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Acne vulgaris in Child
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Acne vulgaris in Child

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Contributors: Sarah N. Robinson MD, Susan Burgin MD
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Synopsis

This summary discusses acne in adults and children and teenagers. Acne in neonates and acne in infants are addressed separately.

Acne vulgaris is a common condition in adolescents, affecting approximately 85% of patients aged 12-24. It begins most commonly at the onset of puberty and can last throughout adolescence and into adulthood.

The pathogenesis involves multiple factors, including (1) increased sebum production, (2) follicular hyperkeratinization, (3) proliferation of the bacterium Propionibacterium acnes, and (4) inflammation. It typically begins at puberty as a result of androgen stimulation of the pilosebaceous unit and changes in the keratinization at the follicular orifice.

There is a wide spectrum of clinical disease, ranging from a few comedones to many inflamed papules, pustules, and nodules. Acne vulgaris is most commonly found on areas of skin with the greatest density of sebaceous follicles, such as the face, back, and upper chest. There is no racial predilection. While it is a benign condition, acne can lead to permanent scarring and significant psychosocial distress. Therefore, initiation of treatment in the earliest stages is preferable.

Related topics: Acne fulminans, Acne conglobata, Iododerma, Bromoderma, Steroid acne, Papulopustular eruption

Codes

ICD10CM:
L70.0 – Acne vulgaris

SNOMEDCT:
88616000 – Acne vulgaris

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 02/01/2017
Last Updated: 08/30/2017
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Acne vulgaris in Child
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Acne vulgaris : Face, Open comedone, Pustule, Superior chest, Upper back
Clinical image of Acne vulgaris
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