Acne

ABSTRACT

Acne is one of the commonest dermatological problems encountered in outpatient clinics. It is often associated with significant psychological trauma. The psychological effects can lead to problems like social withdrawal, lack of self confidence and sometimes even unemployment. If not addressed appropriately and promptly, acne scars can be long lasting. Therefore it is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide and azelaic acid are effective in patients with mild to moderate comedonal acne. Topical erythromycin or clindamycin can be added in patients with mild to moderate inflammatory acne or mixed acne. A six-month course of oral erythromycin, doxycycline, tetracycline, or minocycline can be used in patients with moderate to severe inflammatory acne. Hormonal therapy is also an option in patients with moderate to severe acne. Systemic retinoids are reserved for the treatment of the most severe or refractory cases of inflammatory acne due to their poor side effect profile