Acne in the first three decades of life: An update of a disorder with profound implications for all decades of life

Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibac...

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Published inDisease-a-month Vol. 67; no. 4; p. 101103
Main Authors Greydanus, Donald E., Azmeh, Roua, Cabral, Maria Demma, Dickson, Cheryl A., Patel, Dilip R.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2021
Subjects
Acne
Acne conglobata
Acne excoriée
Acne fulminans
Acne neonatorum
Acne rosacea
Acne vulgaris
Acne Vulgaris - drug therapy
Acne Vulgaris - microbiology
Acne Vulgaris - pathology
Acne Vulgaris - psychology
Acneiform disorders
Acquired Hyperostosis Syndrome - epidemiology
Administration, Oral
Administration, Topical
Adolescent
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotic resistance
Antibiotics
Awareness
Benzoyl Peroxide - administration & dosage
Benzoyl Peroxide - adverse effects
Benzoyl Peroxide - therapeutic use
Child
Contraceptives, Oral - therapeutic use
Dermatologic Agents - administration & dosage
Dermatologic Agents - adverse effects
Dermatologic Agents - therapeutic use
Diagnosis, Differential
Emotional sequelae
Female
Hidradenitis suppurativa
Hidradenitis Suppurativa - epidemiology
Humans
Internal Medicine
Isotretinoin
Isotretinoin - administration & dosage
Isotretinoin - adverse effects
Isotretinoin - therapeutic use
Male
Propionibacteriaceae - isolation & purification
Psychological Distress
SAPHO syndrome
Topical retinoids
Topical retinoids
Acne neonatorum
Acne conglobata
Acne
Acne fulminans
Acne vulgaris
Hidradenitis suppurativa
Emotional sequelae
Antibiotics
SAPHO syndrome
Acneiform disorders
Antibiotic resistance
Isotretinoin
Acne excoriée
Acne rosacea
Online AccessGet full text
ISSN0011-5029
1557-8194
1557-8194
DOI10.1016/j.disamonth.2020.101103

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Abstract Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.
AbstractList Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.
Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.
Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.
AbstractAcne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including genetics, androgen-stimulation of sebaceous glands with abnormal keratinization, colonization with Cutibacterium acnes (previously called Propionibacterium acnes), and pathological immune response to inflammation. Acne can occur at all ages and this discussion focuses on the first three decades of life. Conditions that are part of the differential diagnosis and/or are co-morbid with acne vulgaris are also considered. Acne in the first year of life includes neonatal acne (acne neonatorum) that presents in the first four weeks of life and infantile acne that usually presents between 3 and 6 months of the first year of life with a range of 3 to 16 months after birth. Acne rosacea is a chronic, inflammatory, skin condition that is distinct from acne vulgaris, typically presents in adults, and has four main types: erythemato-telangiectatic, papulopustular, phymatous and ocular. Treatment options for acne vulgaris include topical retinoids, topical benzoyl peroxide, antibiotics (topical, oral), oral contraceptive pills, isotretinoin, and others. Management must consider the increasing impact of antibiotic resistance in the 21st century. Psychological impact of acne can be quite severe and treatment of acne includes awareness of the potential emotional toll this disease may bring to the person with acne as well as assiduous attention to known side effects of various anti-acne medications (topical and systemic). Efforts should be directed at preventing acne-caused scars and depigmentation on the skin as well as emotional scars within the person suffering from acne.
ArticleNumber 101103
Author Patel, Dilip R.
Greydanus, Donald E.
Azmeh, Roua
Cabral, Maria Demma
Dickson, Cheryl A.
Author_xml – sequence: 1
  givenname: Donald E.
  surname: Greydanus
  fullname: Greydanus, Donald E.
  email: Donald.Greydanus@med.wmich.edu
  organization: Department of Pediatric and Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008-1284, United States
– sequence: 2
  givenname: Roua
  surname: Azmeh
  fullname: Azmeh, Roua
  organization: Department of Pediatric and Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008-1284, United States
– sequence: 3
  givenname: Maria Demma
  surname: Cabral
  fullname: Cabral, Maria Demma
  organization: Department of Pediatric and Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008-1284, United States
– sequence: 4
  givenname: Cheryl A.
  surname: Dickson
  fullname: Dickson, Cheryl A.
  organization: Department of Pediatric and Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008-1284, United States
– sequence: 5
  givenname: Dilip R.
  surname: Patel
  fullname: Patel, Dilip R.
  organization: Department of Pediatric and Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008-1284, United States
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33041056$$D View this record in MEDLINE/PubMed
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Issue 4
Keywords Topical retinoids
Acne neonatorum
Acne conglobata
Acne
Acne fulminans
Acne vulgaris
Hidradenitis suppurativa
Emotional sequelae
Antibiotics
SAPHO syndrome
Acneiform disorders
Antibiotic resistance
Isotretinoin
Acne excoriée
Acne rosacea
Language English
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Snippet Acne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including...
AbstractAcne vulgaris is a chronic, inflammatory, skin condition that involves the pilosebaceous follicles and is influenced by a variety of factors including...
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StartPage 101103
SubjectTerms Acne
Acne conglobata
Acne excoriée
Acne fulminans
Acne neonatorum
Acne rosacea
Acne vulgaris
Acne Vulgaris - drug therapy
Acne Vulgaris - microbiology
Acne Vulgaris - pathology
Acne Vulgaris - psychology
Acneiform disorders
Acquired Hyperostosis Syndrome - epidemiology
Administration, Oral
Administration, Topical
Adolescent
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotic resistance
Antibiotics
Awareness
Benzoyl Peroxide - administration & dosage
Benzoyl Peroxide - adverse effects
Benzoyl Peroxide - therapeutic use
Child
Contraceptives, Oral - therapeutic use
Dermatologic Agents - administration & dosage
Dermatologic Agents - adverse effects
Dermatologic Agents - therapeutic use
Diagnosis, Differential
Emotional sequelae
Female
Hidradenitis suppurativa
Hidradenitis Suppurativa - epidemiology
Humans
Internal Medicine
Isotretinoin
Isotretinoin - administration & dosage
Isotretinoin - adverse effects
Isotretinoin - therapeutic use
Male
Propionibacteriaceae - isolation & purification
Psychological Distress
SAPHO syndrome
Topical retinoids
Title Acne in the first three decades of life: An update of a disorder with profound implications for all decades of life
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0011502920301656
https://www.clinicalkey.es/playcontent/1-s2.0-S0011502920301656
https://dx.doi.org/10.1016/j.disamonth.2020.101103
https://www.ncbi.nlm.nih.gov/pubmed/33041056
https://www.proquest.com/docview/2450010508
Volume 67
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