Acne

Overview


Plain-Language Overview

Acne is a common skin condition that mainly affects the hair follicles and sebaceous glands. It usually appears on the face, chest, and back, causing pimples, blackheads, and sometimes painful cysts. This condition occurs when pores become clogged with oil, dead skin cells, and bacteria, leading to inflammation. Hormonal changes during puberty often trigger acne, but it can affect people of all ages. While acne primarily impacts the skin, it can also affect a person's self-esteem and social interactions due to its visible nature.

Clinical Definition

Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous unit characterized by comedones, papules, pustules, and sometimes nodules or cysts. It results from increased sebum production driven by androgen stimulation, abnormal keratinization leading to follicular plugging, colonization by the anaerobic bacterium Cutibacterium acnes, and subsequent inflammation. The condition predominantly affects adolescents but can persist or present in adults. The major clinical significance lies in its potential to cause scarring and post-inflammatory hyperpigmentation, which can have lasting cosmetic and psychological effects.

Inciting Event

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Latency Period

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Diagnostic Delay

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Clinical Presentation


Signs & Symptoms

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History of Present Illness

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Past Medical History

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Family History

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Physical Exam Findings

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Diagnostic Workup


Diagnostic Criteria

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Pathophysiology


Key Mechanisms

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Organs

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Tissues

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Cells

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Chemical Mediators

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Treatments


Pharmacological Treatments

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Non-pharmacological Treatments

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Prevention


Pharmacological Prevention

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Non-pharmacological Prevention

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Outcome & Complications


Complications

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Short-term Sequelae

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Long-term Sequelae

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Differential Diagnoses


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Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

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