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Main Article Content
Clinical characteristics of acne vulgaris on patients attending a dermatological clinic in Nigeria Caractéristiques cliniques de l'acné vulgaire chez des patients fréquentant une clinique dermatologique au Nigéria
Abstract
Background: Acne vulgaris is a disease of the pilosebaceous units of the skin characterized by chronic inflammation, it is a disease of teenager and young adults, affects both male and female in varying degree of severity. This study is designed to evaluate the clinical characteristics of acne vulgaris in teenagers and young adults between the age of 13 and 40years for improved management of the disease.
Materials and Methods: This is a cross-sectional study with the participation 260 patients between 13 and 40 years attending the dermatology clinic in Obafemi Awolowo university teaching hospital Ile-Ife Osun state which involved detailed clerking and clinical examination of the type and site of affectation of the acne under bright light.
Results: Two hundred and sixty (260) people with acne vulgaris participated in the studywith mean age of 20.0+4.7years.The result showed that there were more females (53.7%) than males(42.7%), The pattern of presentation shows comedone accounted for the highest proportion (49.6%) of the acne lessions observed among the sampled patient across different age groups, the results also reveals that (83.8%) of patients had their face affected by acne vulgaris, this was followe by face and neck accounting for (9.2%) and chest(3.1%) ,while the least body part affected was back accounting for (1.2%) of the body part affected. The most common complications foll0wing acne among affected patients was post inflammatory hyperpigmentation accounting for (49.6%) followed by atrophic scars (30.8%), while kelodal scar is the least accounting for (6.5%).
Conclusion: Acne vulgaris is a chronic disease of pilosebaceous unit common in teenagers and young adult with comedonal acne being the most predominant pattern, while nodulocystic was the least and post inflammatory hyperpigmentation is the most common complication and the least was keloidal scar.
Contexte de l'étude : L'acné vulgaire est une maladie des unités pilo-sébacées de la peau caractérisée par une inflammation chronique. Elle touche les adolescents et les jeunes adultes, hommes et femmes, à des degrés de gravité variables. Cette étude vise à évaluer les caractéristiques cliniques de l'acné vulgaire chez les adolescents et les jeunes adultes âgés de 13 à 40 ans afin d'améliorer la prise en charge de la maladie.
Matériels et méthode de l'étude : Il s'agit d'une étude transversale avec la participation de 260 patients âgés de 13 à 40 ans fréquentant la clinique de dermatologie de l'hôpital universitaire Obafemi Awolowo de l'État d'Ile-Ife Osun, qui impliquait un examen clinique détaillé du type et du site d'affectation de l'acné sous une lumière vive.
Résultat de l'étude : Deux cent soixante (260) personnes atteintes d'acné vulgaire ont participé à l'étude avec un âge moyen de 20,0 + 4,7 ans. Les résultats ont montré qu'il y avait plus de femmes (53,7 %) que d'hommes (42,7 %), le mode de présentation montre que les comédons représentaient la proportion la plus élevée (49,6 %) des lésions d'acné observées parmi les patients échantillonnés dans différents groupes d'âge, les résultats révèlent également que (83,8 %) des patients avaient leur visage affecté par l'acné vulgaire, suivi par le visage et le cou (9,2 %) et la poitrine (3,1 %), tandis que la partie du corps la moins touchée était le dos, représentant (1,2 %) de la partie du corps touchée. Les complications les plus courantes après l'acné chez les patients touchés étaient l'hyperpigmentation post-inflammatoire représentant (49,6 %), suivie des cicatrices atrophiques (30,8 %), tandis que la cicatrice chélodale est la moins représentée (6,5 %).
Conclusion : L'acné vulgaire est une maladie chronique de l'unité pilo-sébacée courante chez les adolescents et les jeunes adultes, l'acné comédonienne étant le modèle le plus prédominant, tandis que l'acné nodulokystique était la moins fréquente et l'hyperpigmentation post-inflammatoire était la complication la plus courante et la moins fréquente était la cicatrice chéloïdienne.
