Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  This image displays redness without active acne lesions from rubbing and picking at acne. This image displays acne scars and new acne lesions, with crust, on both cheeks. This image displays the result of squeezing and picking at acne on people with darker skin. This image displays acne lesions that have been picked or squeezed. The bloody crust on the center acne lesion is a sign that it has been manipulated. This image displays dark spots and scars, a consequence of manipulating acne lesions.
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Picture of Acne Excoriée: Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  Divider line
Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.
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Signs and Symptoms
Acne results in a variety of lesions. The most common acne locations include the face, neck, chest, and back, where the most sebaceous glands are located.  "Blackheads" (open comedones) and "whiteheads" (closed comedones) are follicular plugs that are either oxidized from being exposed to the air (blackhead) or sitting below the skin surface (whitehead). Papules are small pink to reddish-brown bumps, pustules are superficial pus-filled lesions, and nodules or cysts are deeper pus-filled lesions.

Mild acne consists of a few papules/pustules and/or comedones. Moderate acne has an increased number of lesions. Severe acne has numerous comedones, papules, and pustules and may have painful nodules.

Picking can result in scabs, shallow sores, and permanent scars, which can appear as either depressions in the skin or hyperpigmentation, which is dark red or brown flat marks where the acne lesions were. The habit of picking at the skin may persist long after the acne has improved.
Last Modified: 3 Mar 2008
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