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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Acne Excoriée:
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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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Treatments Your Physician May Prescribe
Topical (or external) treatments include one or more creams, washes, or gels that include:
  • Antibiotics such as benzoyl peroxide, clindamycin, erythromycin, sulfur, sodium sulfacetamide, and azelaic acid.
  • Retinoids – vitamin A-derived products such as tretinoin, tazarotene, and adapalene.
Oral treatments may include:
  • Antibiotics such as tetracycline, minocycline, doxycycline, erythromycin, ampicillin, clindamycin, trimethoprim-sulfamethoxazole, azithromycin, or cephalosporins.
  • Oral contraceptives and spironolactone have been found to help regulate hormones. 
  • Isotretinoin (Accutane®), a strong drug with many side effects, for severe acne unresponsive to the above treatments.
Procedures:
  • Special "blue light" treatments are a new way being investigated to treat acne but are usually not covered by insurance.
  • Several types of laser treatments also help acne and are often used with other treatment methods; however, treatments are expensive, must be repeated for several months, and have variable efficacy. Insurance may not cover laser therapy.
  • Laser resurfacing, plastic surgery, and/or dermabrasion may help reduce the prominence of old acne scars.
If there is evidence of excessive anxiety or depression, counseling may be suggested. Sometimes, anti-anxiety or anti-depressant medication may be prescribed.

Last Modified: 3 Mar 2008

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