AI may stumble on acne diagnosis - Report - MDSpire
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AI may stumble on acne diagnosis

  • By

  • Andrea Surnit

  • October 2, 2026

  • 3 min

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Clinical Report: AI may stumble on acne diagnosis

Overview

A study evaluated the appropriateness of ChatGPT-5 responses to acne-related questions, finding that only 65% of responses were classified as appropriate. The appropriateness varied significantly by question category, with the lowest ratings for diagnosis and general information.

Background

The use of artificial intelligence in healthcare, particularly in dermatology, is growing, yet its reliability for diagnosis and treatment remains uncertain. This study highlights the challenges faced by AI models like ChatGPT-5 in providing accurate information for acne management, a common dermatological condition.

Data Highlights

CategoryAppropriateness (%)
Skin Care83
Nutrition and Lifestyle78
Treatment and Medications50
Diagnosis and General Information33

Key Findings

  • 65% of ChatGPT-5 responses were classified as appropriate.
  • Appropriateness was highest for skin care (83%) and lowest for diagnosis (33%).
  • Misleading information was the most common reason for inappropriate ratings.
  • 68% of questions met the success criteria of at least 2 of 3 appropriate responses.
  • Low inter-rater agreement among dermatologists indicated variability in response classification.
  • The study's findings may not generalize beyond acne due to its specific focus.

Clinical Implications

The findings suggest that AI responses should be validated by a qualified dermatologist.

Conclusion

The study highlights the limitations of AI in providing reliable dermatological advice, particularly in complex areas like diagnosis and treatment.

Related Resources & Content

  1. Nazli Caf, MD, et al, Medicine, 2025 -- AI may stumble on acne diagnosis
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  3. AACE Endocrine AI, AI may help shorten acromegaly’s diagnostic delay
  4. MDSpire News, Potential Issues With AI-Based Dermatology Mobile Apps
  5. American Academy of Dermatology, updated guidelines for the management of acne
  6. the asco post — AI Shows Dermatologist-Level Accuracy in Melanoma Diagnosis but Needs Validation
  7. American Academy of Dermatology issues updated guidelines for the management of acne
  8. Effectiveness of spironolactone for women with acne vulgaris (SAFA) in England and Wales: pragmatic, multicentre, phase 3, double blind, randomised controlled trial - PMC
  9. Guidelines of care for the management of acne vulgaris - Journal of the American Academy of Dermatology

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