Title: Comparison Study on Frequency, Severity and Risk Factors of Acne among Male and Female Medical Students
Authors: Aleena Mohib, Amara Zafar, Hareem Syed
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.142
Abstract
Introduction
Acne vulgaris is one of the most common skin diseases worldwide. It is characterized by areas of blackheads, whiteheads, pimples, and greasy skin, and may result in scarring. Three skin conditions were in the top 10 most prevalent diseases globally in 2010—fungal skin diseases (4th global prevalence=984,290,432), other skin and subcut-aneous diseases (5th), and acne vulgaris (8th global prevalence=645,499,136).1 In 2011, in a study conducted in a medical school in Portugal, prevalence of acne was reported to be 62.2%.2 A study conducted in 2010 compared the prevalence of acne amongst Caucasian, Asian, Continental Indian and African American, Asian women ran-ked second with a prevalence of 30%.3 Acne has always been attributed to teenagers but research proved otherwise, and a significant number of people either continue to experience acne or develop new-onset acne after the teenaged years.4
The number of family members with acne history provides significant information as per the risk of acne and its severity, with the mother’s acne being the most important prognostic indicator. 5 In subjects with a positive family history of acne, males with acne tend to have earlier onset than females do.6
References
1. Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, Marks R, Naldi L, Weinstock MA, Wulf SK, Michaud C. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. Journal of Investigative Dermatology. 2014 Jun 30;134(6):1527-34.
2. Gonçalves G, Amado JM, Matos ME, Massa A. The prevalence of acne among a group of Portuguese medical students. Journal of the European Academy of Dermatology and Venereology. 2012 Apr 1;26(4):514-7.
3. Perkins AC, Cheng CE, Hillebrand GG, Miyamoto K, Kimball AB. Comparison of the epidemiology of acne vulgaris among Caucasian, Asian, Continental Indian and African American women. Journal of the European Academy of Dermatology and Venereology. 2011 Sep 1;25(9):1054-60.
4. Collier CN, Harper JC, Cantrell WC, Wang W, Foster KW, Elewski BE. The prevalence of acne in adults 20 years and older. Journal of the American Academy of Dermatology. 2008 Jan 31;58(1):56-9.
5. Ghodsi SZ, Orawa H, Zouboulis CC. Prevalence, severity, and severity risk factors of acne in high school pupils: a community-based study. J Invest Dermatol 2009;129(9):2136-41.
6. Dréno B, Jean-Decoster C, Georgescu V. Profile of patients with mild-to-moderate acne in Europe: a survey. European Journal of Dermatology 2016;26(2):177-84.
7. Fulton JE, Plewig G, Kligman AM. Effect of chocolate on acne vulgaris. Jama. 1969 Dec 15;210(11):2071-4.
8. Vongraviopap S, Asawanonda P. Dark chocolate exacerbates acne. International journal of dermatology. 2015 Dec 1.
9. Polenghi MM, Zizak S, Molinari E. Emotions and acne. Dermatology and Psychosomatics/Dermatologie und Psychosomatik. 2002 Apr 5;3(1):20-5.
10. Chiu A, Chon SY, Kimball AB. The response of skin disease to stress: changes in the severity of acne vulgaris as affected by examination stress. Archives of dermatology. 2003 Jul 1;139(7):897-900.
11. Aktan S, Özmen E. Anxiety, depression, and nature of acne vulgaris in adolescents. International journal of dermatology. 2000 May 1;39(5):354-7.
12. El Akawi Z, Abdel Latif Nemr N, Razzak A, Al Aboosi M. Factors believed by Jordanian acne patients to affect their acne condition.
13. Ali G, Mehtab K, Sheikh ZA, Ali HG, Abdel Kader S, Mansoor H, Altaf S, Qamar S, Khwaja SS. Beliefs and perceptions of acne among a sample of students from Sindh Medical College, Karachi. J Pak Med Assoc. 2010 Jan 1;60(1):51-4.
14. Sardana K, Sharma RC, Sarkar R. Seasonal variation in acne vulgaris—myth or reality. The Journal of dermatology. 2002 Aug 1;29(8):484-8.
15. Nouveau‐Richard S, Zhu W, Li YH, Zhang YZ, Yang FZ, Yang ZL, Lian S, Qian BY, Ran YP, Bouillon C, Chen HD. Oily skin: specific features in Chinese women. Skin Research and Technology. 2007 Feb 1;13(1):43-8.
16. Wei B, Pang Y, Zhu H, Qu L, Xiao T, Wei HC, Chen HD, He CD. The epidemiology of adolescent acne in North East China. Journal of the European Academy of Dermatology and Venereology. 2010 Aug 1;24(8):953-7.
17. Schäfer T, Nienhaus A, Vieluf D, Berger J, Ring J. Epidemiology of acne in the general population: the risk of smoking. British journal of dermatology. 2001 Jul 1;145(1):100-4.
18. Hanisah A, Omar K, Shah SA. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. Journal of Primary Health Care. 2009 Mar;1(1):20-5.
19. Green J, Sinclair RD. RESEARCH REPORT Perceptions of acne vulgaris in final year medical student written examination answers. Australasian Journal of Dermatology. 2001 May 1;42(2):98-101.
20. Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid‐adolescence: a community‐based study. British Journal of Dermatology. 2001 Aug 1;145(2):274-9.
21. Chaplin TM, Hong K, Bergquist K, Sinha R. Gender differences in response to emotional stress: an assessment across subjective, behavioral, and physiological domains and relations to alcohol craving. Alcoholism: Clinical and Experimental Research. 2008 Jul 1;32(7):1242-50.
22. Giacomoni PU, Mammone T, Teri M. Gender-linked differences in human skin. Journal of dermatological science. 2009 Sep 30;55(3):144-9.
23. Rizvi F, Chaudry MA. Precipitating factors of acne vulgaris in females. Ann. Pak. Inst. Med. Sci. 2009;5(2):104-7.
24. Davidovici BB, Wolf R. The role of diet in acne: facts and controversies. Clinics in dermatology. 2010 Feb 28;28(1):12-6.
25. Bataille V, Snieder H, MacGregor AJ, Sasieni P, Spector TD. The influence of genetics and environmental factors in the pathogenesis of acne: a twin study of acne in women. Journal of Investigative Derma-tology. 2002 Dec 31;119(6):1317-22.