Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  This image displays redness without active acne lesions from rubbing and picking at acne. This image displays acne with bloody crusts as a result of manipulating the lesions. This image displays acne scars and new acne lesions, with crust, on both cheeks. This image displays the result of squeezing and picking at acne on people with darker skin. This image displays flat, brown blemishes, a result of acne inflammation of the skin in a black patient.  This image displays acne lesions that have been picked or squeezed. The bloody crust on the center acne lesion is a sign that it has been manipulated. This image displays dark spots and scars, a consequence of manipulating acne lesions.
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Acne Excoriée  Information for adults

Picture of Acne Excoriée: Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  Divider line
Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.
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Overview
Acne excoriée, also known as "picker's acne," results when acne lesions are compulsively squeezed and scratched, resulting in scabs and scars. It is seen most commonly in adolescent girls and has been thought to be associated with underlying depression, anxiety, or emotional problems.

Acne, also known as acne vulgaris, is thought to be caused by multiple factors. Overproduction of a normal oil on the skin, called sebum, increases under the influence of hormones. This, coupled with insufficient shedding of exfoliating dead skin cells, plugs hair follicles. The plugged follicle can become inflamed and have increased growth of normal skin bacteria, Propionibacterium acnes. Medications such as lithium, cortisone, hormones, iodides, some seizure medications, or isoniazid can also cause acne lesions.

Acne can result in permanent scarring, so minimizing breakouts is important.
Last Modified: 16 Jul 2009