Citation

Claire KS, Lake EP. Journal of the Dermatology Nurses' Association 2018; 10(1): S11-S14.

Copyright

(Copyright © 2018)

DOI

10.1097/JDN.0000000000000361

PMID

unavailable

Abstract

Acne vulgaris is one of the most common medical conditions encountered in dermatology and primary care settings, affecting up to 50 million Americans annually. It is a disease of the pilosebaceous unit characterized by microcomedones, papules, pustules, and nodules that primarily affect the face, upper chest, and back. Although acne is commonly considered an oily disease of puberty, it is important to recognize that acne has various presentations, sequelae, and effects on quality of life in different populations. African Americans aremore prone to scarring, hyperpigmentation, and keloid formation. Adult women may present clinically with dry skin and have more severe acne flares across the menstrual cyclewith agreaterpsychological impact. Acne presenting in childhood should raise suspicion for various endocrinopathies if other clinical signs of androgen excess are present such as accelerated height velocity, enlarged genitalia, or pubic hair and are concurrent with advanced bone age. It is important for medical practitioners to familiarize themselves with these differing presentationsandsequelae in specific populations to provide adequate evaluations and treatment regimens. © 2018 Lippincott Williams and Wilkins. All rights reserved.

Language: en

Keywords

adolescent; adult; human; suicide; child; female; infant; quality of life; depression; sex difference; childhood; anxiety; disease severity; acne; isotretinoin; pathogenesis; pregnancy; African American; acne vulgaris; primary medical care; risk; physician; mental health care; differential diagnosis; priority journal; headache; practice guideline; steroid; doxycycline; disease exacerbation; onset age; Acne; scar formation; race difference; tetracycline derivative; gestagen; antibiotic agent; thorax; menstrual cycle; oral contraceptive agent; androgen; estrogen; prasterone; puberty; endocrine disease; precocious puberty; salicylic acid; Childhood; African Americans; cellulitis; teratogenicity; antibiotic therapy; unspecified side effect; sunscreen; face; azelaic acid; benzoyl peroxide; clindamycin; erythromycin; papule; pustule; retinoic acid; sulfur; hyperandrogenism; Article; hypertriglyceridemia; dry skin; hyperpigmentation; retinoid; Cushing syndrome; keloid; rifampicin; infliximab; ethinylestradiol; hyperbilirubinemia; folliculitis; keratolytic agent; lifestyle modification; acne conglobata; Propionibacterium acnes; suppurative hidradenitis; pubic hair; ertapenem; blepharoconjunctivitis; congenital adrenal hyperplasia; triamcinolone; meta analysis (topic); excision; hypertransaminasemia; dermatologist; pilonidal sinus; acne keloidalis; acne mechanica; Adult women; back; laser therapy; patient registry; postinflammatory hyperpigmentation; sebaceous gland; sebum secretion; Special Populations; sports induced acne