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Virtually every adolescent has a few "spots", however, about 15% of the adolescent population have sufficient problems to seek treatment. In most patients, but not all, the acne clears up by the late teens or early 20s. More severe acne tends to last longer. A group of patients have persistent acne lasting up to the age of 30 to 40 years, and sometimes beyond. Patients with persistent acne often have a family history of persistent acne.
Acne is not infectious and, to date, there is no clear-cut evidence to implicate diet. Acne may scar - most of the time this is preventable by using the correct treatment given in a timely fashion.
Mild to moderate acne should be managed in primary care
Advice on assessment including pictures is available at the Primary Care Dermatology website, please follow the link below. Drug choices should follow Joint Formulary guidance, chapter 13.
Primary Care Dermatology – Acne Vulgaris
Who to refer
Please include in the referral letter:
a. Details of previous treatment including dose and duration of treatment
b. In females details of contraception.
The main reason for referring a patient with acne is for isotretinoin treatment. Females of child bearing age should preferably be established on contraception prior to treatment with isotretinoin.
Please include in the referral letter:
a. Details of previous treatment including dose and duration of treatment
b. In females details of contraception.
e-Referral Service selection
Guidelines adapted from Primary Care Dermatology Guidelines
This guideline has been signed off on behalf of NHS Devon.
Publication date: 30 January 2017