Top Ten List of Clinical Pearls in the Treatment of Acne Vulgaris

KEY POINTS

• 
  Target inflammation early in acne management to avoid scarring.
  
  
• Consider antibiotic prescribing policies when using antibiotics in the management of acne.
  
  
• Identify and treat macrocomedones before commencing oral isotretinoin.
  
  
• Isotretinoin absorption depends on fatty food intake.
  
  
• Spironolactone may provide an alternative to combined oral contraceptives in female patients who
  require an antiandrogen therapy.