Teenage Acne in Adolescent Boys

Teenage Acne in Adolescent Boys: Teenage acne affects males than females and males tend to show the most severe forms of the disease [1]. Teenage acne is found to be influenced by genetic factors [2].

Acne is a chronic inflammatory disorder of the pilosebaceous glands. The milder forms are of such frequent occurrence that they may be regarded as physiologic during the teenage period [3]. Usually the acne vulgaris is found in boys and girls from the age of 6 and 7 respectively with comedones being the earliest presentation [4].

Acne vulgaris is a distressing condition related to the pilosebaceous follicle and which is considered as an `adolescent’ disorder. It is characterized by spontaneous resolution in the late teens or early twenties in the majority of cases. The onset of acne was noted slightly earlier in girls (12.1±1.5) compared to boys (12.8±1.7) years, retentional lesions being the earliest lesions (13% at 6 years and 32% at 7 years of age). Since this publication no significant evolution has been noted concerning the age of onset of acne. According to different studies of the literature performed in different countries in the world the mean onset of acne is 11years in girls and 12 years in boys, remaining earlier in girls (1 or 2 years) with mainly retentional lesions (open and closed comedones) [5].Teenage Acne in Adolscent Boys

Diagnosis of infantile acne was judged by the severity of acne to form of treatment required – topical treatment, systemic antibiotics or isotretinoin. This could be a trend towards higher incidence and greater severity of acne vulgaris in teenage years in patients with a history of infantile acne [6].

The data also reports that acne may not have as great an emotional impact on the patient. This may be due to the fact that many peers of these mostly teenage patients suffer from the same blemished skin and it is possible that the awareness that acne is a medically benign disease limits the emotional reaction [7].

Treatment of acne vulgaris in teenage males with oral and topical administration of estrogenic hormone have been reported [8]. However, another study has shown that testosterone lotion did not aggravated acne vulgaris in teenage males [9].

[1] Int. Journal of Cosmetic Science, 2004, 26(3): 129-138 [2] Br. J. Dermatol., 2005, 152(3) : 579-581 [3] Textbook of Dermatology, Oxford Blackwell, 1972, p: 1340 [4] Journal of the European Academy of Dermatology & Venereology, 2007, 21(5) : 643-649 [5] Dermatology, 2003, 206: 7-10 [6] Clinical and Experimental Dermatology, 1990, 15(5): 376-377 [7] J. Am. Acad. Derm., 1979, 1: 134-138 [8] Wis Med J. 1953, 52(8): 425-428 [9] Wis Med J. 1956, 55(3): 304-305

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