Table IV.

Consensus gaps and recommendations for factors to be considered for the management of truncal acne

Gaps •There is a need for guidance on factors to be considered for the treatment and management of truncal acne (13/13) •There is a need for further evidence to support treatment efficacy in truncal acne (13/13) •There is a need for further evidence to support treatment safety in truncal acne (11/13) •There is a need to improve vehicles used for topical therapies for truncal acne (13/13) •There is a need to improve application methods for topical therapies for truncal acne (12/13) Recommendations • The treatment-related factors that should be considered when selecting a treatment for truncal acne include the following: ○ Type of acne, eg, nodules (13/13) ○ Efficacy of treatment (13/13) ○ Safety profile of treatment (10/13) ○ Practicality of applying topical treatment to the back (12/13) ○ Potential to bleach or stain clothing (10/13) • The patient-related factors that should be considered when selecting a treatment for truncal acne include the following: ○ Body surface area affected (13/13) ○ Previous treatment history (13/13) ○ Patient preference (12/13) ○ Location of truncal acne (ie, upper back, lower back, chest, and shoulders; 10/13) • The truncal acne types that require additional considerations for their management or treatment include the following: ○ Truncal acne at high risk of scarring (13/13) ○ Truncal acne with predominantly deep comedones (not related to hidradenitis suppurativa; 11/13) ○ Truncal acne associated with hidradenitis suppurativa (10/13) ○ Truncal acne with predominantly open comedones (10/13)