The Utility of Assessing Neck Acne

J Cutan Med Surg. 2017 Jan/Feb;21(1):82-83. doi: 10.1177/1203475416673051. Epub 2016 Oct 4.


Background: Acne grading is an essential component in establishing treatment options, but little is known on how neck acne should be incorporated into grading scales.

Objective: Our objective was to explore the prevalence of neck acne and determine if its own severity category on an acne global grading scale was warranted.

Methods: Acne severity was assessed in 6 categories: face, chest, back, anterior upper (AUN), anterior lower neck (ALN), and posterior neck (PN).

Results: The overall prevalence of neck acne was 49%. Of these, 44% had AUN acne, 18.5% had ALN acne, and 19.8% had PN acne. AUN and facial acne had a significant correlation ( r = 0.37, P < .05). No correlation was seen amongst other areas. Males presented with a significantly higher severity of AUN (mean [SD], 1.37 [1.09]) than females (mean [SD], 0.52 [0.91]), on average.

Conclusions: While neck acne has proven to be common amongst those with acne on other areas of the body, facial acne can be used as a proxy for classification, as neck severity is usually milder.

Keywords: acne; grading; neck; severity.

MeSH terms

  • Acne Vulgaris / pathology*
  • Adolescent
  • Adult
  • Facial Dermatoses / pathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neck*
  • Severity of Illness Index*
  • Young Adult