[Psychosomatics of acne]

Psychopathology occurs much more frequently in cases of persisting than in juvenile acne. Moreover, a neurotic personality structure is much more common in cases of persisting than juvenile acne. When a neurotic structure is present, the juvenile acne patient maladjusts to the acne and develops neurotic symptoms. Such psychological consequences represent further stress and cause exacerbations, thus transforming the juvenile into persisting acne. The increased psychopathology in persisting acne is thus both a result as well as a partial cause. It is a link in a vicious circle. The typical pathological patterns of reaction in acne are described.