Which grade of acne is characterized by many closed comedones and occasional papules?

The grade of acne characterized by many closed comedones and occasional papules is classified as Grade II acne. In this stage, individuals often experience a moderate number of comedones alongside a few inflammatory lesions, such as papules. Closed comedones, also known as whiteheads, are formed when hair follicles become clogged with oil and dead skin cells, leading to small bumps on the skin. The presence of occasional papules indicates that inflammation is starting to occur, but it is still relatively mild compared to higher grades of acne.

In contrast, Grade I acne primarily features only open and closed comedones with minimal inflammation, while Grade III acne includes more extensive inflammation and a higher number of papules and pustules. Grade IV, on the other hand, represents severe acne with numerous cysts and significant inflammation, indicating a much more advanced condition. Therefore, the characteristics of Grade II make it distinct, emphasizing the combination of many closed comedones and occasional papules.