Acne Vulgaris and Rosacea

2012 ◽  
Author(s):  
James Q Del Rosso
Keyword(s):  
Acne Vulgaris ◽  
Fibrous Tissue ◽  
Clinical Severity ◽  
European Ancestry ◽  
Laboratory Evaluation ◽  
Northern European ◽  
Chronic Disorder ◽  
Clinical Presentations ◽  
The Face

Acne vulgaris is the most common disorder seen in general dermatology practice, accounting for approximately 10% of visits each year. Both sexes and all ethnicities are affected, usually in the late preteenage or early teenage years. Both inflammatory and comedonal lesions of acne vulgaris characteristically involve the face, but truncal involvement is also relatively common. Multiple clinical presentations may be observed, with severity often progressing over time during adolescence. Severe forms of acne vulgaris can be especially disfiguring and debilitating, and are more likely to lead to permanent scarring. Therapeutic options are chosen primarily on the basis of clinical severity, with adjustments in treatment made on the basis of response or disease progression. Rosacea begins in adulthood, usually in the third decade of life or later. The disorder predominantly affects the central face in fair-skinned people, mostly those of northern European ancestry, although individuals of any race may be affected. Rosacea may present as one or more of a variety of clinical phenotypes (subtypes); it is a chronic disorder characterized by periods of exacerbation and remission. Fortunately, rosacea is not associated with scarring, although a subset of patients may develop localized proliferations of sebaceous and fibrous tissue called a phyma. Like acne vulgaris, rosacea may also adversely impact quality of life. Figures in this chapter illustrate acne vulgaris and inflammatory papules. Tables detail laboratory evaluation for women with acne vulgaris and hyperandrogenism, surgical/physical modality options for specific acne lesions and acne scars, major topical therapies for acne vulgaris, and commonly prescribed systemic therapies for acne. This chapter contains 50 references.

Acne Vulgaris and Rosacea

2019 ◽  
Author(s):  
James Q Del Rosso
Keyword(s):  
Acne Vulgaris ◽  
Fibrous Tissue ◽  
Clinical Severity ◽  
European Ancestry ◽  
Laboratory Evaluation ◽  
Northern European ◽  
Chronic Disorder ◽  
Clinical Presentations ◽  
The Face

Acne vulgaris is the most common disorder seen in general dermatology practice, accounting for approximately 10% of visits each year. Both sexes and all ethnicities are affected, usually in the late preteenage or early teenage years. Both inflammatory and comedonal lesions of acne vulgaris characteristically involve the face, but truncal involvement is also relatively common. Multiple clinical presentations may be observed, with severity often progressing over time during adolescence. Severe forms of acne vulgaris can be especially disfiguring and debilitating, and are more likely to lead to permanent scarring. Therapeutic options are chosen primarily on the basis of clinical severity, with adjustments in treatment made on the basis of response or disease progression. Rosacea begins in adulthood, usually in the third decade of life or later. The disorder predominantly affects the central face in fair-skinned people, mostly those of northern European ancestry, although individuals of any race may be affected. Rosacea may present as one or more of a variety of clinical phenotypes (subtypes); it is a chronic disorder characterized by periods of exacerbation and remission. Fortunately, rosacea is not associated with scarring, although a subset of patients may develop localized proliferations of sebaceous and fibrous tissue called a phyma. Like acne vulgaris, rosacea may also adversely impact quality of life. Figures in this chapter illustrate acne vulgaris and inflammatory papules. Tables detail laboratory evaluation for women with acne vulgaris and hyperandrogenism, surgical/physical modality options for specific acne lesions and acne scars, major topical therapies for acne vulgaris, and commonly prescribed systemic therapies for acne. This chapter contains 50 references.

scholarly journals Psychosocial Impact of Acne: A Community Based Cross Sectional Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Mohammad Sarwar Mir
Keyword(s):  
Quality Of Life ◽  
Social Impact ◽  
Acne Vulgaris ◽  
Clinical Severity ◽  
Age Group ◽  
Cross Sectional ◽  
Severe Acne ◽  
Number Of Patients ◽  
The Impact

Background: It is well-known that acne vulgaris is a common malady of adolescence and is easily recognized Objective: To evaluate the level of impact among acne patients on their quality of life. Methods: A total of 200 patients studied. Acne severity was graded using Global Acne Grading System (GAGS) after the clinical diagnosis. All the patients went through self-administered questionnaire of Cardiff Acne Disability Index (CADI) to fill out, to assess the reflection of patients’ experiences and perceptions. Result: Out of 200 patients, 114(57.0%) were females and 86(43.0%) were males. The maximum number of patients was in the age group of 16-20 years (142/200, 71%). Out of total 86 males, 50 (58.3%) had moderate to severe acne, whereas 62(54.38%) females had such a severe acne. 50.87% (58/114) of females had high CADI scores in comparison to only 27.9(24/86) of males. The impact on quality of life was more in the age-group of 21-30 years even though in this age group clinical severity of acne was mild to moderate only. Conclusion: Study found that individuals with acne had profound emotional, as well as, social impact on their quality of life.

Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris

2016 ◽  
Vol 30 (2) ◽  
Author(s):  
Dilek Unal ◽  
Nazan Emiroğlu ◽  
Fatma Pelin Cengiz
Keyword(s):  
Social Anxiety ◽  
Acne Vulgaris ◽  
Life Quality ◽  
Self Esteem ◽  
Clinical Severity ◽  
Psychiatric Disease ◽  
Significant Difference ◽  
Anxiety Levels ◽  
High Social Anxiety

Abstract Background: Acne vulgaris is a visible skin disease commonly seen in adolescence. As it affects the appearance, it is likely to bring stress to the adolescent’s life regarding sensitivity about their appearance. Objective: The aim of the study was to investigate the social anxiety level, acne-specific life quality, and self-esteem among adolescents with acne vulgaris. In addition, we evaluated the relationship between these parameters, clinical severity, and sociodemographic data. Methods: One hundred and two adolescents with acne vulgaris, aged 12–17 years without any psychiatric or medical comorbidity were recruited. The control group consisted of 83 adolescents in the same age range, who had neither psychiatric disease nor acne. Sociodemographic form (SDF), Capa Social Phobia Scale for Children and Adolescents (CSPSCA), and Rosenberg Self-esteem Scale (RSES) were applied to both groups. Additionally, the severity of acne was determined with Global Acne Grading System (GAGS), and life quality of the patients was evaluated with Acne Quality of Life Scale (AQOL). Results: There was no significant difference in social anxiety levels and self-esteem between the study and control groups. Life quality impairment and high social anxiety levels, as well as low self-esteem, were found to be associated regardless of the clinical severity. Conclusion: Clinicians should be aware of the psychiatric comorbidities when treating adolescents with acne vulgaris. Especially, low self-esteem and life quality impairment should warn clinicians to predict high social anxiety levels in adolescent acne patients.

scholarly journals IMPACT OF ACNE VULGARIS ON A PERSON’S QUALITY OF LIFE AND IT’S CORRELATION WITH THE CLINICAL SEVERITY PRE AND POST-DRUG THERAPY

2022 ◽  
pp. 13-16
Author(s):  
SWOPNA PHUKAN ◽  
SAHELI DAS
Keyword(s):  
Quality Of Life ◽  
Drug Therapy ◽  
Observational Study ◽  
Acne Vulgaris ◽  
Ethics Committee ◽  
Clinical Severity ◽  
Grading System ◽  
Institutional Ethics

Objective: The aim of the study is to assess the therapeutic efficacy of drugs used in acne vulgaris by measuring the severity of acne using the Global Acne Grading System score (GAGS) and Cardiff Acne Disability Index (CADI) questionnaire score pre and post-drug therapy. Methods: The present study was conducted in the Department of Dermatology after getting approval from the Institutional Ethics Committee (No MC/190/2007/Pt1/MAR-2019/PG/123) dated 10/04/2019. It was an observational study for a period of 1 y. 172 patients were enrolled in the study. Patients were divided into 4 grades depending on their clinical manifestation. The severity of acne vulgaris and the quality of life were measured using the GAGS scale and the CADI questionnaire, respectively at the first visit and at the follow-up visit in all the grades of acne vulgaris. A correlation was done between the GAGS and the CADI score at the follow-up visit in all grades of acne. Results: It was observed that the GAGS score and the CADI score was significantly improved at the F/U visit (p<0.05) as compared to baseline in all the 4 grades of acne. A correlation between GAGS score and QoL using CADI scale was done using Pearson Parametric Correlation Test. In none of the groups, the correlation was significant (p>0.05). Conclusion: We can conclude from our study that following treatment with drugs, the clinical severity of acne decreased and there was also a significant improvement in the quality of life of patients.

scholarly journals Effects of Topical Hydrogen Purification on Skin Parameters and Acne Vulgaris in Adult Women

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 144
Author(s):  
Karolina Chilicka ◽  
Aleksandra M. Rogowska ◽  
Renata Szyguła
Keyword(s):  
Acne Vulgaris ◽  
Control Group ◽  
Adult Women ◽  
Hydrogen Purification ◽  
Dermatological Disease ◽  
The Face ◽  
Skin Conditions ◽  
High Level ◽  
Main Effects

Background: Acne vulgaris is a prevalent dermatological disease characterized by skin eruptions, which may decrease the sufferer’s quality of life. Hydrogen purification treatment is a new procedure used in cosmetology to improve the skin parameters of the face. This study examined the effectiveness of hydrogen purification treatment to improve women’s skin conditions with regard to acne vulgaris. Methods: In this study, 30 women participated who suffered from a high level of sebum and acne. The control group was comprised of 30 healthy women with a low level of sebum. The Hellgren–Vincent Scale and Derma Unit SSC 3 device were used to assess acne vulgaris severity and skin properties, respectively. Four hydrogen purification sessions were carried out at 7-day intervals, using the Hebe Hydrogenium+ generating alkaline water. Results: At baseline and 7 and 14 days after finishing the series of treatments, the levels of oiliness, moisture, and skin pH were tested. The main effects of treatment were significant in the following parameters: pH around the bottom lip, moisture between the eyebrows and around the nose, and oily skin in all three face sites. Conclusions: The level of sebum decreased and moisture levels increased during hydrogen purification. Topical hydrogen purification is an effective and safe treatment for acne vulgaris.

scholarly journals Quality of life in acne vulgaris: Relationship to clinical severity and demographic data

2016 ◽  
Vol 82 (3) ◽  
pp. 292 ◽  
Author(s):  
Aayush Gupta ◽  
YugalKishor Sharma ◽  
KedarNath Dash ◽  
NitinDinkar Chaudhari ◽  
Sumit Jethani
Keyword(s):  
Quality Of Life ◽  
Acne Vulgaris ◽  
Demographic Data ◽  
Clinical Severity

scholarly journals An Observational Cross Sectional Study to Assess the Quality of Life of Patients Having Lesions of Acne Vulgaris on Their Face in a Tertiary Care Centre of West Bengal

2021 ◽  
Vol 8 (22) ◽  
pp. 1846-1851
Author(s):  
Nirmalya Kumar Das ◽  
Subhra Samujjwal Basu ◽  
Atish Haldar
Keyword(s):  
Quality Of Life ◽  
Dermatology Life Quality Index ◽  
Quality Index ◽  
Acne Vulgaris ◽  
Life Quality ◽  
The Body ◽  
Clinical Factors ◽  
The Face ◽  
Duration Of Disease

BACKGROUND Acne vulgaris is a common disease mostly affecting the adolescents. The lesions can be distributed over the sebaceous rich areas of the body like face, chest, back and upper arm. The commonest location is face. Face is psychologically the most important part of the body. So, the presence of lesions on the face can have significant effects on the quality of life of the patients. The purpose of this study was to assess the effect on the quality of life (QOL) of the patients who have acne vulgaris on their face. Along with that this study was planned to assess as to whether the effect on QOL is related to two demographic factors - age & gender and two clinical factors - duration of disease and grade of acne vulgaris. METHODS 81 patients having acne vulgaris on their face who attended the Dermatology OPD were assessed using the Dermatology Life Quality Index (DLQI) questionnaire. RESULTS Acne vulgaris of the face had significant adverse effect on the QOL of the affected patients. DLQI score was found to be more with increase in age of the patients. There was no significant association between DLQI score & gender. The clinical factors, duration of disease and the grade of acne vulgaris had statistically significant positive correlation with DLQI score. CONCLUSIONS Acne vulgaris had an adverse effect on the QOL of the patients. QOL was more affected with increase in age of the patients. Duration of the lesions and grade of acne vulgaris had a positive correlation with the effect on the QOL of the patients. The lesions can be controlled with treatment. Proper counselling is also very important. KEYWORDS Acne Vulgaris, Quality of Life (QOL), Dermatology Life Quality Index (DLQI)

scholarly journals Acne vulgaris and mental health

2021 ◽  
Vol 11 (9) ◽  
pp. 208-214
Author(s):  
Mateusz Pawlicki ◽  
Anna Łopuszyńska ◽  
Magdalena Kozioł ◽  
Aleksandra Krasa ◽  
Ewa Piekarska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Acne Vulgaris ◽  
Clinical Severity ◽  
Depression And Anxiety ◽  
Significant Relation ◽  
Life Evaluation ◽  
Increased Risk ◽  
The World

Introduction: Acne vulgaris is one of the most common diseases in the world, which affects millions of people. Despite its objectively mild clinical severity, it is able to markedly change one’s appearance. Moreover it is said to be one of many factors that are responsible for mental health impairments.Results: Studies showed significant relation between acne and psychological disorders. Both depression and anxiety scores were higher in individuals with acne compared to healthy ones. Some studies reported an increased risk of suicide in this group as well. Research which included quality of life evaluation showed its impairment in larger part of respondents.Conclusions: Acne vulgaris is linked with an increased risk of serious psychiatric disorders. Therefore it is important to think about them when this condition is diagnosed.

scholarly journals Quality of life of adolescents with facial acne vulgaris before and after treatment in Ibadan, Nigeria

2019 ◽  
Vol 5 (1) ◽  
pp. 155
Author(s):  
Ehiaghe L. Anaba ◽  
O. O. Adebola
Keyword(s):  
Quality Of Life ◽  
Acne Vulgaris ◽  
Post Treatment ◽  
Clinical Severity ◽  
Cross Sectional ◽  
Before And After ◽  
Level Of Significance ◽  
Facial Acne ◽  
Ibadan Nigeria

<p class="abstract"><strong>Background:</strong> Adolescent facial acne vulgaris impairs their quality of life (QOL). This impairment of QOL in has been documented to improve with treatment. In Nigerian adolescents who have facial acne vulgaris, it is not known if QOL improves with treatment. The aim was to assess QOL improvement with in adolescents who have facial acne vulgaris. To identify the socio-demographic, CADI QOL items and clinical characteristics related to this QOL improvement.</p><p class="abstract"><strong>Methods:</strong> This was a cross-sectional comparative study. One hundred and nine adolescents aged 15-20 years clinically examined for facial acne vulgaris. Quality of life before and after 6 weeks of treatment with 10% benzoyl peroxide was assessed using the Cardiff acne disability index. Data was analyzed using SPSS 16. The differences in quality of life scores were tested using non-parametric tests. Level of significance of all tests was p&lt;0.05.<strong></strong></p><p class="abstract"><strong>Results:</strong> Post-treatment, the median CADI score improved to 2 from a pre-interventional score of 4, p&lt;0.001. Improvement was observed in all the components of the CADI especially with the question, “how bad do you think your acne is now” with a percentage reduction from 81.4% to 54.6% and this improvement was in more males with improvement from 92% to 65%. Also, post-treatment, moderate to severe clinical severity of acne improved from 49.1% to 10.3%, p&lt;0.001.</p><p class="abstract"><strong>Conclusions:</strong> Treatment of adolescent facial acne leads to improvement of QOL especially in the perception of facial skin appearance and the severity of acne.</p>

scholarly journals Analysis of segmentation methods for acne vulgaris images. Proposal of a new methodology applied to fluorescence images

2019 ◽  
Author(s):  
Guillermo Peris-Fajarnés ◽  
María Moncho Santonja ◽  
María Begoña Sanz Alamán ◽  
Beatriz Defez García ◽  
Ismael Lengua Lengua
Keyword(s):  
Acne Vulgaris ◽  
Lesion Detection ◽  
Computer Assisted ◽  
Monitoring Methods ◽  
Acne Lesion ◽  
Segmentation Methods ◽  
The Face ◽  
Fluorescence Images ◽  
Segmentation Problem

Acne vulgaris is one of the most common human pathologies worldwide. Its prevalence causes a high healthcare expenditure. Acne healthcare costs and effects on individuals' quality of life lead to the need of analysing current acne evaluation, treatment and monitoring methods. One of the most common ones is manual lesion counting by a dermatologist. However, this technique has several limitations, such as time spent. That is the reason why the development of new computer-assisted techniques are needed in order to automatically count the acne lesions. Nonetheless, the first step is automatic acne lesion detection on the skin of patients. The aim of this work is to propose a new methodology to solve the acne images segmentation problem, so that the implementation of a system for automatic counting is possible. The results would be a decrease in both time spent and diagnosis errors. With this objective, after doing a systematic review on the state of the art of acne images segmentation methods, fluorescence images of the face of acne patients are obtained. This image modality enhances visualization of the acne lesions. Finally, using the fluorescence images, a segmentation algorithm is implemented in MATLAB.

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