•Main lesions are open and closed comedones (black and whiteheads)
•Mostly non-inflammatory lesions
•Papules and pustules may be present, but are small and few in number (generally <10)
•The disease is limited to the face
Moderate
•Moderate numbers of papules and pustules (10-40)
•Open and closed comedones (10-40)
•The disease is limited to the face, but mild disease of the trunk may be present
Moderate/Severe
•Numerous papules and pustules (40 – 100)
•Usually with many comedones (40 – 100)
•Occasional larger, deeper nodular inflamed lesions (up to 5)
•Widespread affected areas usually involving the face, chest and back
Severe
•Nodulocystic acne with many large, painful nodular or pustular lesions
•Many smaller papules, pustules and comedones
•Widespread affected areas usually involving the face, chest and back
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