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April 1973

Comment on "Acne Cosmetica"

Author Affiliations

Cambridge, MA

Arch Dermatol. 1973;107(4):630. doi:10.1001/archderm.1973.01620190094031

To the Editor.—  In the December 1972 issue of the Archives, Kligman and Mills coin the term "acne cosmetica" for a clinical entity occurring on the lower cheek and chin area of women over 20. Lesions consist of small open and closed follicular papules and pustules "which do not originate from these clinically obvious comedones." "Inexplicably, the forehead tends to be spared." Many of the women had previous adolescent acne; most had used cosmetics; and, some had taken the birth control pill and stopped it with resultant recrudescence of oiliness and lesions. The course of the eruption extended past age 50 in some patients.1I too, have observed a similar syndrome in the Harvard Square area which involves both men and women over 21. I have reached a different conclusion regarding pathogenesis. Blessed with a large number of young people in the "counter culture" and entranced by Dr.

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