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여드름 환자에서의 여드름과 민감성 피부 연관성에 관한 연구

A Clinical Study on the Association between Sensitive Skin and Acne in Patients with Acne

대한피부과학회지 2019년 57권 7호 p.355 ~ 362
최원 (  ) - 건양대학교 의과대학 피부과학교실

명기범 ( Myung Ki-Bum ) - 건양대학교 의과대학 피부과학교실
한형진 ( Hahn Hyung-Jin ) - 건양대학교 의과대학 피부과학교실
정승현 ( Jeong Seung-Hyun ) - 건양대학교 의과대학 피부과학교실

Abstract


Background: Acne is a common inflammatory skin disease that involves the seborrheic area, developing not only in adolescence but also in adulthood. Abnormal epidermal barrier function in acne is reported and suspected as a risk factor that leads to sensitive skin through a few experimental studies. Impaired skin barrier function against environmental factors and irritants may play a role in increasing sensitivity of the skin in patients with acne.

Objective: This study aimed to investigate the clinical characteristics of patients with acne and analyze the association between acne and sensitive skin.

Methods: Acne severity and history of treatments were recorded and subjective symptoms of sensitive skin with aggravating factors were analyzed through a questionnaire. Acne severity was determined using the Investigator’s Global Assessment scale of acne severity and Global Acne Grading System. The score and severity of sensitive skin were determined using the Baumann skin-type test.

Results: Of 100 patients with acne, 76% were actually confirmed to have sensitive skin. However, there was no significant association between acne severity and severity of sensitive skin (p=0.805). The most common aggravating factor of sensitive skin was washing the face (60%), followed by cosmetics use (56%) and hot weather (55%). The most common symptom of sensitive skin was itching (55%), which was proven as the only factor associated with severity of sensitive skin (p=0.016).

Conclusion: Cosmetics use on the face is a noticeable important aggravating factor of sensitive skin, which can provoke itching, which is proven as the only symptom significantly related with severity of sensitive skin. Therefore, in the treatment of acne with sensitive skin, proper use of moisturizers and careful washing are required, and it is important to avoid hot weather and excessive sun exposure and carefully choose cosmetics.

키워드

Acne; Sensitive skin
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