Last reviewed: June 2018
Last updated: April  2018

Summary

Definition

History and exam

Other diagnostic factors

  • skin tenderness
  • depression, social isolation
  • systemic complaints

Risk factors

  • age 12 to 24 years
  • genetic predisposition
  • greasy skin/increased sebum production
  • endocrine disorders
  • dietary factors
  • female gender/estrogens
  • obesity/insulin resistance
  • hyperandrogenism
  • medications
  • halogenated aromatic hydrocarbons exposure

Diagnostic investigations

Investigations to consider

  • hormonal evaluation
  • bacterial culture
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Dermatology and Public Health

University of Colorado School of Medicine

Colorado School of Public Health

Chief, Dermatology Service

US Department of Veterans Affairs

Eastern Colorado Health Care System

Aurora

CO

Disclosures

RD is the PI on Pfizer Pharmaceutical independent research grants to the University of Colorado for development of open access patient decision aids. He receives editorial stipends from the Journal of the American Academy of Dermatology and the Journal of Investigative Dermatology, and he receives royalties from UpToDate and Wiley Blackwell.

Research Fellow

University of Colorado

Department of Dermatology

Aurora

CO

Disclosures

AH declares that she has no competing interests.

Professor Dellavalle and Dr Howland would like to gratefully acknowledge Dr Mark Naftanel and Dr Yolanda Rosi Helfrich, previous contributors to this topic.

MN and YRH declare that they has no competing interests.

Peer reviewers VIEW ALL

Resident

Department of Dermatology

SUNY Downstate Medical Center

New York

NY

Disclosures

GT declares that she has no competing interests.

Consultant Dermatologist

Dermatology

Beaumont Hospital

Dublin

Ireland

Disclosures

Not disclosed.

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