Adolescent Acne: A Stepwise Approach to Management

Iris Woodard, BSN, ANP


Topics in Advanced Practice Nursing eJournal. 2002;2(2) 

In This Article

Clinical Presentation

Acne is a continuous process and causes the eruption of new lesions over time, so at one time there may be comedones, papules, and pustules. Acne is usually described by the primary lesions present and the severity of those lesions (mild, moderate, or severe). Comedonal acne is the presence of a predominance of open and closed comedones. Mild comedonal acne would have only a few open and closed comedones. Severe comedonal acne would have many comedones, but only a few papules and pustules. Inflammatory acne is the presence of erythematous papules and pustules. Cystic acne is characterized by multiple cysts, nodules, and pitted scarring. Some scarring can occur without cyst formation. The treatment of acne is aimed at preventing scars from forming.[7]


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