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Acne Grading According to Burton Scale

 

Grade 0 - Total absence of lesions

Grade I - Sub-clinical Acne – few comedones visible only in close examination

Grade II - Comedonal Acne – Comedones with slight inflammation.

Grade III - Mild Acne – inflamed Papules with erythema.

Grade IV - Moderate Acne – many inflamed Papules and Pustules

Grade V - Severe Nodular Acne - inflamed papules and pustules with several deep nodular lesions.

Grade VI - Severe Cystic Acne – many modular cystic lesions with scarring.

 

Acne treatment should include a combination of the following resulting in the ability to maintain the achieved acne skin improvement over a twelve month period :

•an integrated methodology of patient education

•topical skin care

•topical acids

 

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