No acne |
Total absence of acne and blemishes |
Subclinical acne |
Small number of blackheads and whiteheads; barely visible; first sign of blemish |
Comedonal acne |
Blackheads and whiteheads (slightly inflamed—may be red); blemishes are visible |
Mild acne |
Several inflamed pimples—red in color
Less than 20 whiteheads/blackheads or less than 15 inflammatory (red) lesions (pimples) or less than 30 total lesions (pimples) not all inflamed (red in appearance)
|
Moderate acne |
Many inflamed pimples (red in color) and pustules (visible accumulation of pus in skin)
20 to 100 whiteheads/blackheads or 15 to 50 inflammatory (red) lesions (pimples) or 30 to 125 total lesions (pimples) not all inflamed (red in appearance)
|
Severe nodular acne |
Inflamed pimples and pustules (visible accumulation of pus in skin) with a few deep nodular lesions (solid mass can be felt under skin—can sometimes be raised)
Greater than 5 cysts (solid mass of skin like a knot, can be raised or felt under the skin) or total white-heads/blackheads count greater than 100 or total inflammatory count greater than 50 or greater than 125 total lesions
|
Severe cystic acne |
Many nodular cystic lesions (with signs of scarring) |