Clinical Profile and Treatment of Acne Vulgaris Patients

M. Listiawan, Farah Meriana Fajrin, R. Rahmadewi, A. Hidayati, S. Sawitri, D. Indramaya, R. Setiabudi, Maya Wardiana
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Abstract

Background: Acne vulgaris (AV) is not a deadly condition may affect one’s quality of life. Treatment of AV includes topical and oral, depending on the severity. Antibiotics as oral treatment should not be given alone because it can precipitate resistance. Purpose: To describe the clinical characteristics of AV in a tertiary hospital in Indonesia and evaluate the treatment given. Methods: This is a descriptive, retrospective study with a cross-sectional design. The study subject was classified based on severity according to Plewig and Kligman’s acne grading. Further evaluation was made according to the type of lesion, the risk factortopical and oral treatment in subjects with grades 2, 3, and 4. This research was conducted at the Cosmetic Medic Division, Dermatology and Venereology Outpatient Clinic at Dr. Soetomo General Academic Hospital Surabaya based on medical records from the period of 2017 to 2019. Result: From 2017 to 2019, there were 525 (1.1%) new AV patients out of a total of 45,754 new patients. AV was the major diagnosis in the Cosmetic Medic division. AV grades 2, 3, and 4 were found in 167 patients (32.0%). The most common lesion was papulopustular (75.4%) and the most common risk factor was hormonal (58.7%). All the patients received tretinoin, clindamycin gel 1.2%, and sunscreen for topical treatment. Doxycycline was the most common oral antibiotic used (98.2%) Conclusion: The most common AV grade in this study was mild AV. Oral antibiotics were given to moderate-to-severe AV patients in combination with topical treatment to prevent resistance.
寻常痤疮患者的临床特点及治疗
背景:寻常痤疮(AV)不是一种致命的条件,可能会影响一个人的生活质量。根据严重程度,AV的治疗包括局部和口服。作为口服治疗的抗生素不应单独使用,因为它会产生耐药性。目的:描述印尼某三级医院房颤的临床特点并评价其治疗方法。方法:这是一项横断面设计的描述性、回顾性研究。根据Plewig和Kligman的痤疮分级,将研究对象根据严重程度进行分类。根据病变类型、危险因素对2级、3级和4级患者进行局部和口服治疗。这项研究是在泗水Soetomo博士综合学术医院美容医学科、皮肤病和性病门诊进行的,基于2017年至2019年的医疗记录。结果:2017 - 2019年,在45,754例新发AV患者中,有525例(1.1%)新发AV患者。AV是美容医学部门的主要诊断。2级、3级和4级AV患者167例(32.0%)。最常见的病变是丘疹(75.4%),最常见的危险因素是激素(58.7%)。所有患者均给予维甲酸、克林霉素凝胶1.2%和防晒霜进行局部治疗。结论:本研究中最常见的AV级别为轻度AV,中重度AV患者应口服抗生素并结合局部治疗以预防耐药。
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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