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Excoriated acne, also called acne excoriée or picker's acne, is a type of skin picking disorder characterized by the repetitive, compulsive urge to pick, scratch, or squeeze one's pimples. [ 1 ] [ 2 ] This can ultimately lead to physical changes to the skin, such as scarring , and/or further emotional distress.
In general, drugs that cause acneiform eruptions can aggravate or cause the reappearance of pre-existing acne. The most common type of drug-induced acne is steroid acne. It is seen as a side effect of glucocorticosteroid treatment and also after steroid inhalation. It almost always happens a few weeks after starting the therapy. [3]
Acne (/ˈækni/ ACK-nee), also known as acne vulgaris, is a long-term skin condition that occurs when dead skin cells and oil from the skin clog hair follicles. [10] Typical features of the condition include blackheads or whiteheads , pimples , oily skin, and possible scarring .
[9] [2] Cutibacterium acnes is the suspected infectious agent in acne. [3] It can proliferate in sebum and cause inflamed pustules (pimples) characteristic of acne. [3] Nodules are inflamed, painful, deep bumps under the skin. [3] Comedones that are 1 mm or larger are called macrocomedones. [10]
The most common product is a topical treatment of benzoyl peroxide, which has minimal risk apart from minor skin irritation that may present similar as a mild allergy. [6] Recently, nicotinamide (vitamin B 3), applied topically, has been shown to be more effective in treatment of pimples than antibiotics such as clindamycin. [7]
Acne with facial edema occurs uncommonly, and is associated with a peculiar inflammatory edema of the mid-third of the face. [3] The exact cause of edema in relation to acne is unknown. Treatment includes facial stockings as well as a combination of prednisone and isotretinoin .