• Felix Boon-Bin Yap.
• Department of Dermatology, Sarawak General Hospital, Jalan Hospital, Sarawak, Department of Dermatology and Clinical Research Centre, Kuala Lumpur Hospital, Jalan Pahang, Kuala Lumpur, Malaysia. woodzlamp@yahoo.com
• Ann Dermatol. 2012 May 1; 24 (2): 158-61.

BackgroundAcne is considered a cosmetic nuisance in Malaysia since no insurance coverage is provided for its treatment. Its psychological impact is unknown.ObjectiveThe aim of this study is to determine the impact of acne on quality of life and its relationship with severity.MethodsA cross-sectional study using the Cardiff acne disability index (CADI) and Global Acne Grading System for acne severity grading was done in three government-run dermatology clinics in Sarawak, Malaysia.ResultsThe study cohort of 200 patients had a mean CADI score of 5.1. Most of the patients (59.5%) had mild CADI impairment, with the domain of feelings most affected. Patients with a family income <1,000 United States Dollor/month had a higher mean CADI (mean 5.5 vs. 4.4; p=0.04). Females, indigenous groups, and patients with tertiary education tended to have more severe CADI impairment (p>0.05). The correlation between CADI and mild acne severity was low (Pearson correlation coefficient=0.35; p<0.001) but became insignificant for moderate and severe acne.ConclusionAcne impairment in Sarawak was moderate and must be addressed. It should be viewed as a psychologically disabling disease requiring optimal management and resource allocation.

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