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Acne: sandpaper acne

Created: 10th November 2011   |   Last Updated: 23rd November 2014

Introduction

Sandpaper acne is defined by the presence of many small, undeveloped lesions (microcomedones) on the skin that are nearly invisible but feel rough to the touch.

This chapter is set out as follows: 

  • Clinical findings
  • Images
  • Management

Related chapters

  • Acne: acne vulgaris

Clinical findings

  • Multiple small whiteheads (closed comedones), associated with superficial inflammation
  • The skin is rough to feel - like fine sandpaper

Images

Please click on images to enlarge, or choose to download. Images must only be used for teaching purposes and are not for commercial use. Notice and credit must be given to the PCDS and any other named contributor.

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Figure: 1

Sandpaper acne

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Figure: 2

Sandpaper acne


Management

  • Although some cases respond to standard treatment (refer to the related chapter on Acne vulgaris) others do not
  • Poor responders often do well with a low dose of isotretinoin (0.5 mg/kg/day) for four months 

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