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首页> 外文期刊>Indian journal of dermatology, venereology and leprology >A clinico-epidemiological study of adult acne: Is it different from adolescent acne
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A clinico-epidemiological study of adult acne: Is it different from adolescent acne

机译：成人痤疮的临床流行病学研究：与青春期痤疮有何不同

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Background: Although acne is usually recognized as an adolescent skin disorder, the prevalence of adults with acne is increasing. There is surprisingly a paucity of data on the prevalence and clinical features of postadolescent acne in the adult Indian population. Aims: The clinical and epidemiological data of adult acne were evaluated with a view to establishing possible contributing etiological factors and observing whether clinical features differ from adolescent acne. Methods: Patients over the age of 25 years presenting with acne in a tertiary care hospital were included in the study. A detailed history and examination was carried out, with a stress on aggravating factors. Hormonal imbalances were investigated in females with alopecia, obesity, hirsutism and menstrual irregularity. Severity of acne and complications like scarring and psychological stress were included. Results: Out of 280 patients included in the study 82.1% were women and 17.9% were men. The mean age of the patients was 30.5 years. Persistent acne was observed in 73.2%, while it was late onset in 26.8%. Majority of the patients had inflammatory papular acne (55%), whereas comedonal acne was the least common (6%). Most common predominant site of involvement was cheek (81%), followed by chin (67%), and mandibular area (58.3%). Family history of acne was present in 38.6%. Premenstrual flare was seen in 11.7% of female patients, obesity in 6.4%, hirsutism in 5.7% and alopecia in 1.8%, but raised laboratory markers of hyperandrogenism were observed in only 3.08%. Scarring was observed in a majority of patients (76.4%) and psychological stress in 52.8% patients. Conclusion: Adult acne is predominant in women, and as compared to adolescent acne is more inflammatory, with involvement of the cheeks and lower half of the face, while comedones are rare. Facial scarring occurs in a majority and stress is common, which emphasizes that adult acne should not be neglected.
机译：背景：尽管痤疮通常被认为是青少年皮肤病，但成人痤疮的患病率正在上升。令人惊讶的是，印度成年人口中青春期后痤疮的患病率和临床特征的数据很少。目的：评估成人痤疮的临床和流行病学数据，以确定可能的病因，并观察临床特征是否与青春期痤疮不同。方法：该研究纳入了三级医院中痤疮的25岁以上患者。进行了详细的病史和检查，并强调了加重因素。对患有脱发，肥胖，多毛症和月经不调的女性进行了荷尔蒙失调的调查。痤疮的严重程度和疤痕和心理压力等并发症也包括在内。结果：纳入研究的280位患者中，女性占82.1％，男性占17.9％。患者的平均年龄为30.5岁。持久性痤疮的发生率为73.2％，而迟发性痤疮的发生率为26.8％。大多数患者患有炎性丘疹性痤疮（55％），而粉刺痤疮是最不常见的（6％）。最常见的受累部位是脸颊（81％），其次是下巴（67％）和下颌区（58.3％）。痤疮的家族史占38.6％。女性患者的经前耀斑为11.7％，肥胖患者为6.4％，多毛症为5.7％，脱发为1.8％，但高雄激素血症的实验室指标却升高，仅为3.08％。大多数患者（76.4％）观察到瘢痕形成，52.8％的患者观察到心理压力。结论：成年痤疮在女性中占主导地位，与青春期痤疮相比，炎症性更强，脸颊和脸下半部受累，粉刺很少。面部疤痕多数发生，并且压力很普遍，这强调了不应忽视成人痤疮。

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