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Acne vulgaris

Last reviewed: 20 Sep 2025
Last updated: 23 Jan 2025

Summary

Definition

Anamnesis y examen

Principales factores de diagnóstico

  • skin lesions
Todos los datos

Otros factores de diagnóstico

  • skin tenderness
  • systemic complaints
Todos los datos

Factores de riesgo

  • adolescence or young adult
  • genetic predisposition
  • oily skin/increased sebum production
  • use of certain drugs
  • use of masculinizing hormone therapy
  • endocrine disorders
  • dietary factors
  • female sex
  • obesity/insulin resistance
  • halogenated aromatic hydrocarbons exposure
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • clinical diagnosis
Todos los datos

Pruebas diagnósticas que deben considerarse

  • hormonal evaluation
  • bacterial culture
Todos los datos

Algoritmo de tratamiento

En curso

mild acne: nonpregnant

moderate to severe acne or acne resistant to standard treatment: nonpregnant

pregnant

Colaboradores

Autores

Robert P. Dellavalle, MD, PhD, MSPH

Professor of Dermatology and Public Health

University of Minnesota Dermatology Department

National Dermatology Program Director

US Department of Veterans Affairs

Minneapolis

MN

Divulgaciones

RPD has received editorial stipends (Journal of Medical Internet Research Dermatology (JMIR Dermatology)), royalties (UpToDate), and expenses reimbursement (Cochrane). RPD is an editor-in-chief of JMIR Dermatology, a joint coordinating editor for Cochrane Skin, a dermatology section editor for UpToDate, a social media editor for JAAD, and a coordinating editor representative on the Cochrane Council. He is a Cochrane Council Co-Chair, and serves as the National Dermatology Program Director for the US Department of Veteran Affairs.

Torunn E. Sivesind, MD

Dermatology Resident Physician

University of Colorado Anschutz School of Medicine

Aurora

CO

Divulgaciones

TES previously received fellowship funding from Pfizer and the National Institute of Health; TES previously served as an editorial board member-at-large for the Journal of Medical Internet Research Dermatology.

Agradecimientos

Professor Dellavalle and Dr Sivesind would like to gratefully acknowledge Dr Madeline Adelman, Dr Romerio Rodriguez, Dr Sarah Shangraw, Dr Mark Naftanel, Dr Yolanda Rosi Helfrich, and Dr Amanda Howland, previous contributors to this topic. The authors would like to thank Dr John Barbieri for his review of the topic. JB has received consulting fees from Dexcel Pharma.

Divulgaciones

SS, MN, YRH, and AH declare that they have no competing interests. MA has received fellowship funding from the Pfizer Global Medical Grant, RR receives fellowship funding from the National Institute of Health.

Revisores por pares

Gina Taylor, MD

Resident

Department of Dermatology

SUNY Downstate Medical Center

New York

NY

Divulgaciones

GT declares that she has no competing interests.

Gillian Murphy, MD, FRCPI, FRCP, Edin

Consultant Dermatologist

Dermatology

Beaumont Hospital

Dublin

Ireland

Divulgaciones

Not disclosed.

Agradecimiento de los revisores por pares

Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.

Divulgaciones

Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

National Institute for Health and Care Excellence. Acne vulgaris: management. Dec 2023 [internet publication].Texto completo

​Reynolds RV, Yeung H, Cheng CE, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2024 May;90(5):1006.e1-30.Texto completo  Resumen

Thiboutot DM, Dréno B, Abanmi A, et al. Practical management of acne for clinicians: an international consensus from the Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol. 2018 Feb;78(2 suppl 1):S1-23;e1. Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Acne vulgaris images
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    • Acne vulgaris: management
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