Prevalence of adult female acne in Colombia: A population-based study

Rueda, Lili J.; Porras, Alexandra; Rico, Alejandro

doi:10.1016/j.ijwd.2021.06.003

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…Additionally, there is a lower diversity of C. acnes in acne prone skin. The interaction between skin and gut microbiome has also been considered to influence acne development and persistence, opening perspectives toward the use of probiotic therapies to reverse the dysbiosis presented in these patients (Rocha, 2018b;Rueda, 2021;Bagatin, 2023).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and biological characteristics of acne in adult women employees of a university

Bagatin,

Bosso,

Bomfim

et al. 2024

Cad. Pedagógico

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Background: Increasingly observed in adulthood, adult female acne is considered a common chronic inflammatory disease of the pilosebaceous unit, presenting polymorphic lesions, risk of sequelae and negative impact on quality of life. This is a disease that may persist from adolescence (persistent acne) or manifest de novo in adulthood (late onset acne). Its etiology is multifactorial, and most of patients don’t have any abnormality in plasma androgen levels. Objectives: To investigate the prevalence and biological characteristics of acne in adult women, over 25 years, employees of a university in Sao Paulo, Brazil. Material and Methods: Project approved by Institutional Review Board. All participants signed online Consent Form and Authorization for Photography. This was a cross-sectional online study by using a questionnaire which was uploaded at the intranet of the university. It was sent and visualized by 2560 women employees, but just 241 filled the 59 questions. The data are presented in a descriptive way, in number and percentage. Results: We’ve received 9.4% of responses (241/2560); acne was reported by 94.2% (227/241) and 87.2% (198/227) were still suffering from acne. The real prevalence of acne in that population may be estimated in 7.7% (198/2560); 96% of patients reported inflammatory lesions; 58% on face; 68.7% persistent and 8.5% late onset acne. Regarding the severity, 48.5% were mild, 44.9% moderate and 6.6% severe. Familial history of acne was present in 79% of the patients with persistent acne and 81% late onset acne. Polycystic ovary syndrome was observed in 35% of women with persistent acne, 15% have already been treated or were under treatment; on the contrary 21% presented late onset acne and 64% were treated. Psychological impact was reported by 39% of women with persistent acne and 46% used antidepressants. On the other hand, 8% of women with late onset declared psychological disturbances and 30% were in use of antidepressants. Stress was reported by 51% of women with late onset acne. Additionally, 54% and 68% of women with persistent and late onset acne, respectively, reported sleep disturbances. Our study showed that 60% and 55% of women with persistent and late onset, respectively, consumed a diet featuring a high glycemic load, preferably including sweets. Results about the use of skin care during the treatment (persistent X late onset acne) were quite similar: regular use of sunscreen (50% X 58%); moisturizers (30% X 43%) and cleanser for oily skin (42% X 47%). In addition, 32% X 26% were submitted to chemical peeling; 55% X 41% used oral antibiotic, 28% X 26% combined oral contraceptive, 11% X 19% oral spironolactone, and 22% X 13% oral isotretinoin. Conclusions: The prevalence of acne among adult women employees at a university from Sao Paulo, Brazil is high, and the biological characteristic of the disease corroborates many previous studies. It is important to highlight the predominance of persistent acne, mild to moderate, inflammatory lesions, frequent report of ovary polycystic syndrome with low level of medical care and sleep disturbances. The excessive use of oral antibiotics instead of hormonal treatment point out the need of medical education for the management of this disease that causes important negative impact in women’s quality of life.

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Section: Introductionmentioning

confidence: 99%

“…There are few data about the prevalence of adult acne, including AFA, in Brazil and Latin America (Kaminsky, 2019;Rueda, 2021).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and biological characteristics of acne in adult women employees of a university

Bagatin,

Bosso,

Bomfim

et al. 2024

Cad. Pedagógico

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“…As a multifaceted skin disorder, acne is characterized by the formation of comedones, papules, pustules, and, in severe cases, nodules and cysts. 1,2 These unsightly blemishes often lead to distress and diminished self-esteem among those afflicted, influencing their social interactions and overall well-being. 3 The search for effective treatment modalities has driven the exploration of innovative approaches, among which Intense Pulsed Light (IPL) therapy stands out as a promising noninvasive option for ameliorating the distressing symptoms of acne.…”

Section: Introductionmentioning

confidence: 99%

Intense Pulsed Light (IPL) therapy in acne vulgaris management: Assessing efficacy and safety.

Aqsa Naheed,

Tehseen Naveed,

Marwa Samee

et al. 2024

TPMJ

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Objective: To evaluate efficacy and safety of IPL in the treatment of Acne vulgaris. Study Design: Quasi-experimental study. Setting: CMH, Peshawar. Period: 15th January 23 to 15th May 23. Material & Methods: 35 participants having acne vulgaris with age range from 18-35 years were selected. Participants who had used any form of topical, oral, or alternative treatments for acne, including retinoids, within the six months preceding the commencement of the study, history of systemic steroid intake, photosensitivity and herpes simplex, were excluded. Global Acne Grading System (GAGS) score was used to ascertain the severity of acne vulgaris. Four sessions of weekly Intense Pulsed Light (IPL) sessions, utilizing filters of 420nm, 510nm and 560nm for participants having skin type III, IV and V respectively were employed. GAGS score was calculated one week after the last session. Side effects were recorded, degree of improvement and patient reported outcome was noted using a four-point scale limited =<25%, marked =25%-50%, promising 50-75% and profound =>75%. Results: Mean age of participants was 21.63 ± 4.63 years, with a mean duration of acne was 4.26 ± 2.20 years. The mean baseline GAGS score I decreased from 22.00±5.26 to 11.58±4.80, as observed one week following the last IPL session. The calculated p-value was statistically significant (<0.000). 54% of patients encountered no adverse reactions. Conclusion: Intense Pulsed Light (IPL) emerges as a secure and efficacious treatment choice, particularly in the initial stages, to enhance the response to therapy.

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“…Однако традиционное понимание акне как болезни только подросткового возраста постепенно ушло в прошлое. В ряде исследований было показано увеличение общего числа случаев акне среди взрослых пациентов, в особенности среди женщин [4,5]. По данным разных источников, распространенность акне у взрослых женщин варьировала от 5,5 до 61,5%, при этом с возрастом она обычно снижается [6][7][8].…”

Section: Introductionunclassified

Adult female acne: relevance and possible solutions

et al. 2023

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In recent years, there has been an increase in the proportion of AFA in the structure of acne incidence. The etiopathogenesis of the disease is multicomponent and has not been fully elucidated. It is assumed that hormonal factors and chronic activation of innate immunity are involved in the process against the background of genetic predisposition, which are stimulated by external environmental factors: daily stress, Western-style diet, tobacco use, hormonal drugs, cosmetics. The article presents a modern classification of the clinical course of AFA and scales for assessing the severity of the course of the disease: GEA (Global Acne Severity Scale) and AFAST (Adult Female Acne Scoring Tool). AFA is predominantly characterized by a mild or moderate course. Treatment requires a personalized approach with particular attention to the individual needs and characteristics of adult women. When choosing a topical therapy, the doctor should consider the less pronounced oiliness of the skin, the slow progression of the disease with the outcome in hyperpigmentation and scarring. Modern acne treatment regimens include systemic and topical therapy along with proper basic skin care. The most effective topical agents include retinoids, which can induce a specific biological response by binding and activating retinoic acid receptors. Comedonal and mild papulopustular acne are indications for adapalene monotherapy for acne in adult women. Adaklin (0.1% adapalene) cream is a highly effective first choice for the pathogenetic treatment of AFA. Rational mono- and combination therapy with adapalene is the key to successful external therapy of mild and moderate AFA and prevention of post-acne. The review provided up-to-date, evidence-based information on the clinical presentation, etiopathogenesis, and treatment of adult female acne (AFA).

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Prevalence of adult female acne in Colombia: A population-based study

Cited by 6 publications

References 13 publications

Prevalence and biological characteristics of acne in adult women employees of a university

Prevalence and biological characteristics of acne in adult women employees of a university

Intense Pulsed Light (IPL) therapy in acne vulgaris management: Assessing efficacy and safety.

Adult female acne: relevance and possible solutions

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