Investigating the Properties of Truncal Acne: A Common But Often Overlooked Entity.

IF 3.1 4区医学 Q2 DERMATOLOGY

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-05-04 DOI:10.1177/12034754251336237

Dilek Menteşoğlu, Gökçe Işıl Kurmuş, Selda Pelin Kartal

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引用次数: 0

Abstract

Background: Truncal acne is often overlooked, although it is as common as facial acne.

Objectives: We aimed to investigate the prevalence of truncal acne in patients with mild, moderate, and severe acne and to evaluate the characteristics of truncal acne.

Methods: Patients aged ≥ 12 years who were diagnosed with acne vulgaris at our dermatology outpatient clinics between May 2023 and October 2023 were categorized into two groups based on the severity of facial acne.

Results: Of the patients, 69.9% (n = 381) were female and 30.1% (n = 164) were male. The mean age was 21.0 ± 5.1 years. The upper back, upper and lower back, and shoulders were the most common areas of truncal acne. Post-inflammatory hyperpigmentation (PIH), papules, and pustules were the most common truncal lesions. The most common clinical manifestations of truncal acne were comedones + papules + pustules + nodules, PIH + papules + pustules + nodules, PIH + papules + pustules, PIH + comedones + papules + pustules + nodules, and scars + PIH + papules + pustules + nodules (P = .030, P = .001, P = .001, P = .011, and P = .005, respectively). These lesions were more prevalent in patients with severe acne than in those with mild-to-moderate acne.

Conclusion: When evaluating acne, examining the lower and upper back, the front half of the trunk, and the shoulders is essential, while not ignoring PIH. Diagnosing and treating truncal acne significantly increases the patient's quality of life and self-confidence.

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研究躯干痤疮的性质：一个常见但经常被忽视的实体。

背景：虽然躯干痤疮和面部痤疮一样常见，但它经常被忽视。目的：探讨轻度、中度和重度痤疮患者的头颈部痤疮患病率，评价头颈部痤疮的特点。方法：2023年5月至2023年10月在我院皮肤科门诊诊断为寻常性痤疮的患者，年龄≥12岁，根据面部痤疮严重程度分为两组。结果：女性占69.9%（381例），男性占30.1%（164例）。平均年龄21.0±5.1岁。上背部、上、下背部和肩部是躯干痤疮最常见的部位。炎症后色素沉着（PIH）、丘疹和脓疱是最常见的躯干病变。截头痤疮最常见的临床表现为粉刺+丘疹+脓疱+结节、PIH +丘疹+脓疱+结节、PIH +丘疹+脓疱+脓疱、PIH +丘疹+丘疹+脓疱+结节、疤痕+ PIH +丘疹+脓疱+结节（P = 0.030、P = 0.001、P = 0.011、P = 0.005）。这些病变在严重痤疮患者中比在轻度至中度痤疮患者中更普遍。结论：在评估痤疮时，检查下背部和上背部、躯干前半部分和肩部是必不可少的，同时也不能忽视PIH。诊断和治疗躯干痤疮显著提高患者的生活质量和自信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cutaneous Medicine and Surgery 医学-皮肤病学

CiteScore

3.70

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Cutaneous Medicine and Surgery (JCMS) aims to reflect the state of the art in cutaneous biology and dermatology by providing original scientific writings, as well as a complete critical review of the dermatology literature for clinicians, trainees, and academicians. JCMS endeavours to bring readers cutting edge dermatologic information in two distinct formats. Part of each issue features scholarly research and articles on issues of basic and applied science, insightful case reports, comprehensive continuing medical education, and in depth reviews, all of which provide theoretical framework for practitioners to make sound practical decisions. The evolving field of dermatology is highlighted through these articles. In addition, part of each issue is dedicated to making the most important developments in dermatology easily accessible to the clinician by presenting well-chosen, well-written, and highly organized information in a format that is interesting, clearly presented, and useful to patient care.