Acne vulgaris -NICE guidance

why acne happens treatment options impact of acne benefits / drawbacks - of treatments treatment related issues as○ compliance inform that positive effect can take 6-8 weeks to become apparent○ relapses

mild to moderate -People with 1 or more of non-inflammatory lesions ( comedones- they can be open or closed ) any number upto 34 inflammatory lesions - when they become red and / or tender bumps ie papules and pustules ( with or without non-inflammatory lesions ) up to 2 nodules ( when the lesions progress to become larger and more tender )

moderate to severe- either or both 35 or more inflammatory lesions 3 or more nodules

acne fulminans -very rare form presents as acute , painful , ulcerating and haemorrhagic , crusted lesions-onset can be sudden with fever and pain in multiple joints less than 200 cases have been described

Grading -Grading of severity can also vary between guidelines - a good reference point can be found on the Dermnetz website - please refer to www. dermnetz.org/topics/acne-vulgaris for further information

Skin care advice -use non-alkaline synthetic detergent - Syndet( a mixture of synthetic surfactants which is neutral to slightly acidic pH similar to skin ) advice to...