The clinical presentation mirrors the underlying pathology:
Lesions are usually present on the forehead, nose and chin. In more severe cases, the whole of the face, upper chest and back may be affected; usually, with periorbital sparing.
Scarring is a sequel of severe acne, caused due to the rupture of the follicle and dermal damage from inflammation. Scarring typically occurs from deep lesions. Significant scarring is seen in about 22% of patients (1).
Generally, the patient has greasy skin.
Types of scars include:
Post-inflammatory hyperpigmentation is another complication of acne, especially in dark-skinned people (1).
Psychological problems too can occur as a complication resulting from acne. Patients can suffer from anxiety and depression due to the cosmetic appearance of acne or the scarring (1).
Reference:
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