Acne, Perioral Dermatitis, Rosacea, and Hidradenitis Suppurativa

Maria A Schiaffino; Virginia Regula; Haley Coleman

doi:10.1016/j.pop.2025.05.008

Acne, Perioral Dermatitis, Rosacea, and Hidradenitis Suppurativa

Prim Care. 2025 Sep;52(3):593-621. doi: 10.1016/j.pop.2025.05.008.

Authors

Maria A Schiaffino¹, Virginia Regula², Haley Coleman²

Affiliations

¹ Family Medicine Residency, Department of Family Medicine, Summa Akron City Hospital, 55 Arch Street, Suite 3 A, Akron, OH 44304, USA. Electronic address: schiaffinom@summahealth.org.
² Family Medicine Residency, Department of Family Medicine, Summa Akron City Hospital, 55 Arch Street, Suite 3 A, Akron, OH 44304, USA.

PMID: 40835292
DOI: 10.1016/j.pop.2025.05.008

Abstract

Acne and related dermatoses encompass a spectrum of conditions that present at different stages in life and are commonly seen in the primary care setting. The primary care clinician should be familiar with the presentation, diagnosis, differentiation and management of acne, perioral dermatitis, rosacea, and hidradenitis suppurativa. Factors such as patient age, genetics, hormones, infections, occupation, habits, cosmetics, and medications may impact the presentation of acne-like eruptions. Clinical presentation offers clues to the physician that help differentiate acneiform conditions like perioral dermatitis, rosacea, and hidradenitis suppurativa. These conditions do not respond to standard acne therapy and require different treatment strategies.

Keywords: Acne; Acne inversa; Acne vulgaris; Acneiform dermatoses; Hidradenitis suppurativa; Hurley stages; Perioral dermatitis; Rosacea.

Publication types

Review

MeSH terms

Acne Vulgaris* / diagnosis
Acne Vulgaris* / therapy
Dermatitis, Perioral* / diagnosis
Dermatitis, Perioral* / therapy
Diagnosis, Differential
Hidradenitis Suppurativa* / diagnosis
Hidradenitis Suppurativa* / therapy
Humans
Primary Health Care
Rosacea* / diagnosis
Rosacea* / therapy