Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach

Kayıran, Melek Aslan; Karadağ, Ayşe Serap; Jafferany, Mohammad

doi:10.1111/dth.14150

Cited by 15 publications

(23 citation statements)

References 55 publications

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“…Whether AV lesions cause stress in the patient or stress itself causes AV, it is certain that there is a relationship between the two; exposure to stress decreases anti-inflammatory response through corticotropin-releasing hormone and accelerates lipogenesis in sebaceous glands by increasing growth hormone and insulin-like growth factor-1 (IGF-1). [ 17 18 ] In previous studies, 50%–82% of patients stated that their acne lesions increased with exposure to stress. [ 19 20 21 ] In the current study, stress affected our patients' AV lesions at a much lower rate (17.6%) than in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine among Patients with Acne Vulgaris and Factors Perceived to Trigger the Disease

Kayıran

Karadağ²,

Alyamaç³

et al. 2022

Indian Journal of Dermatology

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Background: Acne vulgaris (AV) is among the common skin diseases for which patients refer to complementary and alternative medicine (CAM). Aims and Objectives: To investigate the approaches to CAM methods and factors believed to increase the disease in 1,571 AV patients. Materials and Methods: The sociodemographic characteristics of the patients and disease severity according to the Food and Drug Administration criteria were recorded. The Cardiff Acne Disability Index (CADI) was used to assess the impact of acne on the patient's life and the history of CAM use was noted. The patients also listed the factors that they thought worsened their disease and reported their gluten-free diet experiences. Results: Of all the patients, 74.41% had a history of using CAM methods. CAM use was significantly higher in women, patients with severe AV, those with a higher CADI score and non-smokers. As a CAM method, 66.37% of the patients reported having used lemon juice. The respondents most frequently applied CAM methods before consulting a physician (43.94%), for a duration of 0–2 weeks (38.97%). They learned about CAM methods on the internet (56.24%) and considered CAM methods to be natural (41.86%). The patients thought that food (78.55%) and stress (17.06%) worsened their disease. They considered that the most common type of food that exacerbated their symptoms was junk food (63.84%) and a gluten-free diet did not provide any benefit in relieving AV (50%). Conclusion: Physicians need to ask patients about their CAM use in order to be able to guide them appropriately concerning treatments and applications with a high level of evidence.

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Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine among Patients with Acne Vulgaris and Factors Perceived to Trigger the Disease

Kayıran

Karadağ²,

Alyamaç³

et al. 2022

Indian Journal of Dermatology

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“…Many members of the community lamented the visual effects of both acne and acne scarring on their physical appearance. Posters discussing scarring also tended to depict transformations using before and after pictures, recognizing improvements in self-esteem [ 14 , 15 ]. Self-confidence can also be negatively affected through what posts identify as unrealistic beauty standards in media (“it’s just a whole lot of…photoshop”) and use the forum as a mechanism to combat the pervasiveness of media representations.…”

Section: Discussionmentioning

confidence: 99%

Skincare in Social Media: Analyzing Prominent Themes in Online Dermatologic Discussions

Reddy¹

2021

Cureus

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Introduction: As the size and influence of online dermatologic communities have developed significantly in recent years, literature concerning the relationship between social media and dermatology grows more important. One community of interest is r/SkincareAddiction, a forum of over 1.2 million members on Reddit that serves as both a support group and discussion aggregator sourcing information from multiple social media platforms. Methods: This study reports on the qualitative analysis of 300 highly engaged posts to identify prominent themes in online dermatologic discussions and determine the extent of multiplatform interaction between Reddit and other dermatology-relevant social networks. Results: Results of an inductive analysis indicate discussions place an emphasis on communicating advice and improving general wellbeing, comprising 71% of measured posts. However, a large portion of this counsel lacks evidence and pseudoscientific recommendations are often accepted as factual. Additionally, 31% of entries were drawn from alternative social media sites. Conclusion: Assessing the prevalent points of discussion in dermatology-relevant communities can inform clinical practice and reveal alternative methods to advance the delivery of care. As patients increasingly seek health advice and support online, developing digital literacy in common dermatologic trends offers a unique opportunity to improve communication, disseminate evidence-based counsel, and combat misinformation in both clinical and online settings.

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“…B. Dreno et al также относят значимый стресс (OR 1,15; р < 0,0001), нарушения сна (OR 1,15; р < 0,0001) к существенным факторам риска акне [19]. У взрослых женщин факторы стресса и нарушений сна предрасполагают к персистированию акне [42][43][44].…”

Section: стресс и нарушения снаunclassified

Exposome factors in the acne pathogenesis

et al. 2022

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The concept of the exposome, formulated more than fifteen years ago, is increasingly discussed in the modern scientific literature. The term “exposome” is understood as a cumulative measure of the impact of environmental factors on an individual throughout his or her life (from the prenatal period to death) and the biological response associated with it. The sum of these factors has a significant impact on the occurrence, course, and treatment efficacy of multifactorial diseases. The skin is a border organ and is constantly exposed to environmental influences, i.e., it is a target for the exposome. The influence of the latter components has been described in skin aging, atopic dermatitis, and malignant skin neoplasms. Acne is one of the most common chronic inflammatory dermatoses. Over the past decade, the worldwide increase in the incidence of acne, its early onset and a prolonged course, affecting adult men and women, has been noted. The review presents an analysis of the data on the effects of the components of the exposome – diet, medications, stress, and pollutants - on the course of acne. Particular attention is paid to the few data on the nature of interaction between the components of the exposome and the skin microbiome, which, on the one hand, is involved in the pathogenesis of dermatoses, including acne, and, on the other hand, is changed under the influence of exposome factors, acting as an intermediary between the environment and the human body. The search for environmental factors has at least two objectives: the discovery of potential pathogenetic links, the strength of their relationship with the clinical manifestations of the disease to develop new therapies aimed at new targets; and the creation and recommendation of a protective regime for factors with a proven effect on the course of the disease, for patients suffering from acne.

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Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach

Cited by 15 publications

References 55 publications

Use of Complementary and Alternative Medicine among Patients with Acne Vulgaris and Factors Perceived to Trigger the Disease

Use of Complementary and Alternative Medicine among Patients with Acne Vulgaris and Factors Perceived to Trigger the Disease

Skincare in Social Media: Analyzing Prominent Themes in Online Dermatologic Discussions

Exposome factors in the acne pathogenesis

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