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Health
Acne does not occur until puberty. The presence of the typical comedones, such as whiteheads and blackheads, along with excessively oily skin is its main characteristicOiliness is more prominent in the midfacial area; other parts of the face may appear dry. When there are numerous lesions, some of which are open, the person may exude a distinct sebaceous odorWomen may report a history of flare-ups a few days before menses. Biopsy of lesions is seldom necessary for a definitive diagnosis
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Preventing scarring is the ultimate goal of diagnosis and therapy. The chance of scarring increases as the grade of acne increases.For instance, Grades III and IV, normally 25 to more than 50 comedones, papules, or pustules, usually require longer-term therapy with systematic antibiotics or isotretinoinPatients should be warned that discontinuing these medications could exacerbate acne, could lead to more flare-ups, and increase the chance of deep scarring
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