Efficacy of Oral Zinc Sulphate in Patients of Acne Vulgaris

Oral Zinc Sulphate in Patients of Acne Vulgaris

Authors

  • Mahwish Javed Department of Dermatology, Continental Medical College, Lahore, Pakistan
  • Rabia Mukhtar Department of Dermatology, Amna Inayat Medical College, Lahore, Pakistan
  • Muneeza Qamar Department of Dermatology, Gulab Devi Al Aleem Medical College, Lahore, Pakistan
  • Wajeeha Nusrat Department of Dermatology, Mayo Hospital, Lahore, Pakistan
  • Ayesha Aqeel 5Department of Dermatology, District Headquarters Hospital, Khanewal, Pakistan
  • Tariq Rashid Department of Dermatology, Jinnah Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i4.2683

Keywords:

Acne, Oral Zinc Sulphate, Global Acne Grading System, Treatment

Abstract

Acne is a chronic condition that affects pilosebaceous units, which manifest as either inflammatory or non-inflammatory lesions. Objective: To determine the efficacy of oral zinc sulphate in patients with acne vulgaris. Methods: An observational study was held at the OPD Department of Dermatology, Jinnah Hospital-Lahore, Pakistan, which enrolled 93 patients. The Global Acne Grading System was used to evaluate acne severity. These patients were given oral zinc sulphate 220mg twice a day for 3 months. Efficacy of treatment was labelled if there was ≥50% reduction in the baseline GAGS score at the end of 3 months of treatment. All the data were processed by SPSS version 26.0. Frequency and percentages were used for categorical parameters. The chi-square test was applied, in which a p-value<0.05 was considered significant. Results: It involved cheeks and nose in 26 (28.0%) patients, followed by forehead and chin in 23 (24.7%) patients. Efficacy of treatment was observed in 53 (57.0%) patients. An insignificant difference in the frequency of efficacy across various subgroups was observed. The percent reduction in mean GAGS score from baseline ranged from 25.0% to 75.0%, with a mean of 51.2 ± 11.9%, with a significant p-value of 0.001*. There was a statistically insignificant difference in the frequency of efficacy across various subgroups based on patients’ age, gender and severity (p-value=0.870) of disease and baseline GAGS score (p-value=0.993). Conclusions: It was concluded that almost 57% of patients with mild to moderate acne showed improvement in their disease progression with oral zinc sulphate treatment. It was cost-effective with easy availability.

References

Zaenglein AL, Pathy AL, Schlosser BJ, Alikhan A, Baldwin HE, Berson DS et al. Guidelines of Care for the Management of Acne Vulgaris. Journal of the American Academy of Dermatology. 2016 May; 74(5): 945-73. doi: 10.1016/j.jaad.2015.12.037. DOI: https://doi.org/10.1016/j.jaad.2015.12.037

Yee BE, Richards P, Sui JY, Marsch AF. Serum Zinc Levels and Efficacy of Zinc Treatment in Acne Vulgaris: A Systematic Review and Meta‐Analysis. Dermatologic Therapy. 2020 Nov; 33(6): e14252. doi: 10.1111/dth.14252. DOI: https://doi.org/10.1111/dth.14252

Tolino E, Skroza N, Mambrin A, Proietti I, Bernardini N, Balduzzi V et al. An Open-Label Study Comparing Oral Zinc to Lymecycline in the Treatment of Acne Vulgaris. The Journal of Clinical and Aesthetic Dermatology. 2021 May; 14(5): 56.

Cervantes J, Eber AE, Perper M, Nascimento VM, Nouri K, Keri JE. The Role of Zinc in the Treatment of Acne: A Review of the Literature. Dermatologic Therapy. 2018 Jan; 31(1): e12576. doi: 10.1111/dth.12576. DOI: https://doi.org/10.1111/dth.12576

Butool F, Mohammed A, Syed PA, Mohammed RA. Role of Serum Zinc and Copper Levels in Patients with Acne Vulgaris. Journal of Orofacial Research. 2019; 8(4): 71-5.

Rumu H, Ferdous R, Jhumu S, Akand MR, Nargis F, Zarin IZ. The Association between Serum Zinc Levels and Zinc Supplementation in Topical Retinoids Treated Acne Vulgaris Patients: A Randomized, Double-Blind, Placebo-Controlled Trial. Sch J App Med Sci. 2023 Sep; 9: 1700-6. doi: 10.36347/sjams.2023.v11i09.018. DOI: https://doi.org/10.36347/sjams.2023.v11i09.018

Layton AM, Thiboutot D, Tan J. Reviewing the Global Burden of Acne: How Could We Improve Care to Reduce the Burden? British Journal of Dermatology. 2021 Feb; 184(2): 219-25. doi: 10.1111/bjd.19477. DOI: https://doi.org/10.1111/bjd.19477

Moazen M, Mazloom Z, Jowkar F, Nasimi N, Moein Z. Vitamin D, Adiponectin, Oxidative Stress, Lipid Profile, And Nutrient Intakes in the Females with Acne Vulgaris: A Case-Control Study. Galen Medical Journal. 2019 Aug; 8: e1515. doi: 10.31661/gmj.v8i0.1515. DOI: https://doi.org/10.31661/gmj.v8i0.1515

Sayyafan MS, Ramzi M, Salmanpour R. Clinical Assessment of Topical Erythromycin Gel with and without Zinc Acetate for Treating Mild-To-Moderate Acne Vulgaris. Journal of Dermatological Treatment. 2020 Oct; 31(7): 730-733. doi: 10.1080/09546634.2019.1606394. DOI: https://doi.org/10.1080/09546634.2019.1606394

Almosilhy NA, Ghattas AS, AlEdani EM. The Effect of Vitamins and Minerals on Acne Vulgaris Treatment. InNutrition and Acne Vulgaris: A Concise Guide to the Effects of Diet on Adolescent and Adult Acne. Cham: Springer Nature Switzerland. 2025 Apr: 83-102. doi: 10.1007/978-3-031-83677-0_6. DOI: https://doi.org/10.1007/978-3-031-83677-0_6

Marasca C, Ruggiero A, Cacciapuoti S, Fabbrocini G, Annunziata MC. Probiotic Supplement Combined with Topical Therapy in the Treatment of Mild to Moderate Acne: Results from an Italian Single Centre Interventional Study. Italian Journal of Dermatology and Venereology. 2022 Sep; 157(6): 510-4. doi: 10.23736/S2784-8671.22.07361-3. DOI: https://doi.org/10.23736/S2784-8671.22.07361-3

Zoroddu MA, Aaseth J, Crisponi G, Medici S, Peana M, Nurchi VM. The Essential Metals for Humans: A Brief Overview. Journal of Inorganic Biochemistry. 2019 Jun; 195: 120-9. doi: 10.1016/j.jinorgbio.2019.03.013. DOI: https://doi.org/10.1016/j.jinorgbio.2019.03.013

Podgorska A, Puścion-Jakubik A, Markiewicz-Żukowska R, Gromkowska-Kępka KJ, Socha K. Acne Vulgaris and Intake of Selected Dietary Nutrients—A Summary of Information. In Healthcare. 2021 Jun; 9(6): 668. doi: 10.3390/healthcare9060668. DOI: https://doi.org/10.3390/healthcare9060668

Sitohang IB, Yahya YF, Simanungkalit R, Winarni DR, Madjid A. Efficacy and Tolerability of Topical Nicotinamide Plus Antibacterial Adhesive Agents and Zinc-Pyrrolidone Carboxylic Acid Versus Placebo as an Adjuvant Treatment for Moderate Acne Vulgaris in Indonesia: A Multicenter, Double-Blind, Randomized, Controlled Trial. The Journal of Clinical and Aesthetic Dermatology. 2020 Jul; 13(7): 27.

Usmani TM, Alam SM, Ghafoor R, Latif AQ, Saeed F. Association of Serum Zinc Levels with Acne Vulgaris: A Case-Control Study: Association of Serum Zinc Levels with Acne Vulgaris. Pakistan Journal of Health Sciences. 2022 Dec: 195-8. doi: 10.54393/pjhs.v3i07.424. DOI: https://doi.org/10.54393/pjhs.v3i07.424

Sultana T, Akter A, Zohra FT, Rahman MQ, Kabir Y. Association of Serum Zinc and Vitamin E Levels with Acne Vulgaris in Bangladeshi Acne Patients. Journal of Bangladesh Academy of Sciences. 2021 Jul; 45(1): 49-58. doi: 10.3329/jbas.v45i1.54259. DOI: https://doi.org/10.3329/jbas.v45i1.54259

Zemrani B and Bines JE. Recent Insights into Trace Element Deficiencies: Causes, Recognition and Correction. Current Opinion in Gastroenterology. 2020 Mar; 36(2): 110-7. doi: 10.1097/MOG.0000000000000612. DOI: https://doi.org/10.1097/MOG.0000000000000612

Chandra S. Evaluation of Serum Zinc Levels in Acne Patients: A Case-Control Study. Journal of Advanced Medical and Dental Sciences Research. 2021 Jun; 9(6):57-9.

Zou P, Du Y, Yang C, Cao Y. Trace Element Zinc and Skin Disorders. Frontiers in Medicine. 2023 Jan; 9: 1093868. doi: 10.3389/fmed.2022.1093868. DOI: https://doi.org/10.3389/fmed.2022.1093868

Sevimli Dikicier B. Topical Treatment of Acne Vulgaris: Efficiency, Side Effects, and Adherence Rate. Journal of International Medical Research. 2019 Jul; 47(7): 2987-92. doi: 10.1177/0300060519847367. DOI: https://doi.org/10.1177/0300060519847367

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Published

2025-04-30
CITATION
DOI: 10.54393/pjhs.v6i4.2683
Published: 2025-04-30

How to Cite

Javed, M., Mukhtar, R. ., Qamar, M., Nusrat, W., Aqeel, A., & Rashid, T. (2025). Efficacy of Oral Zinc Sulphate in Patients of Acne Vulgaris: Oral Zinc Sulphate in Patients of Acne Vulgaris. Pakistan Journal of Health Sciences, 6(4), 206–209. https://doi.org/10.54393/pjhs.v6i4.2683

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