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Treatment and management of acne in primary care settings

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Prompt treatment of acne is important as the condition may be painful, lead to scarring and cause psychological distress

Acne may occur due to an increase in sebum production, keratinocyte hyperproliferation, colonisation with Propionibacterium acnes and subsequent skin inflammation.1 It is an androgen-dependent condition affecting the pilosebaceous unit. Seborrhoea and comedone formation triggers colonisation of the pilosebaceous unit. It is often viewed as an adolescent disease,2 however acne may persist into the 30s.3 Acne often requires long term treatment due to periodic flare-ups. There may be significant psychosocial sequelae. Prompt treatment is important as the condition may be painful, lead to scarring and cause psychological distress.

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