Editorial O ur previous supplement on acne published in November 1997 received many favourable reviews. By popular demand, we have decided to revisit this topic. This issue will focus on the challenges that dermatologists face in the management of acne. Prepubertal acne occurs, although uncommonly. Marcoux, McCuaig, and Powell provide some useful guidelines.
Most people consider acne a disease of adolescence.
According to Dr. Cunliffe, acne not infrequently persists into the fourth decade of life. In his article, he discusses the pathophysiology, evaluation, and treatment of adult acne. No less challenging to manage than adult acne are acne variants such as acne fulminans, acne conglobata, and vasculitic acne. Dr. Cunliffe also reviews the clinical features and current management of these devastating diseases. A rational therapeutic decision requires a careful analysis of the risks and benefits of treatment.