Acne vulgaris history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
The most common form of acne is known as "acne vulgaris", meaning "common acne." Many teenagers get this type of acne.
The face and upper neck are the most commonly affected, but the chest, back and shoulders may have acne as well. The upper arms can also have acne, but lesions found there are often keratosis pilaris, not acne. The typical acne lesions are comedones and inflammatory papules, pustules, and nodules. Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne. True cysts are rarely found in acne, and the term should be abandoned and the term severe nodular acne used instead.[1]
Aside from scarring, its main effects are psychological, such as reduced self-esteem[2] and, according to at least one study, depression or suicide.[3] Acne usually appears during adolescence, when people already tend to be most socially insecure. Early and aggressive treatment is therefore advocated to lessen the overall impact to individuals.[2]
References
- ↑ Thiboutot, Diane M.; Strauss, John S. (2003). "Diseases of the sebaceous glands". In Burns, Tony; Breathnach, Stephen; Cox, Neil; Griffiths, Christopher. Fitzpatrick's dermatology in general medicine (6th ed. ed.). New York: McGraw-Hill. pp. pp. 672-87. ISBN 0-07-138076-0.
- ↑ 2.0 2.1 Goodman G (2006). "Acne and acne scarring - the case for active and early intervention" (PDF). Aust Fam Physician. 35 (7): 503–4. PMID 16820822.
- ↑ Purvis D, Robinson E, Merry S, Watson P (2006). "Acne, anxiety, depression and suicide in teenagers: a cross-sectional survey of New Zealand secondary school students". J Paediatr Child Health. 42 (12): 793–6. PMID 17096715.
One study has estimated the incidence of suicidal ideation in patients with acne as 7.1% :
* Picardi A, Mazzotti E, Pasquini P (2006). "Prevalence and correlates of suicidal ideation among patients with skin disease". J Am Acad Dermatol. 54 (3): 420–6. PMID 16488292.