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Abstract The objective of this study was to investigate relation between MMP-9 in blood of acne patients and disease severity and its possible use as a biomarker of acne severity. Samples were collected from 45 patients with mild to moderate acne vulgaris. They were selected from Dermatology out-patient clinic in Menoufia University hospital. A group of 20 normal controls were selected matched for age and sex. Every patient was subjected to complete history taking, general examination, local examination of acne vulgaris. The results of the present study revealed the following: , 22 males (48.89%) and 23 females (51.11%), their age ranged from 17-25 years with a mean ± SD of 20.067 ± 1.935 and 20 control subjects matched for age and sex, 13 males (65.00%) and 7 females (35.00%), their age ranged from 17-25 with a mean ± SD of 20.650 ± 2.758. The acne patients were divided into 3 groups: mild, moderate and severe, each group included 15 patients. Regarding MMP-9 level in acne patients, the mean ± SD was 32.896 ± 28.926 while the level of controls was with a mean ± SD of 11.818 ± 7.580. There was a significant difference in the level of MMP-9 between patients and controls with a P-value of 0.002. Using ANOVA test, MMP-9 level in the group with mild acne was found to have a mean ± SD of 13.689 ± 3.675 while in moderate acne group, mean ± SD of 23.679 ± 7.022, and that for severe group had a mean ± SD of 61.320 ± 34.857. Tukey’s test showed a significant difference between mild and severe group <0.001 also between moderate and severe <0.001. There was an association between MMP-9 blood levels and the number of regions with inflammatory nodules and pustules but not with scars. MMP-9 level did not correlated with duration of illness, age or sex of the patients. PDF created |