of acne in the general population was 3.7% and slightly higher with 3.9% among patients with AD. Among 12- to 18-year-old patients with AD, particularly women, the incidence rate of acne was highest.29
The teen was involved in daily outdoor athletics and had "no time" to spend on a skincare regimen. Acne relapse and the response to treatments interacting with the skin barrier may be influenced by acne exposome factors (nutrition, medication, occupational factors, pollutants, climatic factors, and others).30 Reducing the impact of these exposome factors benefits acne and AD.30,31
The teen previously used no specific products for her face. The patient and her parents should be educated on acne combined with AD and the need for skin care and sun protection to address both conditions. The skincare regimen acts both as a treatment and maintenance regimen.6,15-17,28-31 A treatment plan was developed to fit the girl’s busy schedule. A ceramide-containing 4% BPO foaming wash with a facial moisturizing lotion was recommended to be used in the morning and the facial moisturizing lotion alone in the evening. A sun protection factor (SPF) should be applied prior to athletics, and application should be repeated in case of heavy perspiration. No further treatment was deemed necessary. The skin condition of her forehead had markedly improved as well as the dry skin on her cheeks. The risk of developing post-inflammatory hyperpigmentation (PIH) in these facial regions is high, especially if insufficiently protected against sun exposure and a lack of moisturization.
Takeaways from this case /clinical pearls: The easy-to-follow and effective regimen encouraged compliance in the busy teen. Moisturization should be a priority in patients with both acne and AD; these patients can require more education than other patients with acne. Gentler acne regimens should be recommended in patients with acne and AD.6,15-17,28-31 Patients with both acne and AD require more personalization of regimens.6,15-17,28-31
