Un travail très récent des équipes anglaises sur une métaanalyse de 17 études prouve que l'acné elle même est associée à la dépression. Il faut admettre que c'est logique - lorsqu'on a le visage plein de bouton à l'adolescence, cela ne renforce pas l'image de soi…
[FONT=arial][URL="http://www.ncbi.nlm.nih.gov/pubmed/24635060#"]Clin Exp Dermatol.[/URL] 2014 Apr;39(3):273-7; quiz 277-8. doi: 10.1111/ced.12270.[/FONT]
What's new in acne? An analysis of systematic reviews published in 2011-2012.
[FONT=arial][URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Bhate%20K%5BAuthor%5D&cauthor=true&cau thor_uid=24635060"]Bhate K[/URL]1, [URL="http://www.ncbi.nlm.nih.gov/pubmed?term=Williams%20HC%5BAuthor%5D&cauthor=true &cauthor_uid=24635060"]Williams HC[/URL].[/FONT]
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[FONT=arial]Abstract
This review summarizes important clinical developments in acne vulgaris identified from 17 systematic reviews published between February 2011 and August 2012. Regarding causes, Demodex mites have been shown to be associated with both acne vulgaris and rosacea, although it is unclear if their eradication improves either disease. Some weak evidence has emerged that suggests a possible link between dairy produce and acne, which warrants further research. With reference to the effects of acne, there is good evidence that acne negatively affects quality of life, self-esteem and mood in adolescents. Acne is also associated with an increased risk of anxiety, depression and suicidal ideation, highlighting the importance of asking patients with acne directly about psychological issues in order to identify those who might benefit from early psychiatric support. Regarding treatment, there seems to be no additional benefit to using higher strengths of benzoyl peroxide, and lower strengths such as 2.5% have fewer side effects. Despite earlier concerns of increased mortality in those using topical tretinoin for skin cancer prevention, a systematic review on this topic has not found any convincing evidence of a link between such non-cutaneous events and once-daily application of 0.02-0.05% tretinoin. Combined oral contraceptives are of benefit in both inflammatory and non-inflammatory acne. Current surveys suggest that implementation of the pregnancy prevention programme for isotretinoin may not be stringent, and a high level of monitoring and audit is recommended. Ablative and non-ablative laser resurfacing for the treatment of acne scars may be beneficial, but further studies with a longer follow-up period are required.
© 2014 British Association of Dermatologists.
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[URL="http://www.lemonde.fr/sante/article/2014/02/05/hausse-alarmante-des-tentatives-de-suicide-chez-les-jeunes-filles_4360146_1651302.html"]Une adolescente sur cinq a déjà tenté de se suicider[/URL]
A 15 ans, près de 21 % des filles et près de 9 % des garçons ont déjà tenté de se suicider. La revue de formation médicale Le Concours médical, dans son numéro de janvier, dévoile les premiers résultats d'une enquêteépidémiologique menée conjointement par la faculté de médecine et l'Institut universitaire de santé public de Poitiers et l'Observatoire régional de la santé d'Alsace.
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L'information ou le conseil en ligne ne sont pas des consultations médicales et ne doivent exonérer ni le médecin ni le patient d'une véritable consultation avec une anamnèse et un examen clinique qui seuls peuvent permettre d'aboutir à un diagnostic et à une prescription.
Dr Philippe Abimelec, Dermatologue