Acne: more than skin deep

Ayer, James B.; Burrows, Nigel

doi:10.1136/pgmj.2006.045377

Cited by 74 publications

(84 citation statements)

References 65 publications

(43 reference statements)

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“…1 Though it is considered to be merely a cosmetic problem, it is associated with considerable psychological impairment which is comparable with certain chronic diseases like asthma, epilepsy, diabetes and arthritis. 2,3 Acne patients are prone to low self esteem, low confidence and social dysfunction which may lead to anxiety, depression, obsessive compulsiveness and sometimes suicidal ideation. 4,5 Acne affects the functional abilities of individuals 6 and patients have higher rates of unemployment when compared to those without acne 7 .The majority of the studies on psycho social aspects have been conducted in US and Europe, but the impact of acne on Quality of Life( QOL) is undocumented in India.…”

Section: Introductionmentioning

confidence: 99%

Acne and Quality of Life- A Study from a Tertiary Care Centre in South India

Samanthula¹

2013

IOSR-JDMS

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Section: Introductionmentioning

confidence: 99%

Acne and Quality of Life- A Study from a Tertiary Care Centre in South India

Samanthula¹

2013

IOSR-JDMS

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“…Such studies refer acne worsening with isoniazid, 44 corticosteroids, iodides, bromides, lithium, 45,46 epidermal growth factor receptor inhibitors, cyclosporine, anticonvulsants, antipsychotics, antidepressants, tumor necrosis factor-alpha (TNFalpha) inhibitors, anabolic steroids, danazol, quinidine, azathioprine, cyclophosphamide and testosterone.…”

mentioning

confidence: 99%

Adult Acne: Prevalence and Portrayal in Primary Healthcare Patients, in the Greater Porto Area, Portugal

Semedo

Ladeiro²,

Ruivo

et al. 2016

Acta Med Port

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RESUMOIntrodução: A acne, apesar de caraterística no adolescente, afeta frequentemente o adulto. Em Portugal, não são conhecidos estudos sobre a prevalência da acne no adulto, nomeadamente observada nos grandes centros populacionais. Os objetivos deste estudo foram estimar a prevalência da acne nos utentes dos serviços de cuidados de saúde primários, as suas características, incluindo fatores de risco para início e/ou agravamento, além de coletar informação relacionada com a automedicação e/ou tratamento prescrito. Material e Métodos: Aplicação de questionário e exame físico a amostra composta por adultos entre os 20 -60 anos de idade que visitaram, em dias aleatórios, cinco centros de saúde da área do Grande Porto. Resultados: Dos 1 055 adultos avaliados, a prevalência estimada de acne foi de 61,5%. Apenas 36,8% dos portadores estavam cientes da sua condição e somente 25% afirmou ter procurado tratamento. Mais de metade dos fumadores (62,3%) apresentavam acne. A zona mais afetada foi a região malar, diferindo da forma adolescente da doença. Discussão: A prevalência encontrada de acne foi mais elevada do que em outros estudos. A acne aparentou estar relacionada com a ingestão calórica aumentada, tabagismo, consumo de leite gordo ou meio gordo, hirsutismo, alopécia e seborreia. Conclusão: No contexto dos cuidados de saúde primários, mais de metade dos adultos eram portadores de acne. Estes números demonstram o quão importante pode ser a prevenção e intervenção pelos profissionais dos cuidados de saúde primários, tanto para a redução de eventuais factores de risco como para a intervenção terapêutica e consequências psicossociais relacionadas com a acne. Palavras-chave: Acne Vulgaris/epidemiologia; Adulto; Cuidados de Saúde Primários; Portugal; Prevalência.ABSTRACT Introduction: Though typically found in adolescents, acne frequently affects the adult population. In Portugal, no representative studies about acne prevalence in greater populational areas are known. This study had the following objectives: calculate acne prevalence in primary healthcare patients; its characteristics, including risk factors for onset and worsening; collect information concerning selfmedication and/or prescribed treatment. Material and Methods:Application of a questionnaire and physical examination into a convenience sample, composed by adults from 20 -60 years old that visited, in random days, five primary healthcare centers of the Greater Porto area. Results: From the 1,055 evaluated adults, acne prevalence was estimated at 61.5%. Only 36.8% of acne suffering adults was aware of their condition. More than half of tobacco users (62.3%) had acne. Just 25% of acne sufferers sought treatment. The most affected areas were the malars, differing from the younger disease form. Discussion: Acne prevalence was relatively higher than other studies. The results of this study have confirmed that acne seems to be related with increased calorie intake, tobacco smoking, whole milk and fat-reduced milk consumption, hirsutism, alopecia and seborrhea. Co...

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“…The change in the skin' s appearance may be complicated by a changed body image which may lead to psychological distress, anxiety, depression, anger, fear, shame, embarrassment, and bullying and stigmatization within peer groups [9]. In a general population-based study including adolescents, there was a significant association between acne and mental distress among both males and females.…”

Section: Mental Health Problems In Patients With Acnementioning

confidence: 99%

“…Malignant changes are rarely occurring; for example there were two reported cases of squamous cell carcinoma complicating longstanding acne conglobata in a father and daughter with fatal outcome in both cases. Post-inflammatory hyperpigmentation is commonly seen in pigmented skin [9] [10].…”

Section: Acne Vulgarismentioning

confidence: 99%

Psychiatric Comorbidity in Patients with Acne

Mufaddel¹,

Elnour²,

Omer³

et al. 2017

OJPsych

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Acne vulgaris is a chronic inflammatory skin disorder which has a high prevalence among adolescents and young adults and can be associated with emotional and psychological burden on patients. This review aimed to explore psychological factors in patients with acne. Several forms of emotional distress and psychological complications can occur with acne. Such complications may be worse than the physical impact of the skin condition. Current literature suggests that skin changes in acne are associated with changed body image, psychological distress, anxiety, social phobia, suicidal ideation and depression. Population-based studies suggest a significant association between acne and mental distress among both male and female adolescents. Presence of psychological distress is related to severity of acne in some studies. However, other case-controlled studies suggest increased risk for psychological problems in patients with acne regardless of its severity. Stress is suspected to have a role in exacerbations of acne, and the quality of life (QoL) is affected particularly in cases with severe facial acne. Acne treatment can be associated with psychiatric side effects. Isotretinoin may be associated with depression and suicide attempts as shown in several studies but with conflicting results. On the other hand, psychotropic medications (such as antidepressants, antipsychotics and mood stabilizers) can also induce acne. The results of this review indicate the importance of vigilant psychiatric assessment for patients with acne, particularly those receiving isotretinoin, is needed for early diagnosis and treatment of the associated psychiatric co-morbidity.

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Acne: more than skin deep

Cited by 74 publications

References 65 publications

Acne and Quality of Life- A Study from a Tertiary Care Centre in South India

Acne and Quality of Life- A Study from a Tertiary Care Centre in South India

Adult Acne: Prevalence and Portrayal in Primary Healthcare Patients, in the Greater Porto Area, Portugal

Psychiatric Comorbidity in Patients with Acne

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