- 29 -
Lisa Schmidt, M.P.H., and Eve A. Kerr, M.D.
The general approach to summarizing the key literature on acne in
adolescents and adult women was to review two adolescent health text
books (Vernon and Lane, 1992; Paller et al., 1992) and two articles
chosen from a MEDLINE search of all English language articles published
between the years of 1990 and 1995 on the treatment of acne.
Acne is the most common skin disorder seen during adolescence.
Forty percent of children between the ages of 8 and 10 develop early
acne lesions, and eventually 85 percent of adolescents develop some
degree of acne (Vernon and Lane, 1992; Paller et al., 1992). Acne can
persist into mid-adulthood in some persons, and can also present
initially in adulthood. It is estimated that 40 to 50 percent of adult
women are affected by a low-grade persistent form of acne (Nguyen et
al., 1994). Overall, acne affects approximately 10 percent of the U.S.
population (Glassman et al., 1993). Acne was the most common reason for
visits to dermatologists over the two-year period from 1989 to 1990,
accounting for 16.6 percent of all visits (Nelson, 1994). Although acne
is not associated with severe morbidity, mortality, or disability it can
produce psychological effects. For instance, it has been reported that
some adolescents with acne avoid social situations or athletic
activities (Brook et al., 1980). Furthermore, in severe cases, acne can
lead to physical scarring which may exacerbate the emotional effects of
EFFICACY AND/OR EFFECTIVENESS OF INTERVENTIONS
There is no role for screening for acne.
Visit www.health911.us for more details
Click here for more details
- 30 -
Common acne is a disorder of the pilosebaceous glands and is
characterized by follicular occlusion and inflammation (Paller et al.,
1992). Acne occurs primarily on the face, but it can occur on the back,
chest, and shoulders. Four factors contribute to the development of
acne: 1) the sebum excretion rate, 2) sebaceo