Abstract
Acne vulgaris, the most common disease of the skin, may present itself in a plethora of clinical forms, depending on the distribution, type of lesions, tendency to and manifestation of scarring, age at disease onset, and persistence of acne after the time of physiological regression [1]. The beginning of acne frequently occurs during the prepubertal period when adrenal androgens stimulate the pilosebaceous unit. Ovarian and testicular androgens play a key role in the development of acne in puberty. Consequently, acne vulgaris can begin in children as young as 6 or 7 years depending on the onset of adrenarche. Gradually, acne progresses in a cephalocaudal way resulting in the predominance of acne lesions on the chin, mandible, and neck just inferior to the mandible in adults and particularly adult women [2].
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Katsambas, A.D., Cunliffe, W.J., Zouboulis, C.C. (2014). Clinical Aspects of Acne Vulgaris. In: Zouboulis, C., Katsambas, A., Kligman, A. (eds) Pathogenesis and Treatment of Acne and Rosacea. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69375-8_28
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DOI: https://doi.org/10.1007/978-3-540-69375-8_28
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