A five-year clinical acne patients profiles and its management based on Indonesian acne expert guideline in Bandung, Indonesia

Background Acne vulgaris (AV) is a chronic inflammatory pilosebaceous follicular disease, with significant psychosocial impact and challenging in its management. Data in Indonesian population is still lacking. This study also highlights AV management according to Indonesian Acne Expert Meeting (IAEM) guideline, which was introduced and implemented nationally since 2012. Aim To analyse a five-year AV clinical profile and its management in Dermatology Outpatient Clinic, Dr. Hasan Sadikin General Hospital, a tertiary teaching hospital in Bandung, Indonesia. Materials and Methods A descriptive retrospective study was conducted from January 1st, 2012 to December 31st, 2016, with total sampling data from outpatient’s medical records. Results In this study 670 medical records collected, consisted of 77.16% female and 22.84% male patients. Most prevalent AV was found in females at ages 20-24 years (39.10%), followed by ages 15-19 years (32.25%), and in males at ages 15-19 years (11.94%). In female patients, AV were still found as much as 2.39% at age 35-39 years and 3.28% at age >40 years. By Lehman classification, 332 patients (49.55%) were diagnosed as mild, 292 (43.58%) moderate and 46 (6.87%) as severe AV. The most used topical preparation were combination of tretinoin, benzoyl peroxide and topical erythromycin or clindamycin in 567 (85.9%) patients. Doxycycline was almost always prescribed antibiotics for systemic treatment in accordance with acne severity (99.03%), followed with azithromycin. Patients with mild acne were not given systemic antibiotics. Conclusion This study showed adolescent AV similar in both gender group, and there were manifestations of adults AV in the female group. Most patients even with mild AV generally seek medication. The management of AV generally were found to be consistent with IAEM guideline recommendation.