Table 1.
Proforma
| History of presenting acne complaint | |
|---|---|
| History of acne trigger factors (subjective) | None |
| What causes or exacerbates acne according to you? | Cosmetics |
| Drugs* | |
| Prescription/nonprescription (including vitamin supplements) | |
| Hormonal/nonhormonal | |
| Oily food (patient perception) | |
| Premenstrual flare Travel | |
| Personal history for objective assessment of acne trigger | |
| Dietconsumption (days/week) | What type of milk do you consume and how frequently? (skimmed/partially skimmed/whole) |
| What are the various dairy products (cheese/yogurt) you consume and how frequently? | |
| What are the various starchy food and processed foods you consume (pasta/bread/rice) and how frequently? | |
| What are the various oily foods you consume and how frequently? | |
| How frequently do you eat fruits, vegetables, fish, and dietary fibers? | |
| Assessment of glycemic index of foods† | |
| Cosmetics (frequency and duration) | Which sunscreen do you use and how frequently? |
| Which fairness cream do you use and how frequently? | |
| Which foundation do you use and how frequently? | |
| What is the frequencyof getting Facial? | |
| Assessment of cosmetics for comedogenic ingredients‡ | |
| Stress¦ | None |
| Mild | |
| Moderate | |
| Severe | |
| Sleep-wake cycle‖ | Adequate |
| Inadequate | |
| Smoking | Smoker/nonsmoker |
*Drug history included androgens, anticonvulsants, antidepressants, antipsychotics, antitubercular drugs, and antivirals. Drugs causing acneiform eruptions such as corticosteroids were excluded (only acne vulgaris assessed). †based on glycemic index chart[13], ‡Based on data derived from previous studies[14][15], §Perceived stress scale, Mild—low stress: Moderate—moderate stress; Severe—high perceived stress. ‖Pittsburgh sleep quality index (PSQI) score >5—inadequate sleep (poor sleepers)