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Acne prevention

Article  in  Indian Journal of Dermatology Venereology and Leprology · March 2009

Source: DOAJ

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Boston University Moti Lal Nehru Medical College
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IAA Consensus Acne prevention
Document
Presently, little is known about preventing the onset
of acne. Lifestyle and wellness modifications could
conceivably help, but are generally ignored.
PRIMARY PREVENTION
Diet: Role of diet in acne causation and prevention is
complex and controversial. On the one hand, there
is no evidence that acne is exacerbated by chocolate,
nuts, candy, soft drinks, etc,[1-3] and on the other hand,
there is compelling epidemiologic data that implicates
glycemic diet,[4] and excess consumption of dairy
products in acne.[5] In India, the popular notion is that
acne is aggravated by eating mangoes, sweets, fatty/
fried foods, and some seafoods.
Physical activity: Acne is rarely triggered or
aggravated by sports, or certain physical activities.
Whenever evident, it is rewarding to make appropriate
adjustments. More commonly, physical activity and
sports are beneficial as they promote health and help
overweight individuals with hormonal conditions, such
as polycystic ovarian disease and insulin resistance,
lose weight, which in turn aids in acne treatment.
Medications: Care should be taken to avoid medications
known to be acnegenic. Some important examples are
steroids, lithium, antiepileptics, and antituberculous
Indian J Dermatol Venereol Leprol | January-February 2009 | Vol 75 | Supplement 1
Acne in India: Guidelines for management
drugs. However, when such drugs are prescribed for
serious diseases, their acnegenic effect may be brought
to the attention of the treating physician.
Family history: In individuals with strong family
history of acne, especially if on both sides of the family,
antiacne treatment should begin early to prevent
morbidity and scarring.
SECONDARY PREVENTION
Long-term therapy is required, often several months
beyond clinical remission, to prevent relapse.
Maintenance treatment such as topical retinoids
should be continued throughout the susceptible age,
that is, till age 30 years.
REFERENCES
1. Fulton JE, Plewig G, Kligman AM. Effect of chocolate on acne.
JAMA 1069;210:2071-4.
2. Tan JK, Vasey K, Fung KY. Beliefs and perceptions of patients
with acne. J Am Acad Dermatol 2001;44:439-45.
3. Green J, Sinclair RD. Perceptions of acne vulgaris in final
year medical student written examination answers. Australas
J Dermatol 2001;42:98-101.
4. Cordain L, Lindeberg S, Hurtado M, Hill K, Eaton SB, Brand-
Miller J. Acne vulgaris: A disease of western civilization.
Arch Dermatol 2002;138:1584-90.
5. Adebamowo CA, Spiegelman D, Danby FW, Frazier AL,
Willett WC, Holmes MD. High school dietary dairy intake
and teenage acne. J Am Acad Dermatol 2005;52:207-14.
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