Acne in South African black adults: A retrospective study in the private sector

Zulu, Thandeka; Mosam, Anisa; Balakrishna, Yusentha; Dlova, Ncoza C.

doi:10.7196/samj.2017.v107i12.12419

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Despite the severity of acne, nodulo-cystic lesions were observed in only 15.5% and snow-peak scars in 10.9% of them. This confirms the observation that pigmented skin exhibited fewer nodulo-cystic lesions and snow-peak scars than Caucasians [2] [7] [10].…”

Section: Discussionsupporting

confidence: 90%

“…Although the physiopathology of acne is the same regardless of cutaneous phenotype, it has been reported by several authors that subjects with pigmented skin more often develop inflammatory acne [7] [8] [10]. Histopathological images demonstrate an exaggerated inflammatory response even in non-inflammatory lesions [2] [8] [9]. This would explain the high frequency of post-inflammatory hyperpigmentations on pigmented skin [3] [7] [11].…”

Section: Discussionmentioning

confidence: 99%

“…They can be sebum-regulating, anti-inflammatory, keratolytic, depigmenting and sometimes antibacterial without risk of resistance [6] [14] [17] [18]. In addition, they are easier to use, effective and have a fairly good tolerance compare to anti-acne drugs [2] [6] [14] [18]. Despite the high proportion of hyperpigmented scars and greater susceptibility to the hyperpigmenting evolution of acne on pigmented skin, photoprotective agent was very rarely prescribed in dermatology in Benin.…”

Section: Discussionmentioning

confidence: 99%

“…These post-inflammatory hyperpigmentations are unsightly and frequently lead the impaired quality of life [1] [7]. They constitute the most frequent reason of consultation [2] [5] [9]. Studies that can find the most appropriate treatments for pigmented skin acne as envisaged by some authors [10] [11] should improve the quality of life of patents.…”

Section: Discussionmentioning

confidence: 99%

“…Acne is a chronic inflammatory dermatosis of the pilo-sebaceous follicle evolving by attacks and particularly affecting the seborrheic zones [1] [2] [3] [4].…”

Section: Introductionmentioning

confidence: 99%

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Acne on Pigmented Skin: Epidemiological, Clinical and Therapeutic Features in Dermatology in Benin

Degboe¹,

Koudoukpo²,

Agbessi³

et al. 2019

JCDSA

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Purpose: The aim of this work was to describe the epidemiological, clinical and therapeutic features of pigmented skin acne in Benin. Methods: This was a prospective, cross-sectional and analytical study conducted in the dermatology departments of the Borgou-Alibori Departmental Teaching Hospital and the National Teaching Hospital Hubert Koutoukou Maga from January 2017 to December 2018, which has included black-skinned patients who were diagnosed with acne and gave their free and informed consent. The ECLA score was used for clinical evaluation of the severity of the acne. Results: We collected 129 patients including 35 men and 94 women. The median age of the patient was 24.6 years ± 8.5 years. The median age of onset was 17.9 years ± 7.6 years. The main triggering of worsening factors was inadequate self-medication (53.5%), excoriation (48.1%), certain foods (34.9%) and lightening cosmetic (32.5%). Most patients had inflammatory (51.9%) or comedonal (31.8%) acne associated with post-inflammatory hyperpigmentations (70.5%) and excoriated lesions (31%). In the majority of cases, acne was moderate in women (52.1%) and severe in men (62.8%) with p = 9 × 10 −3 . The lesions were electively seated in the face (95.3%), mainly on the forehead and cheeks. Active cosmetics (76.7%), retinoids (58.9%), oral antibiotics (55.8%), and benzoyl peroxide (48.9%) were the most commonly used therapeutic classes. Conclusion: The majority of young and adult women consulted for predominant inflammatory acne on the forehead and cheeks, moderate in woman and severe in men in Benin. The therapeutic arsenal consisted mainly of active cosmetics, retinoids, antibiotics and benzoyl peroxide.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Acne is a chronic inflammatory dermatosis of the pilo-sebaceous follicle evolving by attacks and particularly affecting the seborrheic zones [1] [2] [3] [4].…”

Section: Introductionmentioning

confidence: 99%

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Acne on Pigmented Skin: Epidemiological, Clinical and Therapeutic Features in Dermatology in Benin

Degboe¹,

Koudoukpo²,

Agbessi³

et al. 2019

JCDSA

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Acne

Layton,

Zouboulis,

Whitehouse

2024

Rook's Textbook of Dermatology

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Acne (also known as acne vulgaris) is one of the most common inflammatory dermatoses seen globally. It can result in significant and indelible scarring and pigment change as well as profound psychosocial issues as a result of clinically active acne and resulting sequelae. This chapter covers the numerous clinical presentations and associations of acne and considers optimum management regimes for all.

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