Anaba EL, Oaku IR. The Clinical and Epidemiological Profile of Adult Female Acne Vulgaris in Lagos, Nigeria.
West Afr J Med 2021;
38:785-790. [PMID:
34505184]
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Abstract
BACKGROUND AND AIMS
Studies of adult female acne vulgaris are few despite its increasing presentation in dermatology clinics. Adult female acne is classified as either late onset, persistent acne or return acne with a mixed pattern of inflammation in most females. The aim of this study was to document the socio-demographic characteristics (late onset, persistent acne, age, pre-menstrual flare) and clinical profile (severity, pattern, type of lesions, scarring and type of scars) of adult female acne patients.
METHODOLOGY
Cross sectional descriptive study of 56 adult female acne patients aged 25 years and above. Patients were clinically examined and severity of acne graded with the Comprehensive Acne Severity Scale. Socio-demographic data and clinical profile was documented using a questionnaire designed for the study. Data analysis was performed using the SPSS version 22. Level of significance of all tests was set at 5%.
RESULTS
Age range was 25-67 years with a mean age of 33.4 years. Prevalence of adult female acne was 19.3% amongst female patients seen in the clinic. Acne was persistent in 55.4%, late onset in 44.6%, only inflammatory in 5.4%, only non-inflammatory in 42.9%, and a mixed pattern of inflammation in 51.8%. Location of acne was facial only in 80.4% with extra facial involvement in 19.6%. Acne was severe, moderate and mild in 35.7%, 44.6%, and 19.6% respectively. Acne scar was present in 87.5%, post inflammatory hyperpigmentation in 65.3%.
CONCLUSION
Adult female acne is increasing in prevalence. Acne in adult females is mostly persistent in nature with mixed inflammatory pattern. It affects the whole face and it is associated with scarring.
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