1.Consensus Report on Truncal Acne: The Korean Acne and Rosacea Society Experts Panel
Joo Yeon KO ; Chang Hwa SONG ; Kwang Joong KIM ; Nack In KIM ; Jung Eun KIM ; Hei Sung KIM ; Young Suck RO ; Kui Young PARK ; Mi-Youn PARK ; Dae Hun SUH ; Kihyuck SHIN ; Min Kyung SHIN ; Hyo Hyun AHN ; Woo Jin LEE ; Weon Ju LEE ; Ju Hee LEE ; Jee Bum LEE ; Hae Woong LEE ; Hee Jung LEE ; Min Soo JANG ; Seung Hyun CHEONG ; Soyun CHO ; Yu Sung CHOI ; You Won CHOI ; Hoon CHOI ; Mi Woo LEE
Annals of Dermatology 2024;36(1):35-43
Background:
More than half of acne patients have truncal acne on their chest, back, and shoulders. However, since most studies on acne have focused on the face, data on clinical characteristics and proper management for truncal acne are insufficient.
Objective:
To establish a Korean Acne Rosacea Society (KARS) consensus for experts’ perception and treatment patterns of truncal acne.
Methods:
We conducted two rounds of the Dephi technique to gather expert opinion and reach a consensus on truncal acne. The first round comprised 48 questionnaires focusing on various aspects such as epidemiology, clinical features, diagnosis, treatment, prognosis and more, while second rounds consisted of 26 questionnaires.
Results:
A total of 36 dermatologists (36/38 KARS members, 94.7%) completed this survey. In the first-round survey, consensus was reached on 20 out of the 48 questions (41.7%). In the secondround questionnaire, consensus was achieved on 9 of the 26 questions (34.6%). The most unresponsive lesion to truncal acne treatment was scars (atrophic/hypertrophic). The most commonly used treatments for each non-inflammatory and inflammatory truncal acne lesions were selected to use topical retinoids (78.1% of the responders) and oral antibiotics (93.8% of the responders).
Conclusion
Our study has yielded valuable insights into the epidemiology, clinical manifestations, diagnosis, treatment, and quality of life of patients with truncal acne. We anticipate that this study will inspire further comprehensive research for individuals with truncal acne.
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