title: A consensus on acne management focused on specific patient features.
abstract: BACKGROUND
  Most treatment guidelines for acne are based on clinical severity. Our objective was to expand that approach to one that also comprised individualized patient features: a case-based approach.
  
  
  METHODS
  An expert panel of Canadian dermatologists was established to develop demographic and clinical features considered to be particularly important in acne treatment selection. A nominal group consensus process was used for inclusion of features and corresponding appropriate treatments.
  
  
  RESULTS
  Consensus was achieved on the following statements: follicular epithelial dysfunction contributes to acne pathogenesis; inflammation from underlying disease(s) or prior treatment may impact further patient management; management focusing on specific patient features and on addressing psychosocial factors, including impact on quality of life, may improve treatment adherence and outcomes; and case-based scenarios are a practical approach to illustrate the effect of these factors. To address the latter, eight case profiles were developed.
  
  
  CONCLUSIONS
  Management of acne should be based on multifactorial considerations beyond clinically determined acne severity and should include patient-reported impact, gender, skin sensitivity (including preexisting dermatoses), and phototype.
authors.forename: Charles
authors.initials: C
authors.lastname: Lynde
authors.forename: Jerry
authors.initials: J
authors.lastname: Tan
authors.forename: Anneke
authors.initials: A
authors.lastname: Andriessen
authors.forename: Benjamin
authors.initials: B
authors.lastname: Barankin
authors.forename: Maha
authors.initials: M
authors.lastname: Dutil
authors.forename: Martin
authors.initials: M
authors.lastname: Gilbert
authors.forename: Chih-Ho
authors.initials: CH
authors.lastname: Hong
authors.forename: Shannon
authors.initials: S
authors.lastname: Humphrey
authors.forename: Linda
authors.initials: L
authors.lastname: Rochette
authors.forename: Jack
authors.initials: J
authors.lastname: Toole
authors.forename: Richard
authors.initials: R
authors.lastname: Thomas
authors.forename: Ronald
authors.initials: R
authors.lastname: Vender
authors.forename: Marni
authors.initials: M
authors.lastname: Wiseman
authors.forename: Catherine
authors.initials: C
authors.lastname: Zip
mesh_terms: D000152:Acne Vulgaris / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002170:Canada; D003879:Dermatologic Agents / Q000627:therapeutic use; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D018579:Patient Selection; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D012737:Sex Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003879:Dermatologic Agents