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Chitosan Loaded Mucoadhesive Microspheres of Gliclazide - Journal

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patients had lesions on the face, 47.16%<strong>of</strong> the patients had<br />

acne on the back also and 35.84%had lesions on the chest.<br />

Lesion distribution varies with individuals and there is no<br />

definite pattern <strong>of</strong> lesion distribution described.<br />

Clinical assessment <strong>of</strong> Acne<br />

Different grading methods have been used for measuring the<br />

severity <strong>of</strong> acne, but to date, a widely accepted standardised<br />

classification system does not exist. In the present study, in all<br />

the cases the acne lesions were graded according to severity<br />

index described by Michaelsson et al by counting the number<br />

<strong>of</strong> open or closed comedones (0.5), papules (1), pustules (2),<br />

and infiltrated lesions (3) and cystic lesions (4). The total<br />

severity score <strong>of</strong> disease was calculated by multiplying each<br />

type <strong>of</strong> lesion with its severity index and adding them together.<br />

Efficacy Assessment<br />

In a study it was found that a combination <strong>of</strong> azithromycin<br />

and topical clindamycin was significantly better than<br />

doxycycline and topical clindamycin in the treatment <strong>of</strong><br />

inflammatory acne vulgaris. In this study there was 91.25%<br />

improvement in group I (Azithromycin group) in comparison<br />

to 73.91% improvement in group II (Doxycycline group) and<br />

this difference was statistically significant by 'ANOVA' test<br />

(p

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