Acne is chronic inflammation of the pilosebaceous units. The condition is extremely common; it generally starts after puberty and there are reports of it affecting over 90% of adolescents. It is usually most severe in the late teenage years but can persist into the thirties and forties.
Clinical features
Acne usually affects the face and often the trunk. Greasiness of the skin may be obvious. The hallmark is the comedone: open comedones (blackheads) are dilated keratin-filled follicles, which appear as black papules due to the keratin debris; closed comedones usually have no visible follicular opening and are caused by accumulation of sebum and keratin deeper in the pilosebaceous ducts.
Inflammatory papules, nodules and cysts occur and may arise from comedones .
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