A GP guide to new concepts in acne management

As research into this common and debilitating condition evolves, novel non-invasive therapies are emerging to further aid patients

Need to know:

  • The pathogenesis of acne is due to a complex interaction between Cutibacterium acnes, the inflammatory response, comedone formation and increased sebum. The microbiome and biofilm can play a role too.
  • Acne may be caused by certain strains of C. acnes and may be triggered by diet and stress.
  • Don’t forget to ask how the patient is affected by their acne, and try to dispel any myths they have regarding the cause of their acne or treatments that you may want to prescribe.
  • Don’t forget to examine the chest and back.
  • Take time to address patient queries about diet, stress and skincare advice. It is worth reinforcing, when appropriate, that acne is a medical condition that is scientifically based rather than a problem that is solved on social media. It can be helpful to offer objective scientific information and resources (see resource).
  • Consider topical fixed-dose combinations for mild