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Adolescent Acne
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Adolescent Acne: A Stepwise Approach to Management
Iris Woodard, BSN, ANP
Topics in Advanced Practice Nursing eJournal 2(2), 2002. © 2002
Abstract and Introduction
Abstract
Acne is a common problem that affects about 90% of teenagers. It occurs during
a time of low self-esteem and high concern about appearance. There are many acne
products on the market, and making an appropriate selection can be daunting. But
a simple step-wise approach to the selection of medications can remove much of
the confusion. This article will discuss the etiology and pathology of acne, over-the-counter
(OTC) and prescription medications used in the management of the disease, and
some quick tips and teaching points for the patient.
Introduction
It is estimated that about 45 million Americans have acne vulgaris. It is a disease
of both adults and adolescents. In this article, the focus will be on the adolescent,
but many of the comments about treatment apply to all age groups. Approximately
90% of all teens are affected by acne to some extent. [1] In girls,
acne can precede menarche by more than 1 year.
The impact of acne may appear minimal to an observer but may be significant to
the young person involved. There may be psychological effects as well. Adolescence
is a time of low self-esteem, high peer pressure, rebellion against authority,
and struggles to establish independence. The young person who has concerns about
appearance will frequently choose to miss school, work, or social events, thus
increasing feelings of depression and isolation. [2] Kellett and Gawkrodger [3]
found that acne patients reported levels of social, psychological, and emotional
problems as great as those reported by patients with chronic di"
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