Disturbance in the well-being of a patient with acne : Suggestions for anticipation and detection

Sir, According to surveys, approximately 30–50% of persons between 12 and 20 years of age with acne show psychological responses to their disease, which includes lowered self-esteem, lack of self-confidence, perceived social rejection as well as anxiety and depression (1–6). We describe here a patient with acne who suffered from a toxic dermatitis after topical application of a wart solution on his acne lesions due to an unrecognized reduction of his well-being.