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Kurrimboccus F, Orchard A, Danckwerts MP, van Vuuren S. Antimicrobial Formulation of Chrysopogon zizanioides Essential Oil in an Emulsified Lotion for Acne. PLANTA MEDICA 2022; 88:1256-1262. [PMID: 34963181 DOI: 10.1055/a-1699-3284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Acne is a skin condition arising from excess sebum production and microbial overgrowth within the pilosebaceous unit. Several commercial essential oils have shown promising activity against acne-related pathogens. Due to their volatility and thermal instability, the formulation of essential oils into commercial products remains a pharmaceutical challenge. Thus, this study aimed to develop a viable anti-acne topical treatment as an oil-in-water emulsified lotion to overcome these challenges. Chrysopogon zizanioides (vetiver) displayed noteworthy antimicrobial activity with a mean minimum inhibitory concentration of 0.14 mg/mL against Cutibacterium acnes, Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus pyogenes. Emulsified lotions containing C. zizanioides were developed through the hydrophilic-lipophilic balance approach. At tested hydrophilic-lipophilic balance values of 8, 9, and 10, C. zizanioides emulsified lotions displayed maximum stability at hydrophilic-lipophilic balance 9 with a minimum change in mean droplet size and polydispersity index of 20.61 and 33.33%, respectively, over 84 days. The C. zizanioides emulsified lotion at optimum hydrophilic-lipophilic balance 9 completely inhibited the growth of C. acnes and killed S. aureus, S. epidermidis, and S. pyogenes within 24 h. Additionally, the lotion retained antimicrobial activity against these test micro-organisms over the 84-day stability test period. Thus, the C. zizanioides emulsified lotion demonstrated physical stability and antimicrobial efficiency, making it an ideal natural product anti-acne treatment.
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Affiliation(s)
- Fadilah Kurrimboccus
- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Ané Orchard
- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Michael Paul Danckwerts
- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Sandy van Vuuren
- Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Andersen RK, Bouazzi D, Erikstrup C, Nielsen KR, Burgdorf KS, Bruun MT, Hjalgrim H, Mikkelsen S, Ullum H, Pedersen OB, Ernst Jemec GB. The Social and Psychological Impact of Acne Treatment: A Cross-Sectional Study of Blood Donors. J Cutan Med Surg 2022; 26:485-493. [PMID: 35993435 DOI: 10.1177/12034754221119496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Acne in adolescence and adulthood is believed to have a long-term impact on socioeconomic status (SES) and health-related quality-of-life (HRQoL) in adults. OBJECTIVE To estimate the cross-sectional prevalence of medically treated (MedTreAc) and untreated acne (UnTreAc) and to characterize its long-term impact in adults. METHODS A nationwide cross-sectional study on 17 428 blood donors aged 18-35 was performed. Associations among acne and HRQoL, depressive symptoms, total income, and SES were investigated via linear/logistic/multinomial logistic regression analyses adjusted for relevant covariables. HRQoL was measured by the Short Form-12, and depressive symptoms by the Major Depression Inventory. The data were self-reported. RESULTS Of the participants, 3591 (20.6%) and 1354 (7.8%) identified as the MedTreAc and UnTreAc phenotype, respectively. Neither phenotype was associated with a long-term impact on total income, but the MedTreAc group was associated with being an apprentice/student (OR = 1.26; 95% CI: 1.12, 1.42; P = 1.3×10-4) or high skill-level employee (OR = 1.22, 95% CI: 1.07; 1.39, P = .0023), while self-employment was more common for those with UnTreAc (OR = 1.53; 95% CI: 1.12, 2.06, P = .0061). Additionally, the UnTreAc group was associated with a lower mental HRQoL (SF-12 mental component summary score -1.05, 95% CI: -1.56, -0.54; P = 1.4×10-9) and increased odds ratio of depressive symptoms (OR = 1.44; 95% CI: 1.00, 2.02, P = .046). CONCLUSION In this population of blood donors, the cumulative prevalence of MedTreAc and UnTreAc were 20.6% and 7.8%, respectively. Untreated acne had a long-term impact on psychosocial well-being in adulthood. It was associated with lower mental HRQoL and higher occurrence of depressive symptoms. Acne was not associated with a lower salary or SES.
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Affiliation(s)
| | - Dorra Bouazzi
- 53140 The Department of Dermatology, Zealand University, Roskilde, Denmark
| | - Christian Erikstrup
- 11297 Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark
| | - Kaspar René Nielsen
- 53141 Department of Clinical Immunology, Aalborg University Hospital, Aalborg, Denmark
| | | | - Mie Topholm Bruun
- 11286 Department of Clinical Immunology, Odense University Hospital, Odense, Denmark
| | - Henrik Hjalgrim
- 4322 Centre for Cancer Research, Danish Cancer Society, Denmark
| | - Susan Mikkelsen
- 11297 Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark
| | - Henrik Ullum
- 4326 Statens Serum Institut, Copenhagen, Denmark
| | - Ole Birger Pedersen
- 53140 Department of Clinical Immunology, Zealand University Hospital, Køge, Denmark
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Parish LC, Hoenig LJ, Grzybowski A, Parish JL, Parish DH. Bibliography of secondary sources on the history of dermatology: I. Journal articles in English. Clin Dermatol 2021; 39:1067-1074. [PMID: 34920825 DOI: 10.1016/j.clindermatol.2021.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Lawrence Charles Parish
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
| | | | - Andrzej Grzybowski
- Institute for Research in Ophthalmology, Poznan, Poland; Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland
| | - Jennifer L Parish
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Daniel H Parish
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
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Alghofaili A, Alolayan S, Alhowail A, Mobark MA, Alderaibi S, Almogbel Y. The Effect of Depression on Treatment Adherence Among a Sample of Saudi Patients Diagnosed with Acne Vulgaris. Clin Cosmet Investig Dermatol 2021; 14:1497-1506. [PMID: 34675585 PMCID: PMC8523313 DOI: 10.2147/ccid.s335007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 10/01/2021] [Indexed: 11/23/2022]
Abstract
Purpose Acne vulgaris is an inflammatory disorder of the skin and is the most common dermatological disease, affecting all ages and races. Acne is known to be associated with depression. This study aimed to assess the impact of depression on patient adherence to acne vulgaris treatment using The Expectation Confirmation Theory (ECT). Patients and Methods This cross-sectional study was conducted with 204 patients with acne using four scales (depression, satisfaction, intention to adhere to acne medication, and control for confirmation). ECT scales were used to assess patient satisfaction and intention to adhere to medication. Demographic data were also collected, and descriptive and analytical statistical analyses were performed. Results A total of 204 questionnaires were completed. The mean age of the respondents was 25 ± 7.2. The majority were female; 167 (83.50%). Multiple linear regression analysis indicated a negative association between depression (β= −0.121, p = 0.033; 95% CI, −0.232 to −0.009) and satisfaction, when holding other variables constant, and the expected medication effect (confirmation) had a positive association with satisfaction (β= 0.334, p< 0.001; 95% CI, 0.202 to 0.466), keeping all other factors constant. Male sex was negatively associated with satisfaction (β= −2.388, p= 0.015; 95% CI −4.303 to −0.473), while keeping all other covariate sconstant. Residence in central provinces was a significant predictor of satisfaction (β= 2.562, p= 0.004; 95% CI, 0.832 to 4.292), when holding other factors constant. After conducting a simple linear regression, a positive significant association was found between adherence and satisfaction (β = 0.1713; 95% CI, 0.068 to 0.274). Conclusion Adherence is the cornerstone for a successful treatment plan and prevention of relapse or treatment failure, and satisfaction is an essential indicator for improving health policies and implementing social service provisions.
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Affiliation(s)
- Alanoud Alghofaili
- Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, 51452, Kingdom of Saudi Arabia
| | - Salma Alolayan
- Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, 51452, Kingdom of Saudi Arabia
| | - Ahmad Alhowail
- Department of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraidah, Qassim, 51452, Kingdom of Saudi Arabia
| | - Mugahid A Mobark
- Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, 51452, Kingdom of Saudi Arabia
| | - Sulaiman Alderaibi
- Qassim Armed Forces Hospital, Buraidah, Qassim, 51442, Kingdom of Saudi Arabia
| | - Yasser Almogbel
- Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, 51452, Kingdom of Saudi Arabia
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Weiner DM, James WD. Acne and antibiotics: a look back. Int J Dermatol 2021; 60:1019-1027. [PMID: 33847369 DOI: 10.1111/ijd.15550] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 03/15/2021] [Indexed: 11/30/2022]
Affiliation(s)
- David M Weiner
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - William D James
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Rozas M, Hart de Ruijter A, Fabrega MJ, Zorgani A, Guell M, Paetzold B, Brillet F. From Dysbiosis to Healthy Skin: Major Contributions of Cutibacterium acnes to Skin Homeostasis. Microorganisms 2021; 9:628. [PMID: 33803499 PMCID: PMC8003110 DOI: 10.3390/microorganisms9030628] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 03/09/2021] [Accepted: 03/10/2021] [Indexed: 12/12/2022] Open
Abstract
Cutibacterium acnes is the most abundant bacterium living in human, healthy and sebum-rich skin sites, such as the face and the back. This bacterium is adapted to this specific environment and therefore could have a major role in local skin homeostasis. To assess the role of this bacterium in healthy skin, this review focused on (i) the abundance of C. acnes in the skin microbiome of healthy skin and skin disorders, (ii) its major contributions to human skin health, and (iii) skin commensals used as probiotics to alleviate skin disorders. The loss of C. acnes relative abundance and/or clonal diversity is frequently associated with skin disorders such as acne, atopic dermatitis, rosacea, and psoriasis. C. acnes, and the diversity of its clonal population, contributes actively to the normal biophysiological skin functions through, for example, lipid modulation, niche competition and oxidative stress mitigation. Compared to gut probiotics, limited dermatological studies have investigated skin probiotics with skin commensal strains, highlighting their unexplored potential.
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Affiliation(s)
- Miquel Rozas
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), C. Dr. Aiguader 88, 08003 Barcelona, Spain;
| | - Astrid Hart de Ruijter
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
| | - Maria Jose Fabrega
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), C. Dr. Aiguader 88, 08003 Barcelona, Spain;
| | - Amine Zorgani
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
| | - Marc Guell
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), C. Dr. Aiguader 88, 08003 Barcelona, Spain;
| | - Bernhard Paetzold
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
| | - Francois Brillet
- S-Biomedic, JLABS, Turnhoutseweg 30, 2340 Beerse, Belgium; (M.R.); (A.H.d.R.); (A.Z.); (M.G.); (B.P.)
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Mokhtari F, Shajari A, Iraji F, Faghihi G, Siadat AH, Sadeghian G, Adibi N. The effectiveness of adapalene 0.1% with intense pulsed light versus benzoyl peroxide 5% with intense pulsed light in the treatment of acne vulgaris: A comparative study. JOURNAL OF RESEARCH IN MEDICAL SCIENCES 2019; 24:101. [PMID: 31850090 PMCID: PMC6906921 DOI: 10.4103/jrms.jrms_398_19] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 07/23/2019] [Accepted: 08/26/2019] [Indexed: 11/17/2022]
Abstract
Background: Acne vulgaris (AV) is one of the most common skin diseases with major psychological impacts. Hence, selecting the best treatment modality is so important; there are different ways to treat AV such as topical and systemic agents, laser, and also photodynamic therapy. In this study, we tried to assess the difference between the efficacy of combination therapy with intense pulsed light (IPL) and benzoyl peroxide (BPO) in comparison with IPL and adapalene (AD) in the treatment of the mild to moderate AV. Materials and Methods: Thirty Iranian females in reproductive age with mild to moderate acne were enrolled in this study. The left and right side of the patients were randomized to receive either AD 0.1% or BPO 5% every other day plus three sessions of monthly apart IPL in the treatment of AV. Different parameters of AV such as acne severity index (ASI), total acne lesions counting (TLC), and Acne Global Severity Scale (AGSS) were measured before, during, and after the treatments. Results: There was a significant difference regarding AGSS, TLC, and ASI before and after treatment with AD plus IPL (P < 0.001). Furthermore, there was a significant difference regarding AGSS, TLC, and ASI before and after treatment with BP plus IPL (P < 0.001). However, no significant difference regarding AGSS, TLC, and ASI were observed between the 2 groups after treatment (P > 0.05). No significant side effects were observed in both groups. Conclusion: Our study shows that there was not any significant difference between combining IPL with either AD or BPO so we can use either one of these combinations to achieve similar efficacy.
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Affiliation(s)
- Fatemeh Mokhtari
- Department of Dermatology, Isfahan Medical University, Isfahan, Iran.,Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Atefeh Shajari
- Department of Dermatology, Isfahan Medical University, Isfahan, Iran
| | - Fariba Iraji
- Department of Dermatology, Isfahan Medical University, Isfahan, Iran.,Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Gita Faghihi
- Department of Dermatology, Isfahan Medical University, Isfahan, Iran.,Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Amir Hossein Siadat
- Department of Dermatology, Isfahan Medical University, Isfahan, Iran.,Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Giti Sadeghian
- Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Neda Adibi
- Skin Disease and Leishmaniosis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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