Acne vulgaris: diagnosis and management by the family physician

Acne vulgaris is the most common skin disease worldwide. It affects 85-100% of the population at any point in life. Consequently, it is a frequent reason for primary care visits. It usually begins at puberty, reaching its peak between the age of 14-17 in girls, and 16-19 in boys, and it is more seve...

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Detalhes bibliográficos
Autores: Silva, Ana Margarida Ferreira da, Costa, Francisco Pinto da, Moreira, Margarida
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Recursos:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
Repositorio:Revista Brasileira de Medicina de Família e Comunidade (Online)
Idioma:portugués
OAI Identifier:oai:ojs.rbmfc.org.br:article/754
Acesso em linha:https://rbmfc.org.br/rbmfc/article/view/754
Access Level:acceso abierto
Palavra-chave:Acne Vulgaris
Therapeutics
Primary Health Care
Acné vulgar
Terapéutica
Atención Primaria de Salud
Acne vulgar
Terapêutica
Atenção Primária à Saúde
Descrição
Resumo:Acne vulgaris is the most common skin disease worldwide. It affects 85-100% of the population at any point in life. Consequently, it is a frequent reason for primary care visits. It usually begins at puberty, reaching its peak between the age of 14-17 in girls, and 16-19 in boys, and it is more severe and prevalent in males. Although widely discussed, Acne vulgaris still requires constant updating. We conducted a survey of clinical guidelines, systematic reviews, and meta-analyses published over the past 15 years, concerning acne vulgaris and its treatment. Acne vulgaris is usually divided in three clinical types: comedonal, papulopustular, and nodular. The diagnosis is based on clinical signs; however, other conditions should be considered. There are several pharmacological therapies available, especially retinoids, antimicrobials, and hormone therapy, which should be used after considering its indications (type of acne and its severity) and side effects. Thus, the family physician plays a leading role in addressing acne vulgaris, from diagnosis to management of therapeutic options.