Topical
dapsone 5% gel for the treatment of mild to moderate
acne has been shown to be effective in randomized controlled studies. A total of 101 adult women with mild to moderate facial inflammatory
acne participated in a 12-week cohort study to evaluate the efficacy, tolerability, and safety of
dapsone gel 5% in this specific group who often complain of sensitive skin. The women were instructed to apply
dapsone 5% gel twice daily after washing their face with a standard noncomedogenic
soap-free cleanser. Treatment outcome was evaluated using physician-scored Global
Acne Assessment Scale (
GAAS) and patient-reported facial skin condition. Ninety-three women completed the study (6 were lost to follow-up and 2 had mild skin irritation). At 12 weeks, significant physician
GAAS scores (t55 = 8.85, P = .001) and patient-reported lesion reductions were shown. Treatment success (
GAAS 0 or 1) at 12 weeks was achieved in 69.4% (n = 75) of women (t94 = 4.17, P = .001), improving patient-reported quality-of-life aspects. Topical
dapsone gel 5% was shown to be safe, minimally irritating, and effective in the treatment of mild to moderate inflammatory facial
acne in adult women with sensitive skin.