Acne prevalence in 9 to 14‐year‐old old patients attending pediatric ambulatory clinics in Italy

Napolitano, Maddalena; Ruggiero, Giuseppe; Monfrecola, Giuseppe; Megna, Matteo

doi:10.1111/ijd.14138

Cited by 8 publications

(15 citation statements)

References 19 publications

(43 reference statements)

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“…The evaluation of acne severity in our study showed that severe acne (GEA scale 4) was the most common form, found in 33% of cases. These results differ from those of Napolitano et al (2018) , who reported that 88.5% of examined children had mild or almost clear acne, suggesting that moderate-to-severe forms of the disease are very rare in the preadolescent age range. Our results are in accordance with a study that reported that experiencing a higher number of comedones or inflammatory lesions before puberty is associated with the subsequent development of severe acne ( Lucky et al, 1997 ).…”

Section: Discussioncontrasting

confidence: 99%

“…In the paper by Davis et al (2013) , 55 million pediatric acne visits took place over a 6-year period, and preadolescent acne accounted for 4.8% of acne cases. Another prospective observational study conducted in Italy showed that acne prevalence was lowest in 9-year-old children (6%; Napolitano et al, 2018 ). In our study, female patients were more affected (75%) than male patients (25%), as previously reported ( Napolitano et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…Another prospective observational study conducted in Italy showed that acne prevalence was lowest in 9-year-old children (6%; Napolitano et al, 2018 ). In our study, female patients were more affected (75%) than male patients (25%), as previously reported ( Napolitano et al, 2018 ). Several studies have identified a strong role of heredity in acne ( Wolkenstein et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prepubertal acne: A retrospective study

Frénard

Mansouri

Corvec

et al. 2021

International Journal of Women's Dermatology

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Background Acne vulgaris is a common skin disorder, but studies on the epidemiologic features of prepubertal acne are limited. Objectives The aim of this study was to determine the prevalence and severity of prepubertal acne and to identify factors influencing acne severity and poor response to treatment. Methods A retrospective study was conducted on 683 patients with acne from our database who visited the dermatology department of Nantes University hospital between October 2014 and May 2018. Patients of prepubertal acne (7-12 years) were included in this study. Results Of the 683 patients with acne, 24 (3.5%) had prepubertal acne. Prepubertal acne was more common in female patients (75%). Acne severity assessment showed that severe acne (Groupe Expert Acné global acne severity scale 4) was the most common form (33%), and mild and moderate forms (Global Evaluation Acne Group, global acne severity scales 2 and 3) accounted for 25% each. There was a high predominance of phylotype IA 1 of Cutibacterium acnes (belonging to CC18 subgroup). The analysis of patients’ lifestyle and acne features identified three factors associated with an increased risk of poor response or resistance to acne treatment. Initially severe acne grading (grade 4) was the most strongly associated parameter ( p < .028), followed by regular milk consumption and taking other medications in addition to acne treatment ( p < .049 for each). Conclusion This study reported on prepubertal acne features and identified three factors associated with a high risk of treatment failure or relapse. Adequate and prompt treatment is needed in this subgroup of patients to minimize disease burden and prevent subsequent disease worsening.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prepubertal acne: A retrospective study

Frénard

Mansouri

Corvec

et al. 2021

International Journal of Women's Dermatology

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“…The epidemiology of acne continues to evolve with changes in hormone levels that vary with age. An Italian study of pediatric outpatients aged 9-14 found that 34.3% patients had acne, with the lowest prevalence rate of 6% at age 9, and the incidence of acne increased to 36.3% after the age of 13 (24). From the prevalence of acne among Chinese adolescents, we found increased age was related to higher prevalence and severity of acne vulgaris: 15.6, 44.9, and 70.4% for 10, 13, and 16 years old (25).…”

Section: Agementioning

confidence: 99%

A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics

Yang

et al. 2020

Front. Public Health

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Background: Acne vulgaris is known as a commonly-seen skin disease with a considerable impact on the quality of life. At present, there have been a growing number of epidemiological, medical, demographic and sociological researches focusing on various influencing factors in the occurrence of acne. Nevertheless, the correlation between environmental factors and acne has yet to be fully investigated. Objective: To assess the impacts of individual, natural and social environmental factors on acne and to construct a framework for the potential impact of built environment on acne. Methods: A thorough review was conducted into the published social demographical, epidemiological, and environmental studies on acne through PubMed, Google Scholar and Web of Science, with reference made to the relevant literature. Results: The influencing factors in acne are classed into four major categories. The first one includes individual socioeconomic and biological factors, for example, gender, age, economic level, heredity, obesity, skin type, menstrual cycle (for females), diet, smoking, cosmetics products, electronic products, sleep quality and psychological factors. The second one includes such natural environmental factors as temperature, humidity, sun exposure, air pollution and chloracne. The third one relates to social environment, including social network and social media. The last one includes built environmental factors, for example, population density, food stores, green spaces, as well as other built environment characteristics for transport. Acne can be affected negatively by family history, overweight, obesity, oily or mixed skin, irregular menstrual cycles, sugary food, greasy food, dairy products, smoking, the improper use of cosmetics, the long-term use of electronics, the poor quality of sleep, stress, high temperature, sun exposure, air pollution, mineral oils and halogenated hydrocarbons. Apart from that, there are also potential links between built environment and acne. Yang et al. Acne Conclusions: It is necessary to determine the correlation between the built environment and acne based on the understanding of the impact of traditional factors (sociology of population and environment) on acne gained by multidisciplinary research teams. Moreover, more empirical studies are required to reveal the specific relationship between built environment and acne.

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“…But it appears before the age of 12 in 32–40% of cases [ 13 ]. And acne is often associated with adolescence but can appear at any age, especially in the prepubertal period [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Clinicoepidemiology of Skin Diseases in Children Seen at the University Hospital Center Morafeno, Toamasina, Madagascar

Ranaivo

Sendrasoa

Andrianarison

et al. 2021

Dermatology Research and Practice

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Introduction. The child’s skin diseases are common and very diverse. Many studies concerning pediatric dermatoses have been carried out in Africa and the rest of the world. Few epidemioclinical data reflect these skin diseases in children, especially in the east coast of Madagascar. We aim to describe the pattern skin diseases among children seen at the University Hospital Center Morafeno, Toamasina, Madagascar. Patients and Methods. A retrospective study over a 3-year period from January 2017 to December 2019 was conducted in children seen in the Dermatology Department of University Hospital Center Morafeno, Toamasina, with skin diseases. Results. During the study period, 347 children out of the 1584 new patients were retained with a sex ratio of 0.86. The mean age was 6.4 years old. The main diseases identified were skin infectious diseases (43, 23%), allergic dermatoses (24.21%), and autonomous dermatosis (15.56%). Conclusion. Our study revealed the importance of infectious and allergic dermatoses in Toamasina. It is necessary to carry out simple preventive actions such as hygiene.

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Acne prevalence in 9 to 14‐year‐old old patients attending pediatric ambulatory clinics in Italy

Abstract: Acne is not a rare disease in pre-adolescent age. Adequate and prompt treatment is also needed in this class of patient to minimize disease burden and potential future disease worsening.

Cited by 8 publications

References 19 publications

Prepubertal acne: A retrospective study

Prepubertal acne: A retrospective study

A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics

Clinicoepidemiology of Skin Diseases in Children Seen at the University Hospital Center Morafeno, Toamasina, Madagascar

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