Zaraa Inès, Belghith Ikram, Ben Alaya Nissaf, Trojjet Sondes, Mokni Mourad, Ben Osman Amel
Dermatology Department, La Rabta, Hospital, Jabbari, Bab Saadoun, Tunis, 1007 Tunisia.
Skinmed. 2013 May-Jun;11(3):148-53.
Acne is a chronic disease that is especially common among adolescents. It can have a considerable psychological and social impact that is not always correlated with clinical severity. The aim of this paper was to evaluate clinical severity and alteration of quality of life in acne patients, and to investigate a possible correlation between the two. A total of 82 patients with juvenile acne were included in this study. The clinical severity of acne was evaluated using the Echelle de Cotation des Lésions d'Acné (ECLA) scale. The Cardiff Acne Disability Index (CADI) was used to assess acne-related quality of life. Acne was mild to moderate in 61% of patients (ECLA < or = 12). A considerable alteration of quality of life was present in 51% of cases. There was a positive correlation between overall scores on the ECLA and CADI scales (P = .012) before and after treatment. Additionally, CADI score improved after effective treatment of acne. Acne may have an important impact on teenagers' psychological and social life. An objective assessment of this impact seems to be necessary. ECLA and CADI scores appear to be objective and simple instruments that may be used in acne management.
痤疮是一种慢性疾病，在青少年中尤为常见。它可能会产生相当大的心理和社会影响，而且这种影响并不总是与临床严重程度相关。本文旨在评估痤疮患者的临床严重程度和生活质量变化，并研究两者之间可能存在的相关性。本研究共纳入82例青少年痤疮患者。使用痤疮皮损分级量表（ECLA）评估痤疮的临床严重程度。采用加的夫痤疮残疾指数（CADI）评估与痤疮相关的生活质量。61%的患者痤疮为轻度至中度（ECLA≤12）。51%的病例存在相当程度的生活质量改变。治疗前后，ECLA和CADI量表的总分之间存在正相关（P = 0.012）。此外，痤疮有效治疗后CADI评分有所改善。痤疮可能会对青少年的心理和社交生活产生重要影响。对此影响进行客观评估似乎很有必要。ECLA和CADI评分似乎是可用于痤疮管理的客观且简单的工具。
