Isotretinoin musculoskeletal side effects: a systematic review

This study aimed to investigate musculoskeletal complications secondary to isotretinoin use. A systematic review was conducted, and a total of 49 studies, including analytical studies, case reports, and case series, were included in the analysis. The studies examined musculoskeletal symptoms, diagn...

Full description

Bibliographic Details
Main Authors: Rahaf R. Almutairi, Atheer G. Almutairi, Afnan F. Alhallafi, Norah A. Almudawi, Mohammed Abdulaziz AlSulaiman, Asem M. Shadid, Ruaa Alharithy
Format: Article
Language:English
Published: PAGEPress Publications 2024-04-01
Series:Dermatology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/dr/article/view/9845
_version_ 1797213065126608896
author Rahaf R. Almutairi
Atheer G. Almutairi
Afnan F. Alhallafi
Norah A. Almudawi
Mohammed Abdulaziz AlSulaiman
Asem M. Shadid
Ruaa Alharithy
author_facet Rahaf R. Almutairi
Atheer G. Almutairi
Afnan F. Alhallafi
Norah A. Almudawi
Mohammed Abdulaziz AlSulaiman
Asem M. Shadid
Ruaa Alharithy
author_sort Rahaf R. Almutairi
collection DOAJ
description This study aimed to investigate musculoskeletal complications secondary to isotretinoin use. A systematic review was conducted, and a total of 49 studies, including analytical studies, case reports, and case series, were included in the analysis. The studies examined musculoskeletal symptoms, diagnostic findings, and treatment approaches associated with isotretinoin use. Musculoskeletal symptoms reported in the studies included lethargy, myalgia, low back pain, arthralgia, tendinopathy, and sacroiliitis. Physical examination findings and radiological findings were used to confirm the diagnoses. Treatment approaches ranged from [non-steroidal anti-inflammatory drugs (NSAIDs)] to discontinuation of isotretinoin. Some studies have explored the impact of isotretinoin dosage, treatment duration, and vitamin levels on musculoskeletal symptoms. Isotretinoin-induced sacroiliitis and [diffuse idiopathic skeletal hyperostosis (DISH)] emerged as notable musculoskeletal complications. The findings highlight the importance of monitoring patients for potential musculoskeletal side effects and implementing appropriate interventions.
first_indexed 2024-04-24T10:52:21Z
format Article
id doaj.art-a5440754eb464591a42aeead37a832f8
institution Directory Open Access Journal
issn 2036-7392
2036-7406
language English
last_indexed 2024-04-24T10:52:21Z
publishDate 2024-04-01
publisher PAGEPress Publications
record_format Article
series Dermatology Reports
spelling doaj.art-a5440754eb464591a42aeead37a832f82024-04-12T10:30:15ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062024-04-0110.4081/dr.2024.9845Isotretinoin musculoskeletal side effects: a systematic reviewRahaf R. Almutairi0Atheer G. Almutairi1Afnan F. Alhallafi2Norah A. Almudawi3Mohammed Abdulaziz AlSulaiman4Asem M. Shadid5Ruaa Alharithy6College of Medicine, Imam Mohammed bin Saud Islamic UniversityUnaizah College of Medicine and Medical Sciences, Qassim University, UnaizahCollege of Medicine, Imam Mohammed bin Saud Islamic UniversityCollege of Medicine, Imam Mohammed bin Saud Islamic UniversityDivision of Dermatology, Security Forces Hospital, RiyadhDepartment of Dermatology, King Fahad Medical CityDivision of Dermatology, Security Forces Hospital, Riyadh; Princess Nourah Bint Abdul Rahman University, Riyadh This study aimed to investigate musculoskeletal complications secondary to isotretinoin use. A systematic review was conducted, and a total of 49 studies, including analytical studies, case reports, and case series, were included in the analysis. The studies examined musculoskeletal symptoms, diagnostic findings, and treatment approaches associated with isotretinoin use. Musculoskeletal symptoms reported in the studies included lethargy, myalgia, low back pain, arthralgia, tendinopathy, and sacroiliitis. Physical examination findings and radiological findings were used to confirm the diagnoses. Treatment approaches ranged from [non-steroidal anti-inflammatory drugs (NSAIDs)] to discontinuation of isotretinoin. Some studies have explored the impact of isotretinoin dosage, treatment duration, and vitamin levels on musculoskeletal symptoms. Isotretinoin-induced sacroiliitis and [diffuse idiopathic skeletal hyperostosis (DISH)] emerged as notable musculoskeletal complications. The findings highlight the importance of monitoring patients for potential musculoskeletal side effects and implementing appropriate interventions. https://www.pagepress.org/journals/dr/article/view/9845Isotretinoinacnemusculoskeletal side effectsarthritismyositis
spellingShingle Rahaf R. Almutairi
Atheer G. Almutairi
Afnan F. Alhallafi
Norah A. Almudawi
Mohammed Abdulaziz AlSulaiman
Asem M. Shadid
Ruaa Alharithy
Isotretinoin musculoskeletal side effects: a systematic review
Dermatology Reports
Isotretinoin
acne
musculoskeletal side effects
arthritis
myositis
title Isotretinoin musculoskeletal side effects: a systematic review
title_full Isotretinoin musculoskeletal side effects: a systematic review
title_fullStr Isotretinoin musculoskeletal side effects: a systematic review
title_full_unstemmed Isotretinoin musculoskeletal side effects: a systematic review
title_short Isotretinoin musculoskeletal side effects: a systematic review
title_sort isotretinoin musculoskeletal side effects a systematic review
topic Isotretinoin
acne
musculoskeletal side effects
arthritis
myositis
url https://www.pagepress.org/journals/dr/article/view/9845
work_keys_str_mv AT rahafralmutairi isotretinoinmusculoskeletalsideeffectsasystematicreview
AT atheergalmutairi isotretinoinmusculoskeletalsideeffectsasystematicreview
AT afnanfalhallafi isotretinoinmusculoskeletalsideeffectsasystematicreview
AT norahaalmudawi isotretinoinmusculoskeletalsideeffectsasystematicreview
AT mohammedabdulazizalsulaiman isotretinoinmusculoskeletalsideeffectsasystematicreview
AT asemmshadid isotretinoinmusculoskeletalsideeffectsasystematicreview
AT ruaaalharithy isotretinoinmusculoskeletalsideeffectsasystematicreview