WHAT YOU NEED TO KNOW ABOUT ACNE VULGARIS Acne vulgaris is a common inflammatory skin condition.
Although often perceived as a self limited disease of adolescence, its
prevalence remains high into adulthood. Nearly 90% of teenagers have
acne, and half of them continue to experience symptoms as adults.1 2 3 By age 40 years, 1% of men and 5% of women still have lesions.4 Recent analyses show an increasing prevalence of acne in children, perhaps because of pubertal onset.5
Given
that acne may persist for decades and require long term therapy, there
has been a recent effort to reclassify acne as a chronic disease.2 6 Acne has clear detrimental psychosocial effects and may lead to permanent scarring.7
It is therefore not surprising that patients are motivated to seek
medical care. In the United Kingdom, acne accounts for more than 3.5
million annual visits to general practitioners,3 8
who must therefore be equipped to treat acne. Several prominent
groups—including the Global Alliance to Improve Outcomes in Acne, the
European Dermatology Forum, and the American Academy of Dermatology—have
published comprehensive treatment recommendations detailing comparable
therapeutic strategies.9 10 11 Here we provide a streamlined outline of treatment intended for the non-specialist.
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