Pages: 43 - 47
Article topics: Evidence-based treatment, Modifying factors, Pathophysiology, Psychological impact
Acne vulgaris is one of the most prevalent chronic inflammatory skin conditions affecting adolescents, with epidemiological data suggesting that up to 85% of individuals aged 12–18 years experience acne to some degree (Bhate and Williams, 2013). Although often regarded as a benign and self-limiting condition of puberty, acne may persist for several years and is associated with significant physical sequelae, including permanent scarring and post-inflammatory dyspigmentation, as well as profound psychosocial morbidity. During adolescence, acne occurs at a time of critical psychological development, when self-image, peer relationships and social identity are being formed. The visibility of facial acne can therefore disproportionately affect self-esteem, confidence and mental wellbeing. Despite this, acne is frequently under-treated in primary care, either due to misconceptions regarding its inevitability or concerns surrounding treatment safety in younger populations. General practice nurses are often the first point of contact for adolescents presenting with acne and play a pivotal role in early recognition, education, treatment initiation and ongoing support. A clear understanding of acne pathophysiology, modifying factors and evidence-based treatment pathways is essential to ensure timely intervention and prevention of long-term sequelae.
