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Updated: Jul 15, 2026

A Rat Model of Compound Acne
Published on: November 1, 2024
Body dysmorphic disorder symptoms among patients with acne vulgaris
Whitney P Bowe1, James J Leyden, Canice E Crerand
1Department of Dermatology, The Children's Hospital of Philadelphia, USA.
Background:
Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning.
Objective:
We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity.
Methods:
We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer.
Results:
Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy.
Limitations:
Cross-sectional study design is a limitation.
Conclusion:
A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.
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