. 2021 Oct 18;5:101–111. doi: 10.1016/j.jdin.2021.09.006

Table I.

Determining patient profile—detailed considerations and discussion points

Consider
• Acne location ○ Facial vs truncal: assess independently^∗ (13/13) • Presence/risk of acne-induced scarring^∗ (13/13) • Family history ○ Patients with a family history of acne may be at increased risk of sequelae or uncontrolled disease • Skin phototype ○ For example, acne-induced macular hyperpigmentation in patients with darker skin phototypes (Fitzpatrick scale IV-VI)^∗ (13/13) • Duration of acne • Length of previously unsuccessful treatment • Socioeconomic status • Parent/child dynamic

Consider

•
Acne location
- ○
  Facial vs truncal: assess independently^∗ (13/13)
•
Presence/risk of acne-induced scarring^∗ (13/13)
•
Family history
- ○
  Patients with a family history of acne may be at increased risk of sequelae or uncontrolled disease
•
Skin phototype
- ○
  For example, acne-induced macular hyperpigmentation in patients with darker skin phototypes (Fitzpatrick scale IV-VI)^∗ (13/13)
•
Duration of acne
•
Length of previously unsuccessful treatment
•
Socioeconomic status
•
Parent/child dynamic

Discuss
• History taking ○ Age and duration of acne ○ Acne location ○ Current acne severity vs “average day” ○ Prior and current treatments and the length of use ○ Prior adverse effects or tolerability issues ○ Level of discomfort/burden/quality of life issues ○ Menstrual cycle irregularities ○ Menstrual flares ○ Signs of hyperandrogenism ○ Family history of acne^∗ (13/13) and sequelae ○ Lifestyle triggers ○ Allergies ○ Comorbidities and concomitant medications ○ Use of cosmetics, moisturizers, hair products, and sunscreen^∗ (12/13) ○ Knowledge of acne pathogenesis ○ Whey protein use ○ Supplement use ○ Previous endocrinological workup

Discuss

•
History taking
- ○
  Age and duration of acne
- ○
  Acne location
- ○
  Current acne severity vs “average day”
- ○
  Prior and current treatments and the length of use
- ○
  Prior adverse effects or tolerability issues
- ○
  Level of discomfort/burden/quality of life issues
- ○
  Menstrual cycle irregularities
- ○
  Menstrual flares
- ○
  Signs of hyperandrogenism
- ○
  Family history of acne^∗ (13/13) and sequelae
- ○
  Lifestyle triggers
- ○
  Allergies
- ○
  Comorbidities and concomitant medications
- ○
  Use of cosmetics, moisturizers, hair products, and sunscreen^∗ (12/13)
- ○
  Knowledge of acne pathogenesis
- ○
  Whey protein use
- ○
  Supplement use
- ○
  Previous endocrinological workup

^∗

Indicates topics that were voted on via the Delphi process (Comprehensive list of statements available as Supplementary Material via Mendeley at https://data.mendeley.com/datasets/fy6mnvt7t7/1).