Passion fruit purple variant ( Passiflora edulis Sims var. edulis ) seeds extract 10% cream in acne vulgaris treatment: an open‐label pilot study

Correlation between Sebum Level and Follicular Fluorescence in Acne Vulgaris Patients

Abstract Background: The pathogenesis of acne vulgaris is multifactorial involving four important factors, including follicular epidermal hyperproliferation, increased sebum production, increased activity of C. acnes and inflammation. Increased sebum levels can increase the production of porphyrins which appear as red-orange fluorescence on the faces of patients with acne vulgaris. Objective: To determine the correlation between sebum levels and follicular fluorescence in acne vulgaris patients. Subjects and Methods: This study was an observational analytic study with cross sectional data collection method involving 60 acne vulgaris patients based on inclusion and exclusion criteria. Basic data were recorded including age and gender. Sebum levels were measured using a Sebumeter® SM 815 (C & K, Courage-Khazaka, Cologne, Germany) and follicular fluorescence was examined using a Visiopor® PP34 camera (C & K, Courage-Khazaka, Cologne, Germany). The correlation between sebum levels and follicular fluorescence was analyzed using Spearman correlation. The result was significant if the p value<0.05. Results: Acne vulgaris was more common in women (76.7%) with a mean age of 22.52 years, the youngest was 18 years old and the eldest was 36 years old. The results of this study showed a positive correlation with moderate strength between sebum levels and the spot counts (r = 0.495) and positive correlation with weak strength between sebum levels and the percentage of the area covered with follicular fluorescence spots (r = 0.349). Conclusion: There is a correlation between sebum levels and follicular fluorescence in acne vulgaris patients. Keywords: acne vulgaris, sebum level, follicular fluorescence.

Constituent Characteristics and Functional Properties of Passion Fruit Seed Extract

The genus Passiflora L. is widely cultivated in tropical and subtropical regions. The major species, Passiflora edulis Sims, is known as 'passion fruit' and is widely used in processed foods as well as eaten raw. P. edulis fruits are eaten for their pulp together with the seeds; however, the seeds are often discarded when used in processed foods. P. edulis seeds contain a variety of nutrients and functional components, and their industrial use is desirable from the perspective of waste reduction. Previous studies have analyzed the constituents of P. edulis and their physiological functions. P. edulis seeds contain various types of polyphenols, especially those rich in stilbenes (e.g., piceatannol). P. edulis seed extracts and isolated compounds from seeds have been reported to exhibit various physiological functions, such as antioxidant effects, improvement of skin condition, fat-burning promotion effects, and hypoglycemic effects. This review summarizes the nutritional characteristics, polyphenol content, and physiological functions of P. edulis seeds.

Effect of Purple Passion Fruit Extract Cream (Passiflora edulis Sims var. Edulis) 6% against Striae Distensae

ABSTRACT Background: Striae distensae is a skin disorder that causes cosmetic and psychological problems. Purple passion fruit (Passiflora edulis Sims var. Edulis) is widely cultivated, especially in North Sumatra. The seeds are abundant and unused industrial waste. Purple passion fruit seeds contain piceatannol, ascorbic acid, flavonoids, resveratrol, hydroalcohols and sterols which play a role in the repair of striae distensae through anti-inflammatory mechanisms, increase fibroblast proliferation and collagen production, increase crosslinking between collagen fibers and moisturizers. Objective: To determine the effect of 6% purple passion fruit (Passiflora edulis Sims var. Edulis) seed extract cream on striae distensae. Subjects and Methods: This study is a pre-experimental clinical trial with a pretest-posttest research design on 40 subjects with striae distensae. Diagnosis was confirmed by history and clinical evaluation using the Manchester scar scale before and after administration of 6% purple passion fruit extract cream at weeks 0, 2, 4, 6, 8. Adverse effects were recorded during the study and satisfaction levels were assessed at the end. Results: The majority of subjects' ages ranged from 29 to 39 years (72.5%). There was a significant reduction in Manchester scar scale in striae distensae, both after being given a 6% purple passion fruit extract cream or a combination of 1% tretinoin cream for 8 weeks, with a mean reduction of 25% (p = 0.000). Striae distensae after being given 6% purple passion fruit extract cream compared to 6% purple passion fruit extract cream combined with 1% tretinoin cream, there was no significant difference (p = 0.791). From a total of 40 subjects, none experienced side effects (0%). As many as 57.5% of the subjects showed a good level of satisfaction. Conclusion: The use of 6% purple passion fruit seed extract cream can improve the appearance of striae distensae without side effects and the level of satisfaction is good.