Acne vulgaris in Iraq; new predisposing factors
AbstractBackground: Acne is a common skin disorder that affects both adolescent and adult. However few studies on this condition have been done in Iraq. Objectives: The purpose of this study to identify new precipitators and aggravators of acne. Methods: We collected data using structured, self-administered questionnaire, among patients having acne vulgaris who were attending al-Hussain teaching Hospital, Dermatology and Verenology outpatient Clinic, in Thi-Qar, Iraq. A cross-sectional study was conducted. Results: A total of 105 patients were included in this study (70female 35 male) the mean of age ±SD 19.78year ±5.155. , the mean of BMI± SD 24.97 ±5.28 (n=101). Where the history of oral herbal remedies or oral steroid as an appetite stimulant present in 22%, the history of applying topical cosmetic in 47% also 66.6% of patients consider the exposure to sun light exacerbate the acne vulgaris, the role of menses in female (n=70) are 44.2% in addition to 38% of sample consider the hair removal process by using thread and bleaching as aggravating factors. Conclusions: Hair removal process, use of topical cosmetic products and oral herbal remedies or oral steroid intake has been positively related to acne vulgaris.
- Shaw L, Kennedy C. The treatment of acne. Pediatric Child Health. 2007; 17(10):385–389.doi: 10.1016/j.paed.2007.07.005.
- Hanisah A, Khairani O, Shamsul AS. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia.J Primary Health Care. 2009; 1(1):20–25.
- Gollnick HP, Zouboulis CC, Akamatsu H, Kurokawa I, Schulte A. Pathogenesis and pathognesis-related treatment of acne. J Dermatol.1991; 18:489–99.
- Leyden JJ. New understanding of the pathogenesis of acne. J Am AcadDermatol. 1995; 32:515–25.
- Plewig G, KligmanAM. Acne and Rosacea. 3rd ed. New York: Springer-Verlag; 2000.
- Cunliffe WJ, Gollnick HP. Acne: Diagnosis and management. 1st ed. London: Martin Dunitz Ltd; 2001.
- Haider A, Shaw JC. Treatment of acne vulgaris.Journal of the American Medical Association. 2004; 292(6):726–735. 7.
- Poli F, Auffret N, Beylot C, et al. Acne as seen by adolescents: results of questionnaire study in 852 French individuals. ActaDermato-Venereologica. 2011; 91(5):531–536.
- Stoll S, Shalita AR, Webster GF, Kaplan R, Danesh S, Penstein A. The effect of themenstrual cycle on acne.Journal of the American Academy of Dermatology. 2001;45(6):957–960.
- Tallab TM. Beliefs, perceptions and psychological impact of acne vulgaris among patients in the Assir region of Saudi Arabia.West African Journal of Medicine. 2004;23(1):85–87.
- WHO.Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies.Lancet. 2004;363:157–163.
- Goodman G. Acne: natural history, facts, and myths. AusFam Physician 2006;35:613.
- Feldman S et al. Diagnosis and treatment of acne. Am Fam Physician 2004;69:2123.
- Magin P et al. A systematic review of the evidence for ‘myths and misconceptions’ in acne management:diet, face-washing, and sunlight. FamPract 2005; 22:62.
- Marks JG et al. Contact & Occupational Dermatology3rd ed. St. Louis, MO: Mosby; 2002:306.
- YamamotoO, Tokura Y. Photocontact dermatitis and chloracne: two major occupational and environmental skin diseases induced by different actions of halogenated chemicals. J DermatolSci 2003; 32:85.
- Simpson NB, Cunliffe WJ. Disorders of the sebaceous glands. In: Burns T et al., eds. Rook's Textbookof Dermatology. 7th ed., Vol. 3. Malden, MA: Blackwell Science; 2004:43.1.
- Kerkemeyer K. Acne vulgaris. Plastic Surg Nursing 2005; 25:31.
- Brajac I, Bilic-Zulle L, Tkalcic M et al. Acne vulgaris: myths and misconceptions among patients and family physicians. Pat Educ and Couns2004; 54: 21–5
- Green J, Sinclair RD. Perceptions of acne vulgaris in final year medical students’ written examination answers. Aust J Dermatol2001; 42: 98–101