ABSTRACT
This chapter describes the disorders that are common, inflammatory, characterized clinically by papules, and occur on the face pre-eminently. Acne is one of the commonest skin disorders – if not the commonest. Acne is a disorder in which hair follicles develop obstructing horny plugs, as a result of which inflammation later develops around the obstructed follicles, causing tissue destruction and scar formation. Acne improves in the summertime and sun exposure seems to improve the condition of many patients. Rosacea is a chronic inflammatory disorder of the skin of the facial convexities, characterized by persistent erythema and telangiectasia punctuated by acute episodes of swelling, papules and pustules. Rhinophyma occurs mainly in elderly men, although it occasionally occurs in women too. Perioral dermatitis is a disorder in which micropapules and papulopustules occur periorally and paranasally in young women. It responds to oral tetracycline but not to topical preparations.
