acne%20vulgaris
ACNE VULGARIS
Acne vulgaris is a chronic inflammatory dermatosis which is notable for open and/or closed comedones (blackheads and whiteheads) and inflammatory lesions including papules, pustules or nodules.
Mild acne has <20 comedones or <15 inflammatory lesions or <30 total lesion count.
Moderate acne has 20-100 comedones or 15-20 inflammatory lesions or 30-125 total lesion count.
Severe papules/pustules or nodulocystic acne is the acne resistant to topical treatment or if scarring/nodular lesions are present.

Acne%20vulgaris Patient Education

Patient Education

  • Good communication between clinician and patient is important
    • Noncompliance is the most common cause of treatment failure
    • Adolescents may be sensitive to actual or supposed lack of acceptance on the part of their physicians
    • By giving the patient clear guidelines and realistic expectations, noncompliance can be avoided
  • Patient should be made aware that treatment will control acne, not cure it
    • Many acne sufferers expect to be disappointed with the results of treatment
    • Long-term therapy is required to control lesions
    • Acne tends to be less active as age increases
  • Let patient know that acne medication will take up to 8-12 weeks to work and there is no "quick-fix"

Diet and Acne

  • No specific recommendations are available for the correlation of diet and acne severity, therefore patients advise should be individualized
  • Several studies have suggested that food with high glycemic content and dairy may be associated with acne
  • Further studies are needed to conclude the association of diet to acne severity
Editor's Recommendations
Most Read Articles
Jairia Dela Cruz, 3 days ago
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
06 Sep 2020
Type 2 diabetes mellitus patients taking proton pump inhibitors (PPIs) are at a higher risk of sustaining hip fractures, a recent study has found.
5 days ago
Osteoarthritis (OA) is the most common condition affecting the joints. Dr Lee Eu Jin, an Orthopaedic Surgeon from Liberty Orthopaedic Clinic at Mount Elizabeth Medical Centre, Singapore, shares his insights with Pearl Toh on how to manage OA in the primary care setting.


3 days ago
XOFLUZA – Baloxavir marboxil 20 mg and 40 mg FC tab