Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Acne vulgaris - Management
When should I refer a person with severe acne?

  • Refer urgently (within 2 weeks) if the person has a severe variant of acne with systemic symptoms (such as acne fulminans).
  • Refer (soon) all other people with severe acne including people with:
    • Painful, deep, nodules or cysts (nodulocystic acne).
    • Severe psychosocial problems, including a morbid fear of deformity (body dysmorphic disorder), or people who have suicidal ideation.

© NHS Institute for Innovation and Improvement