What's your therapeutic approach for patients with severe cystic acne who have a history of inflammatory bowel diseases?

Persons with IBD and severe cystic acne warrant therapy with Accutane. I have successfully treated several cases with no exacerbation of IBD, publishing a case report in 1985: Oral isotretinoin and inflammatory bowel disease.

A more recent study reached a similar conclusion: Does taking isotretinoin ...