Scarring may occur in 45% to 55% of acne patients, it may produce significant psychopathology, and it is challenging to treat.1,2,3 Identifying factors associated with acne scars may assist in their prevention strategy. We conducted a cross-sectional study to investigate clinical factors associated with acne facial scarring at first visit, including age, sex, smoking, family history of acne, and the history of previous acne treatments. Active acne on the face was graded by the Global Evaluation of Acne (GEA) scale (0-5), as previously described.4 The presence of acne scars (atrophic or hypertrophic) on the face, or macular erythema, was recorded. The hospital IRB approved the study. Statistical significance level was set at P < 0.05.
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