Abstract
Acne is one of the most common skin diseases seen in clinical practice and is caused by multiple factors. Epidemiological data on acne are limited from developing countries. Using a questionnaire survey, the epidemiological data of acne were evaluated with a view to establishing possible contributing etiological factors in dermatology practice in India. Out of 6409 patients included in the study 45% were male and 55% were female. The mean age of the patients was 24.64 years. Smoking habit was reported in 14% of the patients while high glycemic diet (HGD) was seen in half of the cases. Of respondents, 41% knew that acne was due to increased sebum production and blockade of pilosebaceous units whereas 35% had due to excessive cosmetic use. Grade II acne was predominant (47%) and majority of the patients had inflammatory papular acne (51%). The presence of hyperpigmentation (35%) and scarring (29%) was considered to be a reflection of the severity of the acne. Moisturizers and cleansers were one of the most common supportive measure of acne management. Cleansers were prescribed for 53% of the patients whereas 43% of the patients were prescribed moisturizers. Amongst topical treatment, adapalene and BPO combination (34%) was the most commonly prescribed combination followed by adapalene & clindamycin combination (29%). Monotherapy was not commonly prescribed. Most of the patients were managed with combination therapy. Isotretinoin was most commonly prescribed medication in all grades of acne comprising of 40% of the patients. This study presents the demographic features and clinical characteristics of acne in dermatology office practice in India.
Highlights
Acne is one of the most common skin diseases seen in clinical practice and is caused by multiple factors which originates in the pilosebaceous follicle. 1,2 a number of clinical studies have been carried out on acne, large-scale population studies which can really help to explicate the epidemiology and pathogenesis of acne have been limited and almost exclusively conducted in Western countries. 3–6 For epidemiological study, population-based data is important in quantifying social burden, distribution of the disease and its social and psychological impact in the community
This study was conducted over a period of 6 months from April 2019 to September 2019 which was designed to evaluate the epidemiology of acne in India and all questions were related to this objective
This study is the first epidemiological study investigating multiple factors associated with acne in the general population in India
Summary
Acne is one of the most common skin diseases seen in clinical practice and is caused by multiple factors which originates in the pilosebaceous follicle. 1,2 a number of clinical studies have been carried out on acne, large-scale population studies which can really help to explicate the epidemiology and pathogenesis of acne have been limited and almost exclusively conducted in Western countries. 3–6 For epidemiological study, population-based data is important in quantifying social burden, distribution of the disease and its social and psychological impact in the community. 3–6 For epidemiological study, population-based data is important in quantifying social burden, distribution of the disease and its social and psychological impact in the community. 1,2 a number of clinical studies have been carried out on acne, large-scale population studies which can really help to explicate the epidemiology and pathogenesis of acne have been limited and almost exclusively conducted in Western countries. Despite these facts, such data based studies on acne patients are lacking from India. Budamakuntla et al / IP Indian Journal of Clinical and Experimental Dermatology 2020;6(3):[237–242]
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