Acne Vulgaris

Acne is one of the most prevalent dermatological disorders in adolescent patients, and its after-effects of scarring can cause potent lasting psychological damage for patients. This text is not meant to be a comprehensive treatise on all aspects of acne, but rather to address major points of interest by acknowledged thought leaders in the field in the hope that it will lead to further research, discussion, and refinement of our concepts of both the pathogenesis and the treatment of acne. Published in association with the American Acne & Rosacea Society The American Acne and Rosacea Society is dedicated to advancing the science related to acne and rosacea and to enhancing communication between those interested in these diseases. CONTENTS Social and Scientific Aspects of Acne: Introduction: epidemiology, cost, and psychosocial implications * Sebum * Innate immunity in the pathogenesis of acne vulgaris * Comedogenesis * Scarring Overview of Treatment Principles: Enhancing the success of acne therapy * The relationship between acne and diet * Overview of treatment principles for skin of color Topical Therapy: Topical retinoids * Topical antibiotics * Combination therapy Systemic Therapy: Oral antibiotics * Clinical implications of antibiotic resistance: risk of systemic infection from Staphylococcus and Streptococcus Isotretinoin Hormonal Treatment: Hormonal treatment of acne in women Variants and Special Situations: Gram-negative folliculitis * Acne fulminans * Drug and acneiform eruptions * Acne in pregnancy AARS Acne Treatment Guidelines: Acne in children * Treatment guidelines in adult women Physical Modalities in Acne Treatment: Procedural treatments for acne