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Target Audience: Primary care clinicians, pediatricians, dermatologists
Acne affects an estimated 50 million individuals in the United States with a cost that exceeds $3 billion/year. Although the mortality from the disease is virtually nonexistent, it can cause extensive scarring and inflict significant emotional damage, especially on adolescents. The American Academy of Dermatology has revised its guidelines for the management of this disease.
Microbial testing is not usually recommended unless there is concern for gram-negative folliculitis. Endocrinological evaluation, including free and total testosterone, dehydroepiandrosterone sulfate, androstenedione, lute…