A client with Acne Vulgaris is concerned about post-inflammatory hyperpigmentation. What should the nurse explain to the client about this condition?

The correct answer is choice D: “Dark spots may persist even after the resolution of acne lesions.”

Choice A rationale:

This option is not a complete statement and does not provide any information about post-inflammatory hyperpigmentation (PIH).

Choice B rationale:

This statement is incorrect. Post-inflammatory hyperpigmentation is a common complication of acne vulgaris, especially in individuals with darker skin tones.

Choice C rationale:

This statement is also incorrect. Picking and squeezing acne lesions can actually increase the risk of developing PIH because it causes more inflammation.

Choice D rationale:

This is the correct answer. PIH can result in dark spots that persist even after the acne lesions have resolved. These spots are due to excess melanin production as the skin heals from inflammation.

Choice E rationale:

This statement is incorrect. PIH can occur in individuals of all skin tones, but it is more common and tends to be more severe in individuals with darker skin.

Choice A rationale:

Environmental factors, including exposure to high humidity, can contribute to the development of Acne Vulgaris.

High humidity can increase sweating and potentially worsen acne in some individuals by promoting the clogging of pores.

Choice B rationale:

Genetic predisposition is a significant risk factor for Acne Vulgaris.

If there is a family history of acne, the individual is more likely to develop the condition due to inherited factors that influence skin type, oil production, and susceptibility to inflammation.

Choice C rationale:

Overuse of sunscreen is not a known factor that contributes to the development of Acne Vulgaris.

In fact, sunscreen is recommended to protect the skin from UV radiation and does not play a role in the pathogenesis of acne.

Choice D rationale:

Increased androgen production during puberty is a contributing factor to the development of Acne Vulgaris.

Androgens can stimulate the sebaceous glands to produce more oil, which can lead to the formation of acne lesions.

Choice E rationale:

Consumption of a diet high in vitamin D is not typically associated with the development of Acne Vulgaris.

The condition is primarily influenced by factors like genetics, hormones, and skin hygiene, not vitamin D intake.