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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
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Dermis
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Truncal Acne: A Neglected Entity

James Q. Del Rosso, Linda Stein-Gold, Charles Lynde

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    Truncal acne, affecting over half of acne patients, is often under-diagnosed and undertreated. Early treatment with topical retinoids and antimicrobials, or oral isotretinoin for severe cases, is recommended to prevent scarring.

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    Area of Science:

    • Dermatology
    • Acne Vulgaris Research

    Background:

    • Truncal acne (chest, back, shoulders) affects over 50% of acne patients.
    • Limited research exists on truncal acne compared to facial acne.
    • Underdiagnosis and undertreatment are common due to patient omission and physician focus on facial acne.

    Purpose of the Study:

    • To review current literature and recent recommendations for truncal acne management.
    • To highlight the clinical characteristics and treatment considerations for truncal acne.

    Main Methods:

    • Literature review of available information on truncal acne.
    • Analysis of treatment strategies for facial acne and their applicability to truncal acne.
    • Consideration of specific challenges in truncal acne treatment.

    Main Results:

    • Truncal acne shares pathogenic similarities with facial acne, suggesting similar treatment approaches.
    • Topical retinoids combined with antimicrobials are a logical first-line treatment.
    • Oral isotretinoin is indicated for severe truncal acne.
    • Unique considerations include lesion extent, antibiotic resistance risk, accessibility, and product staining.

    Conclusions:

    • Truncal acne requires greater research attention and clinical consideration.
    • Early and effective treatment is crucial to prevent sequelae like scarring and pigmentary changes.
    • Treatment strategies should account for the specific challenges of truncal acne management.