Szepietowska Marta, Dąbrowska Alicja, Nowak Bernadetta, Skinderowicz Katarzyna, Wilczyński Bartosz, Krajewski Piotr K, Jankowska-Konsur Alina
Student Research Group of Experimental Dermatology, Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.
Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.
Postepy Dermatol Alergol. 2022 Dec;39(6):1035-1039. doi: 10.5114/ada.2021.112765. Epub 2022 Mar 27.
Acne is a frequent chronic inflammatory disease, which affects most commonly adolescents. It might have a negative effect on patients' well-being.
To appraise the prevalence of facial acne among adolescents and to assess how acne of different clinical severity influences quality of life in this age group.
This cross-sectional study was conducted on a representative sample of individuals aged 15-19 years in high schools in Poland. A total of 730 students were included in the final analysis. Standardized photographs according to the Investigator's Global Assessment (IGA) were used for self-assessment of both the presence and severity of facial acne. The Dermatology Life Quality Index (DLQI) was employed to evaluate subjects' quality of life (QoL) impairment.
Facial acne was found in 547 (74.9%) respondents with no significant difference in acne prevalence among females (75.1%) and males (74.6%). The vast majority of acne individuals (90.9%) suffered from minimal and mild acne, moderate acne was reported by 7.3% and severe one by 1.8% of acne students. Acne had a small effect on QoL (DLQI mean score of 2.8 ±3.6 points); females had significantly more decreased QoL than males (3.17 ±3.74 and 1.76 ±2.69 points, respectively). QoL impairment positively correlated with the clinical severity of facial acne.
Facial acne is a common health problem in adolescents. Although it is not very severe in the majority of subjects it significantly decreases their QoL. Therefore, acne should be treated as a serious skin condition requiring a holistic approach to the patients.
痤疮是一种常见的慢性炎症性疾病，最常影响青少年。它可能会对患者的幸福感产生负面影响。
评估青少年面部痤疮的患病率，并评估不同临床严重程度的痤疮如何影响该年龄组的生活质量。
本横断面研究在波兰高中15至19岁的具有代表性的个体样本中进行。最终分析纳入了730名学生。根据研究者整体评估（IGA）的标准化照片用于面部痤疮的存在和严重程度的自我评估。采用皮肤病生活质量指数（DLQI）评估受试者的生活质量（QoL）损害。
547名（74.9%）受访者被发现有面部痤疮，女性（75.1%）和男性（74.6%）的痤疮患病率无显著差异。绝大多数痤疮患者（90.9%）患有轻度和中度痤疮，7.3%的痤疮学生报告有中度痤疮，1.8%的学生报告有重度痤疮。痤疮对生活质量有轻微影响（DLQI平均评分为2.8±3.6分）；女性的生活质量下降明显多于男性（分别为3.17±3.74分和1.76±2.69分）。生活质量损害与面部痤疮的临床严重程度呈正相关。
面部痤疮是青少年常见的健康问题。虽然在大多数受试者中不太严重，但它会显著降低他们的生活质量。因此，痤疮应被视为一种需要对患者采取整体治疗方法的严重皮肤病。
