Ethnic/Population Characteristics of Acne Vulgaris: Clinical Significance and Treatment Strategies – Literature Review

Tina Kituashvili, Nino Orakhelashvili, Jenaro Kristesashvili

Abstract


Background: Despite the fact that acne does not represent a life-threatening condition, it has a significant impact on an individual's psycho-emotional state. Acne markedly reduces quality of life, self-esteem, hinders career advancement, and affects individual well-being.

Aim: The aim of the study was to analyze the ethnic and population characteristics of acne vulgaris and assess their clinical significance and impact on treatment strategies.

Methods A literature review and data analysis were conducted in PubMed, Cochrane Library, Google Scholar, and Embase databases for the period 1998-2024. Sixty articles related to ethnic/population characteristics of acne were selected for analysis.

Results: According to the analyzed literature, it emerges that the ethnic/population characteristics of acne are determined by skin characteristics themselves. The biological foundations of acne manifestation in different ethnic groups result from complex differences in skin anatomy and physiology. In individuals of African and African-American origin, papulo-pustular and nodular forms are prevalent; in individuals of Eastern and Middle Eastern origin, severe forms and markedly pronounced inflammatory reactions are frequent; in individuals of Asian origin, acne is characterized by more inflammatory (papulopustular) eruptions, while in individuals of Caucasian origin, comedones are most commonly found.

Conclusioins: Understanding the ethnic/population characteristics of acne is essential for proper selection of treatment tactics.

Keywords


acne vulgaris, ethnic dermatology, post-inflammatory hyperpigmentation, acne treatment

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References


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