Acne vulgaris is a disorder of the pilosebaceous units. It is a chronic inflammatory dermatosis notable for open/closed comedones, papules, pustules, nodules.
Systems affected: skin/e...
Ask about duration, medications, cleansing products, stress, smoking, exposures, diet, and family history.
Females may worsen 1 week prior to menses.
Closed comedones (whit...
Comedonal (grade 1): keratinolytic agent (see as follows for specific agents)
Mild inflammatory acne (grade 2): benzoyl peroxide or topical retinoid or benzoyl peroxide +/− topical antibiotic...
Nguyen HL, Tollefson MM. Endocrine disorders and hormonal therapy for adolescent acne. Curr Opin Pediatr. 2017;29(4):455–465. [View Abstract on OvidMedline]
L70.0 Acne vulgaris
L70.4 Infantile acne
L70.1 Acne conglobata
L70.8 Other acne
706.1 Other acne
706.0 Acne varioliformis
88616000 Acne vulgaris (disorder)
238744006 Comedonal acne
Full results for changes in therapy take 8 to 12 weeks.
Decrease topical frequency to every day or to every other day for irritation.
Use benzoyl peroxide every time a topical or oral an...
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