordic European countries met to develop the NECASA II algorithm, which builds on the NECASA I framework. The advisors conducted a structured literature review and, combined with their clinical experience, established best practice recommendations for integrating skincare into adult female acne treatment regimens.
Results:
The NECASA II algorithm recommends integrating skincare into adult female acne management based on acne severity, subtype, and patient characteristics. The panel concluded that all acne regimens should incorporate a physiologic pH cleanser, an emollient with humectants and lipids, and SPF 50+ sunscreen. Skincare monotherapy is recommended for mild acne, adjunctive skincare for moderate-to-severe acne, and maintenance skincare to prevent relapse following treatment.
Conclusions:
Personalized skincare regimens, combined with prescription and nonprescription treatments, can mitigate adverse effects, improve treatment tolerance and adherence, and enhance overall outcomes.
