Evidence map›Paper›PMID 29377341›Full record

ReviewJournal of the European Academy of Dermatology and Venereology : JEADV2018

The influence of exposome on acne.

B Dréno, V Bettoli, E Araviiskaia, M Sanchez Viera, A Bouloc

Abstract readConsensus StatementReview
In one paragraph

Review in Journal of the European Academy of Dermatology and Venereology : JEADV, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. A wake-up call for acne.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  6. Review
  7. Review
  8. Review
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  10. Review
  11. Article
  12. Article
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  16. Obesity: A Modulator in Acne Management.Acta dermato-venereologica · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Vitamin D in the Prevention and Treatment of Inflammatory Skin Diseases.International journal of molecular sciences · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

B DrénoService de Dermatologie, CIC 1413, CRCINA Inserm 1232, University Hospital Nantes, Nantes, France.
V BettoliDepartment of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy.
E AraviiskaiaDepartment of Dermatology, First Pavlov State Medical University of St. Petersburg, St. Petersburg, Russia.ORCID http://orcid.org/0000-0002-6378-8582
M Sanchez VieraSkin Health, Aging and Cancer, Institute for Dermatology, Madrid, Spain.
A BoulocLaboratoires Vichy, Levallois Perret, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcne vulgaris is one of the main reasons for dermatological consultations. Severity and response to treatment may be impacted by various external factors or exposome.

aimTo assess the impact of environmental factors on acne and to provide a comprehensive overview of the acne exposome.

methodsTwo consensus meetings of five European dermatologists and a comprehensive literature search on exposome factors triggering acne served as a basis for this review.

resultsAcne exposome was defined as the sum of all environmental factors influencing the occurrence, duration and severity of acne. Exposome factors impact on the response and the frequency of relapse to treatments by interacting with the skin barrier, sebaceous gland, innate immunity and cutaneous microbiota. They may be classified into the following six main categories: nutrition, psychological and lifestyle factors, occupational factors including cosmetics, as well as pollutants, medication and climatic factors. Moreover, practical considerations for the dermatologist's clinical practice are proposed.

conclusionExposome factors including nutrition, medication, occupational factors, pollutants, climatic factors, and psychosocial and lifestyle factors may impact on the course and severity of acne and on treatment efficacy. Identifying and reducing the impact of exposome is important for an adequate acne disease management.

Indexed as

Acne VulgarisDietAir PollutantsClimateConsensusCosmeticsDrug-Related Side Effects and Adverse ReactionsHormonesHumansLife StyleSeverity of Illness IndexTreatment OutcomeAir PollutantsCosmeticsHormones

Identifiers

PMID29377341
PMCPMC5947266

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.