The pathogenesis of pomade acne involves obstruction of the pilosebaceous unit by the oils in pomades, while other ingredients can irritate skin and contribute to inflammation. Pomade acne typically presents as closed comedones on the forehead and temple, though the cheeks and chin may also be involved if the offending agent was applied to the entire face.
Individuals of African descent more commonly use pomades and are therefore more likely to present with pomade acne. The use of durags (wave caps) or any other tightly fitting head garment in conjunction with pomades or other styling products can also facilitate pomade acne.
Postinflammatory hyperpigmentation may occur after resolution of pomade acne.
L70.8 – Other acne
22920003 – Acne of external chemical origin
Differential Diagnosis & Pitfalls
The differential diagnosis for acne vulgaris can be considered for pomade acne as well: