Severity of acne was determined using the global acne grading
was done according to consensus conference criteria into grade 1, 2 or 3.12 Postacne scars were graded from 1 to 4 as per a qualitative acne scar grading scale explained elsewhere.13 In the present study, grade 1 and 2 of acne scars were clubbed as non-significant scarring, and grade 3 and 4 were clubbed as significant scarring.
25 female patients aged between 16-35 years who failed to respond to novel conventional treatments of acne were selected and subjected to hormonal assessment based on Global Acne Grading
The outcome of the therapy was based on the improvement in the global acne grading
system (GAGS) score and patients' satisfaction with the treatment in the 4-point scale.
Acne was graded based on the grading by Indian authors and by the Global Acne Grading
A total of 110 patients, clinically diagnosed with moderate and severe acne vulgaris according to Global Acne Grading
System by Doshi et al.
Inflammatory and noninflammatory acne lesion counts, microcomedones, acne grading
scale scores, and Dermatology Life Quality Index scores improved similarly in all three groups after 3 months.
Study subjects showed improvement in acne severity and overall quality of life after 8 weeks, assessed by the Leeds revised acne grading
system and the Assessment of the Psychological and Social Effects of Acne (APSEA).
Although more than 25 systems are in existence for acne grading
, there is neither a gold standard nor a standardized system consistently used in research or clinical practice.
Females were just as likely as males to have truncal acne, and most of it was mild to moderate (based on a trunk-specific acne grading
system that Dr.
Global Acne Grading
system was used to divide patients into mild and moderate acne vulgaris.
The severity of acne was assessed by the Global Acne Grading