Acne vs. Comedones Differentiation

Jul 19, 2024 Source: Cainiu Health
Disease description:

My younger brother is 26 years old this year. Recently, he developed many pimples on his face. Initially, he thought they were just comedones (blackheads or whiteheads), but after an examination, he was diagnosed with acne. I would like to know what the difference is between comedones and acne.

Doctor's answer (1)
Dr. Wang Xiaoyan
Difference between comedones and acne: 1. Appearance: Comedones typically present as small bumps on the skin surface, divided into whiteheads and blackheads, while acne may appear as red, swollen, cystic, or clustered red bumps. 2. Lesion characteristics: Comedones are often single skin lesions, and occur in large numbers; acne, however, consists of combinations of skin lesions, which may appear individually or in clusters. 3. Causes: Comedones may be related to factors such as heredity and inadequate skin cleansing; acne is more commonly associated with oily skin, excessive sebum production, environmental pollution, and other factors. 4. Treatment: Comedone treatment focuses more on skin cleansing, hydration, and oil control; acne treatment requires oil control, cleansing, and anti-inflammatory measures.