Main Article Content
Abstract
Background: Acne is the most common skin disorder, especially in adolescents and youths. Inflammation due to acne may leave scar tissue. The scar severity may correlate with gender and skin type.
Objective: This study aims to investigate the correlation between gender, skin type, and acne scar severity in youth.
Methods: This is a cross-sectional study with 132 (81 female) medical college students aged from 18 to 23 participated in the study. Skin type was assessed using a Baumann Skin Type questionnaire. Acne scar severity was evaluated using the Qualitative Global Scarring Grading. Skin examination was conducted through the image from the face photograph. Lambda test was used to confirm the correlation between gender, skin type, and acne scar severity. Multiple logistic regression was applied to determine the odd risk of gender and skin type to moderate-severe acne scar. Significance was set at p<0.05.
Results: Most of the participants (80.3%) had oily skin, and 22 participants (16.7%) had moderate-severe acne scar. A weak positive correlation was confirmed between skin type and acne scar severity (p<0.01, r=0.3). Oily skin type has 4.3 times greater risk of developing more severe acne scar (p<0.01, 95%CI = 1.90-9.90).
Conclusion: Skin type is correlated with acne scar severity. Oily skin type is at greater risk of developing severe acne scar.
Keywords
Article Details
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References
- Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ, et al. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. Journal of the American academy of dermatology. 2003;49(1):S1–37.
- Djuanda A d. Ilmu penyakit kulit dan kelamin Edisi ketujuh. Jakarta: Fakultas Kedokteran Universitas Indonesia. 2016;
- J Goodman G. Post-acne scarring: A short review of its pathophysiology. Australasian Journal of Dermatology. 2001;42(2):84–90.
- Baumann LS. The Baumann Skin Typing System. In: Textbook of Aging Skin. Berlin, Heidelberg: Springer Berlin Heidelberg; 2010. p. 929–43.
- Tanghetti EA. The role of inflammation in the pathology of acne. Journal of Clinical and Aesthetic Dermatology. 2013;6(9):27–35.
- Fabbrocini G, Annunziata MC, D’Arco V, De Vita V, Lodi G, Mauriello MC, et al. Acne scars: Pathogenesis, classification and treatment. Dermatology Research and Practice. 2010;2010. ID 893080.
- Hayashi N, Miyachi Y, Kawashima M. Prevalence of scars and “mini-scars”, and their impact on quality of life in Japanese patients with acne. Journal of Dermatology. 2015;42(7):690–6.
- Revol O, Milliez N, Gerard D. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(S1):52–8.
- Skroza N, Tolino E, Mambrin A, Zuber S, Balduzzi V, Marchesiello A, et al. Adult acne versus adolescent acne: A retrospective study of 1,167 Patients. Journal of Clinical and Aesthetic Dermatology. 2018;11(1):21–5.
- Goodman GJ, Baron JA. Postacne scarring: A qualitative global scarring grading system. Dermatologic Surgery. 2006;32(12):1458–66.
- Kartinayanti NIWD. Korelasi antara kadar sebum dengan derajat parut akne pada penderita akne vulgaris. Yogyakarta: Universitas Gadjah Mada; 2015.
- Yosipovitch G, Tang M, Dawn AG, Chen M, Goh CL, Chan YH, et al. Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Dermato-Venereologica. 2007;87(2):135–9.
- Choi CW, Choi JW, Park KC, Youn SW. Facial sebum affects the development of acne, especially the distribution of inflammatory acne. Journal of the European Academy of Dermatology and Venereology. 2013;27(3):301–6.
- Istiningdyah DA, Malik DA, Maharani N. Faktor-faktor yang mempengaruhi terjadinya skar akne. Fakultas Kedokteran Universitas Diponegoro; 2012.
- Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clinical and Experimental Dermatology. 1994;19(4):303–8.
- Holland DB, Jeremy AHT. The role of inflammation in the pathogenesis of acne and acne scarring. Seminars in Cutaneous Medicine and Surgery. 2005;24(2):79–83.
- Li X, Galzote C, Yan X, Li L, Wang X. Characterization of Chinese body skin through in vivo instrument assessments, visual evaluations, and questionnaire: Influences of body area, inter-generation, season, sex, and skin care habits. Skin Research and Technology. 2014;20(1):14–22.
- Luebberding S, Krueger N, Kerscher M. Skin physiology in men and women: In vivo evaluation of 300 people including TEWL, SC hydration, sebum content and skin surface pH. International Journal of Cosmetic Science. 2013;35(5):477–83.
- Chen W, Mempel M, Traidl-Hofmann C, Al Khusaei S, Ring J. Gender aspects in skin diseases. Journal of the European Academy of Dermatology and Venereology. 2010;24(12):1378–85.
- Abdallah MAR, Zuelfakkar NM, Elbana RH. Comparative Study of Male and Female Sebum Production. The Egyptian Journal of Hospital Medicine. 2017;69(2):1874–9.
- Sugawara T, Nakagawa N, Shimizu N, Hirai N, Saijo Y, Sakai S. Gender and age-related differences in facial sebaceous glands in Asian skin, as observed by non-invasive analysis using three-dimensional ultrasound microscopy. Skin Research and Technology. 2019;25(3):347–54.
References
Gollnick H, Cunliffe W, Berson D, Dreno B, Finlay A, Leyden JJ, et al. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. Journal of the American academy of dermatology. 2003;49(1):S1–37.
Djuanda A d. Ilmu penyakit kulit dan kelamin Edisi ketujuh. Jakarta: Fakultas Kedokteran Universitas Indonesia. 2016;
J Goodman G. Post-acne scarring: A short review of its pathophysiology. Australasian Journal of Dermatology. 2001;42(2):84–90.
Baumann LS. The Baumann Skin Typing System. In: Textbook of Aging Skin. Berlin, Heidelberg: Springer Berlin Heidelberg; 2010. p. 929–43.
Tanghetti EA. The role of inflammation in the pathology of acne. Journal of Clinical and Aesthetic Dermatology. 2013;6(9):27–35.
Fabbrocini G, Annunziata MC, D’Arco V, De Vita V, Lodi G, Mauriello MC, et al. Acne scars: Pathogenesis, classification and treatment. Dermatology Research and Practice. 2010;2010. ID 893080.
Hayashi N, Miyachi Y, Kawashima M. Prevalence of scars and “mini-scars”, and their impact on quality of life in Japanese patients with acne. Journal of Dermatology. 2015;42(7):690–6.
Revol O, Milliez N, Gerard D. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(S1):52–8.
Skroza N, Tolino E, Mambrin A, Zuber S, Balduzzi V, Marchesiello A, et al. Adult acne versus adolescent acne: A retrospective study of 1,167 Patients. Journal of Clinical and Aesthetic Dermatology. 2018;11(1):21–5.
Goodman GJ, Baron JA. Postacne scarring: A qualitative global scarring grading system. Dermatologic Surgery. 2006;32(12):1458–66.
Kartinayanti NIWD. Korelasi antara kadar sebum dengan derajat parut akne pada penderita akne vulgaris. Yogyakarta: Universitas Gadjah Mada; 2015.
Yosipovitch G, Tang M, Dawn AG, Chen M, Goh CL, Chan YH, et al. Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Dermato-Venereologica. 2007;87(2):135–9.
Choi CW, Choi JW, Park KC, Youn SW. Facial sebum affects the development of acne, especially the distribution of inflammatory acne. Journal of the European Academy of Dermatology and Venereology. 2013;27(3):301–6.
Istiningdyah DA, Malik DA, Maharani N. Faktor-faktor yang mempengaruhi terjadinya skar akne. Fakultas Kedokteran Universitas Diponegoro; 2012.
Layton AM, Henderson CA, Cunliffe WJ. A clinical evaluation of acne scarring and its incidence. Clinical and Experimental Dermatology. 1994;19(4):303–8.
Holland DB, Jeremy AHT. The role of inflammation in the pathogenesis of acne and acne scarring. Seminars in Cutaneous Medicine and Surgery. 2005;24(2):79–83.
Li X, Galzote C, Yan X, Li L, Wang X. Characterization of Chinese body skin through in vivo instrument assessments, visual evaluations, and questionnaire: Influences of body area, inter-generation, season, sex, and skin care habits. Skin Research and Technology. 2014;20(1):14–22.
Luebberding S, Krueger N, Kerscher M. Skin physiology in men and women: In vivo evaluation of 300 people including TEWL, SC hydration, sebum content and skin surface pH. International Journal of Cosmetic Science. 2013;35(5):477–83.
Chen W, Mempel M, Traidl-Hofmann C, Al Khusaei S, Ring J. Gender aspects in skin diseases. Journal of the European Academy of Dermatology and Venereology. 2010;24(12):1378–85.
Abdallah MAR, Zuelfakkar NM, Elbana RH. Comparative Study of Male and Female Sebum Production. The Egyptian Journal of Hospital Medicine. 2017;69(2):1874–9.
Sugawara T, Nakagawa N, Shimizu N, Hirai N, Saijo Y, Sakai S. Gender and age-related differences in facial sebaceous glands in Asian skin, as observed by non-invasive analysis using three-dimensional ultrasound microscopy. Skin Research and Technology. 2019;25(3):347–54.