Acne (Acne Vulgaris)

     Acne is a skin condition most commonly seen in those in their teens or twenties, but which may also affect older adults of either sex. There are several types of acne. Comedonal acne is characterized by plugged pores resulting in blackheads and whiteheads. Inflammatory acne consists of the typical red bumps (inflamed papules) and pus bumps (pustules) commonly associated with acne. Nodulocystic acne is a more severe form of acne characterized by large lumps or knots (nodules) which are frequently painful. The chest and back are often involved, in addition to the face. Most patients will have some combination of more than one of these acne types.
     Acne usually improves on its own after several years, but left untreated, permanent scars may develop. Early treatment can help prevent scarring and improve appearance. There are many different types of medications used to treat acne, including benzoyl peroxide, topical and oral antibiotics, topical retinoids (vitamin A derivatives), hormonal treatments (birth control pills) in certain female patients, microdermabrasion, acne surgery, and light chemical peels. For patients with severe or scarring acne, oral isotretinoin (Accutane) may be discussed. There is no "one size fits all" treatment for acne. To be most effective, an acne treatment regimen should be tailored to the individual based on their age, gender, degree of severity, and type of acne.