Clinical Profile and Treatment of Acne Vulgaris Patients

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 characteri...

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Main Authors: M. Yulianto Listiawan, Farah Meriana Fajrin, Rahmadewi Rahmadewi, Afif Hidayati, Sawitri Sawitri, Diah Mira Indramaya, Rebekah Juniati Setiabudi, Maya Wardiana
Format: Article
Language:Indonesian
Published: Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga 2022-11-01
Series:Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)
Subjects:
Online Access:https://e-journal.unair.ac.id/BIKK/article/view/35128
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author M. Yulianto Listiawan
Farah Meriana Fajrin
Rahmadewi Rahmadewi
Afif Hidayati
Sawitri Sawitri
Diah Mira Indramaya
Rebekah Juniati Setiabudi
Maya Wardiana
author_facet M. Yulianto Listiawan
Farah Meriana Fajrin
Rahmadewi Rahmadewi
Afif Hidayati
Sawitri Sawitri
Diah Mira Indramaya
Rebekah Juniati Setiabudi
Maya Wardiana
author_sort M. Yulianto Listiawan
collection DOAJ
description 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.
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spelling doaj.art-ef10ae388dba4f09a7343d441753ade72023-11-23T06:35:52ZindDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas AirlanggaBerkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)1978-42792549-40822022-11-0134315616110.20473/bikk.V34.3.2022.156-16133150Clinical Profile and Treatment of Acne Vulgaris PatientsM. Yulianto Listiawan0https://orcid.org/0000-0001-7810-887XFarah Meriana Fajrin1Rahmadewi Rahmadewi2Afif Hidayati3Sawitri Sawitri4Diah Mira Indramaya5Rebekah Juniati Setiabudi6Maya Wardiana7Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic HospitalDepartment of Medicine Microbiology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, SurabayaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, SurabayaBackground: 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.https://e-journal.unair.ac.id/BIKK/article/view/35128acne vulgarisoral antibioticspsychological wellbeingtopical treatment
spellingShingle M. Yulianto Listiawan
Farah Meriana Fajrin
Rahmadewi Rahmadewi
Afif Hidayati
Sawitri Sawitri
Diah Mira Indramaya
Rebekah Juniati Setiabudi
Maya Wardiana
Clinical Profile and Treatment of Acne Vulgaris Patients
Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)
acne vulgaris
oral antibiotics
psychological wellbeing
topical treatment
title Clinical Profile and Treatment of Acne Vulgaris Patients
title_full Clinical Profile and Treatment of Acne Vulgaris Patients
title_fullStr Clinical Profile and Treatment of Acne Vulgaris Patients
title_full_unstemmed Clinical Profile and Treatment of Acne Vulgaris Patients
title_short Clinical Profile and Treatment of Acne Vulgaris Patients
title_sort clinical profile and treatment of acne vulgaris patients
topic acne vulgaris
oral antibiotics
psychological wellbeing
topical treatment
url https://e-journal.unair.ac.id/BIKK/article/view/35128
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