Background: Retinaldehyde (RAL) has been used as a topical agent in many co
untries since 1994. Aim: To review current data on the tolerance of retinal
dehyde and to report the results of a long-term pilot study. Methods: Data
from published and on-file studies have been compiled. Forty-five patients
who had applied RAL on the face for 12-89 months were specifically examined
for side-effects. Results: Studies in humans demonstrated an excellent tol
erance of topical RAL on human skin. It was much better tolerated than reti
noic acid and could be used even on sensitive facial skin. It does not have
phototoxic, or photo-allergic properties. No side-effects were associated
with long-term use. Conclusion: Current data indicate a good topical tolera
nce of RAL in humans.