Korean J Dermatol.  2019 Aug;57(7):355-362.

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

Affiliations
  • 1Department of Dermatology, Konyang University College of Medicine, Daejeon, Korea. mabie@kyuh.ac.kr

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.

Keyword

Acne; Sensitive skin; Skin barrier

MeSH Terms

Acne Vulgaris*
Adolescent
Clinical Study*
Humans
Irritants
Pruritus
Risk Factors
Skin Diseases
Skin*
Solar System
Weather
Irritants
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