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Acne severity and the Global Acne Grading System in polycystic ovary syndrome.
Int J Gynaecol Obstet. 2013 Oct; 123(1):33-6.IJ

Abstract

OBJECTIVE

To evaluate the association between acne, quantified by the Global Acne Grading System (GAGS), and abnormal clinical and laboratory markers of androgen excess in patients with polycystic ovary syndrome (PCOS).

METHODS

The retrospective study included 133 patients with PCOS. Acne severity was quantified with the GAGS score, alopecia was graded with the Ludwig classification, and hirsutism was quantified with a modified Ferriman-Gallwey (FG) score.

RESULTS

The mean GAGS score was significantly greater in younger women, those with a lower BMI, and those with a higher FG score. There was no relation between the mean GAGS score and waist circumference, waist/hip ratio, androgen hormone levels (free testosterone, total testosterone, or dehydroepiandrosterone sulfate), sex-hormone-binding globulin level, or menstrual irregularity. Alopecia was significantly associated with an increased waist/hip ratio; there was no relation between alopecia and age, waist circumference, body mass index, FG score, androgen hormone levels, or menstrual irregularity. A weak positive correlation was observed between the GAGS and FG scores.

CONCLUSION

The GAGS may provide more precise and comprehensive information about acne severity in obese or hirsute patients with PCOS because this grading system includes evaluation of the type (comedones, papules, pustules, nodules) and location (anatomic area) of acne lesions.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, School of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. Electronic address: servetozden@comu.edu.tr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23948280

Citation

Hacivelioglu, Servet, et al. "Acne Severity and the Global Acne Grading System in Polycystic Ovary Syndrome." International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 123, no. 1, 2013, pp. 33-6.
Hacivelioglu S, Gungor AN, Gencer M, et al. Acne severity and the Global Acne Grading System in polycystic ovary syndrome. Int J Gynaecol Obstet. 2013;123(1):33-6.
Hacivelioglu, S., Gungor, A. N., Gencer, M., Uysal, A., Hizli, D., Koc, E., & Cosar, E. (2013). Acne severity and the Global Acne Grading System in polycystic ovary syndrome. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 123(1), 33-6. https://doi.org/10.1016/j.ijgo.2013.05.005
Hacivelioglu S, et al. Acne Severity and the Global Acne Grading System in Polycystic Ovary Syndrome. Int J Gynaecol Obstet. 2013;123(1):33-6. PubMed PMID: 23948280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acne severity and the Global Acne Grading System in polycystic ovary syndrome. AU - Hacivelioglu,Servet, AU - Gungor,Ayse Nur Cakir, AU - Gencer,Meryem, AU - Uysal,Ahmet, AU - Hizli,Deniz, AU - Koc,Evrim, AU - Cosar,Emine, Y1 - 2013/08/12/ PY - 2013/02/07/received PY - 2013/04/30/revised PY - 2013/06/25/accepted PY - 2013/8/17/entrez PY - 2013/8/21/pubmed PY - 2014/5/7/medline KW - Acne vulgaris KW - Alopecia KW - Gynecology KW - Hirsutism KW - Hyperandrogenism KW - Polycystic Ovary Syndrome KW - Testosterone SP - 33 EP - 6 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 123 IS - 1 N2 - OBJECTIVE: To evaluate the association between acne, quantified by the Global Acne Grading System (GAGS), and abnormal clinical and laboratory markers of androgen excess in patients with polycystic ovary syndrome (PCOS). METHODS: The retrospective study included 133 patients with PCOS. Acne severity was quantified with the GAGS score, alopecia was graded with the Ludwig classification, and hirsutism was quantified with a modified Ferriman-Gallwey (FG) score. RESULTS: The mean GAGS score was significantly greater in younger women, those with a lower BMI, and those with a higher FG score. There was no relation between the mean GAGS score and waist circumference, waist/hip ratio, androgen hormone levels (free testosterone, total testosterone, or dehydroepiandrosterone sulfate), sex-hormone-binding globulin level, or menstrual irregularity. Alopecia was significantly associated with an increased waist/hip ratio; there was no relation between alopecia and age, waist circumference, body mass index, FG score, androgen hormone levels, or menstrual irregularity. A weak positive correlation was observed between the GAGS and FG scores. CONCLUSION: The GAGS may provide more precise and comprehensive information about acne severity in obese or hirsute patients with PCOS because this grading system includes evaluation of the type (comedones, papules, pustules, nodules) and location (anatomic area) of acne lesions. SN - 1879-3479 UR - https://www.unboundmedicine.com/medline/citation/23948280/Acne_severity_and_the_Global_Acne_Grading_System_in_polycystic_ovary_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7292(13)00325-1 DB - PRIME DP - Unbound Medicine ER -