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Old 20-08-2010, 11:07 PM   #1
Acne Pores and skin Care, Causes and Treatment : Doctor-Reviewed Information
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Definition

Acne is truly a skin color colour scenario that leads to whiteheads, blackheads, and inflamed red lesions (papules, pustules, and cysts) to form. These growths are often recognized as pimples or "zits."
Alternative Names

Acne vulgaris; Cystic acne ; Pimples; Zits
Leads to, incidence, and danger factors

Acne occurs when tiny holes concerning the surface from your skin colour, recognized as pores, turn out to become clogged. Each pore is an opening to a canal recognized like a follicle, which contains a hair and an oil gland. Generally, the oil glands help sustain your skin colour lubricated and help eliminate old skin color colour cells. When glands produce too much oil, the pores can turn out to become blocked, accumulating dirt, debris, and bacteria. The blockage is recognized like a plug or comedone.

The greatest in the plug may be white (whitehead) or dark (blackhead).
If it ruptures, the material inside, for example oil and bacteria, can spread in the direction of the surrounding area and bring about an inflammatory reaction. If the inflammation is deep in your skin color colour, the pimples may enlarge to form firm, painful cysts.

Acne often appears concerning the face and shoulders, but may also occur concerning the trunk, arms, legs, and buttocks.

Acne is most typical in teenagers, but it can happen at any age, even as an infant. Three out of four teenagers have acne to some extent, most likely caused by hormonal modifications that stimulate oil production. Nevertheless, people in their 30s and 40s may also have acne .

Acne tends to run in families and could be triggered by:

  • * Hormonal modifications related to menstrual periods, pregnancy, birth handle pills, or stress
  • * Greasy or oily cosmetic and hair products
  • * Specific drugs (this type of as steroids, testosterone, estrogen, and phenytoin)
  • * Greater levels of humidity and sweating

Despite the well-known belief that chocolate, nuts, and other foods bring about acne , research does not confirm this idea.
Symptoms

  • * Blackheads
  • * Crusting of skin color colour eruptions
  • * Cysts
  • * Pustules
  • * Redness close to your skin colour eruptions
  • * Scarring from your skin colour
  • * Whiteheads

Signs and tests

Your doctor can diagnose acne based concerning the appearance from your skin colour. Testing is usually not required.
Treatment

Take the subsequent self-care actions to lessen the outcomes of acne breakouts :

  • * Clean your skin color colour gently with a mild, non-drying soap (this type of as Dove, Neutrogena, or Basics).
  • Eliminate all dirt or make-up. Wash once or twice a day, for example subsequent exercising. Nevertheless, avoid excessive or repeated skin color colour washing.
  • * Shampoo your hair daily, especially if it's oily. Comb or pull your hair back to sustain the hair out of one's face. Avoid tight headbands.
  • * Attempt not to squeeze, scratch, pick, or rub the pimples. Even although it might be tempting to do this, it can lead to skin color colour infections and scarring.
  • * Avoid touching your face with your hands or fingers.
  • * Avoid greasy cosmetics or creams. Look for water-based or "non-comedogenic" formulas. Take make-up off at night. Non-comedogenic products have been tested and proven not to clog pores and bring about acne breakouts.

If these actions do not clear up the blemishes to an acceptable level, attempt over-the-counter acne breakouts medications. These products are applied directly in the direction of your skin colour. They may contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid. They work by killing bacteria, drying up the oil, and causing the greatest layer of one's skin color colour to peel. They may bring about redness or peeling from your skin colour.

If pimples are still a issue, a dermatologist can prescribe stronger medications and discuss other choices with you.

Prescription medicines consist of:

  • * Oral antibiotics (taken by mouth) this type of as minocycline, doxycycline, tetracycline, erythromycin, and amoxicillin
  • * Topical antibiotics (applied in the direction of your skin colour) this type of as clindamycin, erythromycinm or dapsone
  • * Retinoic acid cream or gel (Retin-A) and isotretinoin pills (Accutane) -- pregnant ladies and sexually active adolescent females ought to NOT take Accutane, as it leads to severe birth defects. Ladies taking Accutane ought to use two forms of birth handle prior to starting the drug and enroll within the iPledge program.
  • * Prescription formulas of benzoyl peroxide, sulfur, resorcinol, salicylic acid
  • * A pill recognized as spironolactone may help ladies with hormonally controlled acne breakouts.
  • * A laser procedure recognized as photodynamic treatment may also be helpful.

Birth handle pills can occasionally help clear up acne breakouts. (In some cases, although, they may make it worse.)

Your doctor may also suggest chemical skin color colour peeling, removal of scars by dermabrasion, or removal, drainage, or injection of cysts.

A little amount of sun exposure may enhance acne breakouts. Nevertheless, excessive exposure to sunlight or ultraviolet rays is not suggested merely simply because it increases the danger of skin color colour cancer.
Expectations (prognosis)

Acne breakouts usually subsides subsequent adolescence, but may last into middle age. The scenario generally responds nicely to treatment subsequent 6 - 8 weeks, but may flare up from time to time. Scarring may occur if severe acne is not treated. Some people, especially teenagers, can turn out to become substantially depressed if acne is not treated.
Complications

Feasible complications consist of:

  • * Modifications in skin color colour colour
  • * Cysts
  • * Harm to self-esteem, confidence, personality, and social life
  • * Permanent facial scars
  • * Side outcomes of Accutane (for example truly dry skin color colour and mucus membranes, greater triglyceride levels, liver harm, and birth defects in an unborn baby; call your doctor correct away ought to you turn out to become pregnant even though taking this drug)
  • * Side outcomes of other medications

Calling your health care provider
Call your doctor or a dermatologist if:

  • * Self-care measures and over-the-counter medicine have not helped subsequent numerous months
  • * Your acne is severe (for instance, you've lots of redness close towards the pimples or you've cysts) or obtaining worse
  • * You develop scars as your acne clears up

Call your pediatrician if your baby has acne that does not clear up on its own within 3 months.

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