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Clinical aspects of acne in 129 patients seen in Departments of Dermatology in CNHU-HKM Cotonou and CHUD-B/A Parakou at January 2017 to December 2018.
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... was present in all patients most of moderate (45.7%) to mild (7.2%). The predominant elementary lesions (Table 1) were the papules (79.1%), the microcysts (76%), the comedons (71.3%), and the post-inflammatory hyperpigmentations (70.5%). ...Citations
... A late onset of acne is not uncommon; it is often the consequence of a genetic predisposition, hyperandrogenism, or the use of depigmenting cosmetics [13]. [15]. Acne usually begins in the early teens around the age of twelve, yet the first dermatological consultation is almost always done too late. ...
... Females were more affected (83.2%) by acne in our series. The female predominance was corroborated by numerous series in the literature [7,14,15]. The high proportion of females consulting for acne is linked to the readiness of females to consult more easily than males, especially in the case of skin diseases. ...
... On clinical examination, papulopustular acne was the major clinical form (86.7%) and the clinical severity was classified as mildto-moderate in 74% of the participants. Other studies also noted the predominance of mild-to-moderate forms on both white and black skin [7,11,14,15]. The anti-acne treatment initiated was most often topical (86.7%), sometimes combined with oral treatment (47.8%), which was in accordance with the acne management algorithm [17]. ...
Background: The aim of this study was to assess the severity of acne and the impact on the quality of life (QoL) of patients undergoing anti-acne treatment. Methods: This was a cross-sectional study conducted from January to April 2017 at three hospitals in Yaoundé. Patients suffering from acne and under treatment were consecutively included. Clinical severity and QoL were assessed with the ECLA and CADI scales, respectively. Data was analyzed with SPSS 23.0. We employed the ANOVA test and linear regression to search for associations between variables. The significance level was at 5%. Results: We recruited 113 patients, predominantly female (83%), with a mean age of 26.0 ± 6.4 years. Mild-to-moderate forms were predominant (74%). The mean ECLA score was 10.1 ± 4.6, with a majority of the participants 74.3% (84/113) having mild-to-moderate acne, while 25.7% (29/113) had severe acne. The majority of the patients found the treatment expensive (69%). Therapeutic education had been conducted in 46.9% of the patients, and 60.2% of them reported a relapse during treatment. An impairment in QoL was found in 99% of the patients. The mean global QoL score was 6.3 ± 3.4. The impairment in QoL was positively correlated with clinical severity (r = 0.40; p = 0.003). Conclusion: The study revealed a predominance of mild-to-moderate forms of acne, an alteration in the QoL of almost all patients studied, and a positive correlation between the clinical severity of acne and the impairment in QoL. Key words: Acne; Clinical severity; Quality of life; Treatment; Cameroon; Sub-Saharan Africa
