1. Poster no:AC/05 Does hair oil worsen acne ??

2. Introduction Aim of the study: Inclusion criteria
Hair oil is used since ancient times for hair grooming and cosmesis
Various types of hair oils are used all over worldwide
This practice is more common in blacks compared to whites
It is directly used over scalp or face
Methodology of the study
Inclusion criteria
Patients of both sex of age group between years were taken
Patients using hair oil for more than 1 year.
Patient ready to be a part of the study
Exclusion criteria
Patients of acne with a co-associated skin disorder or a psychiatric problem
Pregnant females
Females with menstrual irregularities or symptoms of PCOS
Protocol followed
Duration of the study was 3 months
Sample size 50 patients(25 cases ,25 controls)
After taking consent 25 cases of acne vulgaris coming to our OPD were randomly taken in the study
25 patients of any other dieseases were taken in the control group
History and examination were done according to the proforma
Aim of the study:
To study the effect and prevalence of hair oil on the occurrence of acne vulgaris in 25 patients and comparing with 25 controls

3. Severity of eruptions were scored on 5 point scale
Grade 1: clinically insignificant acne less than three lesions
Grade 2: four to ten comedones
Grade 3: 11 to 30 comedones
Grade 4: 31 to 50 comedones with some inflammatory pustules
Grade5: more than 50 comedones with papulo-pustules
Observation
It was found out that patients with acne vulgaris gave a history of hair oil applications 5– 7 times per week as compared to the control group as 2-4 times per week
The severity of acne varied with the application of oil/week,more in cases appling everyday/week.
Grade 2&3 in seen in majority of cases with acne
60% of patients had forehead acne

4. Observation Discussion
A great variety of chemicals can induce an acneiform eruption upon contact with human skin.
The lesions are close set rather uniform,closed comedones with strict follicular keratinization
In India use of vegetable oils, coconut oil , almond oil, olive oil and rye oil is popular
Oil forms an occlusive film over the applied area and causes comedogenesis and aggravation of acne in the acne prone areas
Oil also stimulates proliferation of P. Acnes Oil contains lipids. Lipid is the scientific term for the fatty acids and steroids

5. Conclusion
Hot and humid climate of mumbai may aggravate the situation
Larger studies are required to confirm the findings
Hair oil application is a precipitating factor in the etiology of acne vulgaris
Forehead acne was present in almost all the patients with higher frequency of hair oil application
REFERENCES:-
1)Dugois P, Amblard P, Aimard M: Acne Chlorique Collective et Accidentelle d'un type nouveau. Lyon Med 219: , 1968.
2. Bleiberg J, Wallen M, Bradken R, et al: Industrially acquired porphyria. Arch Derm 89:793\x=req-\ 797, 1969.
3. Berlin C: Acne comedo in children due to paraffin oil applied on the head. Arch Derm69: , 1954.
4. Gougerot H, Carteaud A, Grupper E: Epidemie de Coedons par les Brillantines, Cremes etc. degerer. Bull Soc
Franc Derm Syph 52: , 1945.
5. Tzanck A, Side E, Dobkevitch S: Nombreux cas d'eruption Acneiforme prevoques parune brillantine de fabrication recente. Bull Soc Franc Derm Syph 52:131, 1945
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