Assessment of Acne Severity in Adult Female Acne Patients in Relation to BMI

Background: Acne stands as one of the most prevalent disorders in dermatology. Acne and weight gain are thought to be clinical indicators of h yperandrogenism, and it appears that obesity is linked to increased sensitivity to androgenic hormones and more severe acne. To better manage acne sufferers, this research may help uncover any connections between the severity of acne and Body Mass Index (BMI) in adult female patients. Objectives: To determine the relation between BMI and acne severity in adult female acne patients. Methods : This is a one-year case-control study. Informed written consent was taken from 103 females who attended the dermatology, venereology, and andrology outpatient clinic at Assiut University in Assiut, Egypt, between the 1 st of April, 2022, and the 31 st of March, 2023. The case group comprised 53 adult females with acne, whereas 50 age-matched females without acne comprised the control group. The Global Acne Grading System (GAGS) was used to determine the severity of acne. Results: The BMIs of both study groups were comparable. According to the GAGS scale, 19 cases (35.8%) had mild, 18 cases (34.0%) had moderate, 14 cases (26.4%) had severe, and two cases (3.8%) had very severe acne vulgaries. BMI and acne severity showed a significant positive correlation (r=0.542, p<0.001). Conclusions : This study showed that acne severity and BMI are related. Thus, BMI may be related to acne pathogenesis and severity in adult female patients.