Acne is a most common skin disorder. The literature states that up to 85 per cent of high school students have acne lesions. In reality, when incorporating prepubertal years and the years between 9 and 19, it is likely that close to 100 per cent of this population experience some acne lesions. The range of severity encompasses a wide spectrum from a few comedones and papules to a disfiguring nodular cystic disease of face and trunk. Despite this vast population and wide spectrum of disease, 90 per cent of adolescents with acne will self-limit this process by their twenties. What then should be the immediate and long-term goals of acne therapy? The goals of acne therapy in most succinct terms are to limit physical and psychological scarring. In this article we explore a few very useful therapies for acne that can help the practitioner accomplish these goals. The tried and true acne treatments (topical benzoyl peroxide, topical retinoic acid, topical antibiotics, oral tetracycline, as well as newer medications such as 13-cis retinoic acid-Accutane-and topical erythromycin-zinc preparations) are reviewed.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health