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[Clinical aspects of acne]
1Service de dermatologie-médecine interne, Hôpital Saint-Joseph 75675 Paris. daniel.francois@free.fr
La Revue Du Praticien
|June 11, 2002
Summary
Acne is a common skin condition affecting 15-20% of dermatology consultations. Recent years have highlighted new acne presentations, including neonatal, prepubertal, and adult-onset forms, necessitating further investigation.
Area of Science:
- Dermatology
- Endocrinology
Context:
- Acne vulgaris is a prevalent skin condition frequently encountered in clinical dermatology.
- It accounts for 15-20% of all consultations in dermatologist offices.
- While juvenile acne is common, recent years have seen increased focus on other forms.
Purpose:
- To review the evolving landscape of acne presentations.
- To highlight emerging aspects of acne, including neonatal, prepubertal, and adult-onset forms.
- To underscore the importance of hormonal evaluation in specific acne cases.
Summary:
- Juvenile polymorphous acne remains a classic form, but new aspects are increasingly recognized.
- Acne presentations in newborns, prepubertal children (linked to adrenal gland hormonal secretions), and adults over 25 (requiring hormonal testing) are emphasized.
- Severe acne, though less common, includes acne fulminans, which can arise even during isotretinoin treatment.
Impact:
- Increased awareness of diverse acne presentations beyond the typical juvenile form.
- Guidance on recognizing and managing less common acne types, such as adult-onset and severe variants.
- Emphasis on the role of endocrinology in evaluating and treating specific acne cases, particularly those with hormonal influences.