A disorder of the hair follicle and sebaceous gland. The contributing factors identified in its occurrence are increased sebum secretion, abnormal keratinisation of the hair follicles, increased sensitivity of the sebaceous glands to male hormones, presence of corynebacterium and heredity. It presents mainly in adolescence as comedones (blackheads), papules, pustules, cysts and scars over skin areas of the face, chest and shoulders. It is a condition which usually resolves by late teens. Severe acne may require evaluation to exclude an underlying hormonal disorder.

TREATMENT

Treatment objectives

• To improve cosmetic appearance
• To prevent complications particularly scarring
• To reassure patient

Non - Pharmacological Treatment

• Regular washing of affected skin areas with soap and water.

Pharmacological Treatment

(Evidence rating: A)

• Mild to moderate cases apply Benzoyl peroxide 1-2 times daily avoiding mouth, eyes and the mucous membranes or 1% Clindamycin solution (apply twice daily).

For severe cases or non-responders to topical treatment, Add Tetracycline, oral, 250 mg twice daily for a minimum of 6 weeks up to clearance, but not exceeding 6 months.