Prevalence of acne vulgaris and its clinico‐epidemiological pattern in adult patients: Results of a prospective, observational study

Shah, Nidhi; Shukla, Ratnakar; Chaudhari, Parag; Patil, Sharmila; Patil, Anant; Nadkarni, Nitin; Goldust, Mohamad

doi:10.1111/jocd.14040

Cited by 9 publications

(9 citation statements)

References 32 publications

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“…In our study, all the patients who used skincare products stated that they used them for the face, while the rates of those who used these products for the back and chest area were 7.1 and 5.8%, respectively. Similarly, in previous studies, a higher frequency of cosmetic product use was observed for the facial area, and there was a less cosmetic concern for the chest area 2,17 …”

Section: Discussionsupporting

confidence: 63%

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Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients

Kayıran

Karadağ

Alyamaç

et al. 2021

J of Cosmetic Dermatology

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Background Skincare products and cosmetic procedures are used as an adjunct or complementary to conventional drug therapy for acne vulgaris (AV). Objective To evaluate the use of skincare products and the frequency of cosmetic procedures in AV treatment. Methods A total of 1,755 patients with AV completed the survey prepared by the researchers and the Cardiff Acne Disability Index (CADI) questionnaire. The clinical findings and the Food and Drug Administration (FDA) severity scores were recorded by the dermatologists. Results For AV, 66.7% of the patients stated that they used skincare products and 26.7% had undergone cosmetic procedures. The use of skincare products was statistically significantly higher in women (female: 74.5%, male: 57.7%, p < 0.0001); older people (users: 22 ± 7.6years, non‐users: 21.2 ± 5.7 years, p < 0.0001); patients with a higher CADI score (users: 7 ± 3.7, non‐users: 6.9 ± 4.3, p = 0.010); FDA severity score 2 and 3 (FDA‐1: 58.1%; FDA‐2: 72.4%, FDA‐3: 73%, FDA‐4: 67%, p < 0.0001); long‐term disease (users: 57 ± 43 months; non‐users: 47.7 ± 42.3 months, p < 0.0001); facial involvement (present: 70.2%, absent: 51.4%, p = 0.017); high income levels (users: 73.5%; non‐users: 26.5%, p = 0.001); and graduate or post‐graduate degrees (undergraduate≤%62.8, graduate≥%76.8, p < 0.0001). The rate of cosmetic procedures was higher in those with higher CADI scores (users: 7.8 ± 3.8; non‐users: 7.1 ± 3.96, p < 0.0001); older patients (users: 22.7 ± 10.7 years; non‐users: 21.3 ± 5 years, p < 0.0001); high school (25.6%); and graduate (28.9%) education (p = 0.043), those with lower disease severity (FDA‐1: 31.1%; FDA‐2: 28.5%, FDA‐3: 27.1%, FDA‐4: 20.4%, p = 0.022); smokers (smokers: 32.5%; non‐smokers: 25.5%, p = 0.020), and those with AV in the family (present: 29.8%; absent: 24.2%, p = 0.009). The patients most frequently used cleansers (85.2%) as cosmetic products, and most commonly underwent skincare treatment (71%) as an interventional procedure. They mostly learned about such products and methods from the Internet, and 33.3% of the participants had undergone procedures performed by non‐physicians. Conclusion The patients generally choose skincare products as a result of their Internet search and sometimes have these procedures performed by non‐physicians. Dermatologists should be aware of this situation and inform their patients about appropriate products and procedures.

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Section: Discussionsupporting

confidence: 63%

“…In studies in which AV patients were asked what worsened their disease, 14.3%‐58.2% stated that the use of cosmetics did 14,16‐18 . However, in these studies, make‐up products were also included as cosmetics.…”

Section: Discussionmentioning

confidence: 99%

Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients

Kayıran

Karadağ

Alyamaç

et al. 2021

J of Cosmetic Dermatology

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“…A number of adult female patients with acne report worsening of their condition in the premenstrual period, as well as premenopausally, during pregnancy and during the use of progestin-only contraceptives. During these periods, women experience hormone fluctuations with a relative increase in the levels of those with androgenic activity (2,13,28). The reported incidence of these flare-ups slightly differs across studies.…”

Section: Etiopathogenesismentioning

confidence: 99%

“…The association between acne and diet remains unclear. Studies have suggested that a Western diet, defined as high calorie intake, high glycemic load, high meat and fat intake, and high consumption of cow's milk and dairy products, may be associated with acne flares in predisposed individuals (13,28,30). This type of diet increases insulin and insulin-like growth factor 1 (IGF1) levels.…”

Section: Etiopathogenesismentioning

confidence: 99%

Adult female acne: Clinical and therapeutic particularities (Review)

et al. 2021

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Acne is a chronic inflammatory condition affecting the pilosebaceous unit that was traditionally viewed as a disease of the adolescence. However, over the past several years, an increasing number of adult women have been reported to suffer from this condition. The prevalence of adult female acne ranges between 12 and 54%. Two clinical types can be distinguished in this population, a 'retentional' and an 'inflammatory' type, which usually tend to overlap. In terms of evolution, three main subtypes can be identified: Persistent acne, which is the most frequent subtype, late-onset acne and recurrent acne. This type of acne is mainly mild-to-moderate in severity and may be refractory to conventional treatment. The etiopathogenesis is complex and has yet to be fully elucidated. It appears to involve an interaction among genetic predisposition, hormonal factors, and chronic activation of the innate immune system overlapping with external factors, such as daily stress, Western-type diet, use of tobacco and cosmetics. The treatment may be challenging and a holistic approach is required, with special attention to the individual needs and particularities of adult women. Both topical and systemic treatments are available, with hormonal therapies being of special value in this population. The aim of the present article was to provide up-to-date, evidence-based information on the clinical presentation, etiopathogenesis and treatment of adult female acne. Contents1. Introduction 2. Prevalence 3. Clinical presentation 4. Etiopathogenesis 5. Treatment of adult female acne 6. Conclusions

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“…It is a common chronic inflammatory dermatosis that affects almost 85% of adolescents and young adults globally [4] . The prevalence of acne in adults is also rapidly increasing [5] . Reportedly, Acne vulgaris is affecting 2/3 rd of adults of age 18 and above [6] .…”

Section: Introductionmentioning

confidence: 99%

An observational study of co-relation of acne and metabolic syndrome

Badabagni¹,

Sambangi²,

Birudala³

2021

Int. J. Dermatol. Venereology Leprosy Sci.

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Background: Acne vulgaris remains one of the commonest diseases of skin with chronic inflammatory dermatosis that affects 85 p.c of the adolescents and young adults globally. Acne is associated with greater psychological burden that include depression, anxiety, and low self-esteem. It is a multifactorial disease depending on genetic predisposition, follicular epidermal hyperproliferation, endocrine factors, the colonization and activity of Propionibacterium acnes, excess sebum production, inflammation, and environmental factors. Insulin resistance, dyslipidaemia, visceral adiposity, elevated blood pressure and chronic stress are several factors which constitute the metabolic syndrome.Aim & Objectives: To analyse the relationship between Diabetes Mellitus, Dyslipidaemia, Hypertension, and Visceral Adiposity in Acne Vulgaris. Material and Methods: A hospital based, analytical cross-sectional study was conducted among patients aged 14 years & above, irrespective of gender with acne vulgaris, irrespective of severity and attend the outpatient clinic of dermatology at a tertiary care hospital for a period of 12 months. Grading of acne was done according to Global Acne Grading System. Metabolic syndrome was diagnosed as per the criteria of the modified NCEP-ATP III. Results:The patients with severe GAGS had high metabolic syndrome (72.4%) when compared to those without metabolic syndrome (27.6%), there exists an extreme statistically significant association between metabolic syndrome and GAGS (acne severity) with p-value <0.001. Conclusion: HDL has high influence on acne vulgaris when compared to waist circumference, triglyceride, fasting blood sugar, and blood pressure.

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Prevalence of acne vulgaris and its clinico‐epidemiological pattern in adult patients: Results of a prospective, observational study

Cited by 9 publications

References 32 publications

Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients

Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients

Adult female acne: Clinical and therapeutic particularities (Review)

An observational study of co-relation of acne and metabolic syndrome

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