Acne puts a huge burden on the NHS, accounting for 3% of GP consultations in the 13-25 age group (Purdy et al, 2003), and accounting for 10-30% of Dermatologist visits (Global Alliance, 2005).
It has a major effect on body image and self esteem. Acne effects 80% of people at some point between the ages of 11-30 years (Leyden, 1997) and 30% of teenagers are estimated to require medical treatment (Garner, 2003).
Acne is usually a skin condition that’s associated with pubescents, and is the result of increased sensitivity of the sebaceous gland to a testosterone derivative. This causes excessive sebum to be produced in pilosebaceous unit that may be blocked due to the follicular hyperkeratosis. This leads to the formation of acne lesions.
Although in most cases acne is a short-term skin condition, it can be very painful and embarrassing for sufferers. Acne can be managed and controlled, reducing inflammation and the amount of bacteria and sebum produced.
Overview of Management
| Assessment | Treatment | |
|---|---|---|
| Mild Acne | Consists mainly of non-inflammatory comedones | Topical retinoids, benzolyl peroxide, azaleic acid or topical antibiotics |
| Moderate Acne | Consists of a mixture of non-inflammatory comedones and inflammatory papules and pustules | Combined topical treatments or oral antibiotics |
| Severe Acne | Consists of inflammatory papules and pustules as well as more severe nodules and cysts Scarring is usually indicative of previous episodes | Oral antibiotics, possibly combined with oral retinoids |