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The view that some adolescents have of persons with acne being filthy or unhygienic has been reported in other studies where the dark color of an open comedone caused by keratin oxidation was interpreted as dirt [1]. It has been demonstrated that these misconceptions add to the psychological burden of acne and are linked to obsessional face washing or persistent use of medicated soaps, which can irritate the skin [8,20].
JMIR Dermatol 2023;6:e44441
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