What is Acne?
Acne is a skin condition, also it has types of acne, It that occurs when the hair follicles of the skin or chin acne are obstructed by sebum and dead cells, becoming colonized by bacteria that generate inflammation. Acne most commonly appears on the forehead, face, neck, chest, back and shoulders.
Also, Read for cystic acne. Depending on the severity, acne can cause emotional distress and lead to scars on the skin. The good news is that effective treatments are available – and the earlier you start, the less risk of scarring.
Different Types of Acne
Acne of the newborn:
About 20% of newborns develop mild acne. This can happen because certain hormones are passed to them through the placenta by their mothers just before birth. Another cause of acne in babies is the stress of childbirth, which can cause the baby’s body to release hormones. Newborns with acne usually have lesions that disappear spontaneously.
Babies between three and 16 months of age can develop acne in children. They can have blackheads and pimples. Childhood acne usually disappears when the child reaches two years of age. Pimples rarely leave scars. Childhood acne can be caused, in part, by hormonal levels higher than normal.
The most common type of acne is acne vulgaris. It appears more often in adolescents and young adults.
Acne conglobata is a rare, more serious form of acne. It occurs mostly in young men. In acne conglobata, large pimples develop on the face, chest, back, arms and thighs. This type of acne can be difficult to treat and often leaves scars.
Acne fulminant is a severe form of acne conglobata, which occurs more in teenage boys. In acne fulminating, a large number of pimples develop very rapidly in the back and chest. These pimples often leave serious scars. Patients with fulminant acne often suffer from fever and muscle and bone pain.
There are different types of acne. The most common acne is the type that develops during adolescence. Puberty causes hormone levels to rise, especially testosterone. These hormones stimulate the skin glands, which begin to produce more oil (sebum).
Children and older adults may also have acne.
Overproduction of sebum in the skin and concentration of dead cells in the hair follicles of the skin are among the causes of acne. These factors result in obstruction, accumulation of bacteria and inflammation.
The hair follicles are linked to sebaceous glands, which secrete an oily substance, known as sebum, to lubricate your hair and skin. When the body produces an excessive amount of sebum and dead skin cells, the two can accumulate in the hair follicles, creating an environment where bacteria can thrive.
This scenario can cause the follicle to become swollen and inflamed, accumulating pus, forming the spine. It can also happen that the follicle opens and darkens, producing a clove, or comedo.
Factors that can make acne worse
- Hormones. Androgens are hormones that increase in boys and girls during puberty, causing the sebaceous glands to enlarge and produce more sebum. Hormonal changes related to pregnancy and the use of oral contraceptives may also affect the production of sebum
- Certain medications, such as corticosteroids, androgens or the lithium-based ones are known to cause acne
- Dietary factors, including excessive intake of dairy products and foods rich in carbohydrates – such as breads, biscuits and chips – can trigger acne.
Contrary to what some people think, these factors have little effect on acne:
- Fatty foods and chocolate have little or no effect on the development or course of acne
- Acne is not caused by dirt. In fact, rubbing the skin too hard or cleaning with abrasive soaps and chemicals irritates the skin and can worsen acne. Doing a simple skin cleanser to remove excess oil and dead cells is all that is needed.
Hormonal changes in the body can cause or aggravate acne. Such changes are common:
- In adolescents
- Two to seven days before the menstrual period
- In pregnant women
- In people who use certain medications, including those that contain corticosteroids, androgens or lithium.
Acne can be irritated or aggravated by:
- Touch a lot on the face
- Excessive sweating
- Leave the hair in contact with the skin, which can leave the skin more oily
- Working with oils and chemicals regularly
- Athletes or bodybuilders who take anabolic steroids are also at risk of worsening or developing acne.
Acne develops most often on the face, neck, chest, shoulders, or back and can range from mild to severe. It can last a few months, many years, or come and go throughout life.
Generally, acne causes only pimples and blackheads. Sometimes it can progress to cysts and nodules. Cystic lesions are pimples that are large and deep, often painful and can leave scars on the skin.
Acne can lead to low self-esteem and sometimes depression. These conditions require treatment along with that of acne itself.
Seeking medical help
Acne is not usually a serious medical condition. But you may want to seek a dermatologist to treat persistent pimples or inflamed cysts in order to avoid scarring or other skin damage.
If acne and scars are affecting your social relationships or self esteem, you may also want to ask a dermatologist about the treatment of existing scars.
Call for an appointment if:
- Are you worried about your child’s acne or
- The acne worsen or not improve after three months with home treatment
- Occur scars or marks after curing acne
- The spines become large and hard or filled with fluid
- You start to have other physical symptoms, such as the growth of facial hair in women
- Acne began after the use of a new medication
- There has been exposure to chemicals, oils or other substances that cause skin irritation.
You may want to seek medical help sooner if there is a strong family history of acne, you are emotionally affected by acne or developed acne at an early age.
At the medical appointment
Experts who can diagnose and treat acne are:
Being prepared for the appointment can facilitate diagnosis and optimize time. That way, you can already get the query with some information:
- Write down medical information such as other conditions with which you were diagnosed and any medications you are taking, including vitamins and supplements
- Write down important personal information, including any major stresses or recent life changes.
The doctor will probably ask a series of questions, such as:
- When Does Acne Begin?
- Anything, in particular, seem to trigger an acne breakout, such as stress or menstrual cycle?
- What medications do you or your child take as well as vitamins and supplements?
- Do you use oral contraceptives?
- Do you have regular menstrual periods?
- Are you pregnant, or are you planning to become pregnant any time soon?
- What types of soaps, lotions, hair products or cosmetics do you use?
- Do you have a family history of acne?
- What treatments have you tried so far? Has any been effective?
It is also important to take your questions to the written consultation, starting with the most important. This ensures that you will get answers to all relevant questions before the consultation is over. For acne, some basic questions include:
- What kind of treatment do you recommend for me?
- If the first treatment does not work, what will you recommend next?
- What are the possible side effects of the drugs you have prescribed?
- How long can I use my medications safely?
- How soon after the start of treatment do the symptoms begin to improve?
- When will you see me again to see if the treatment is working?
- Are there self-care measures to improve symptoms?
- Do you recommend any changes to my diet? Do you recommend any changes to the products I am using, such as shampoos and moisturizers?
The acne treatment focuses on reducing oil production on the skin, speeding up cell renewal, fighting bacterial infection and reducing inflammation. In some cases, the skin may worsen before it gets better.
The dermatologist may recommend a topical medicine – to apply to the skin – or oral medications such as Azithromycin and Roacutan . Oral acne medications should not be used during pregnancy, especially during the first trimester.
The treatment of acne includes:
- Free topical creams
- Topical creams available with prescription
- Antibiotics, which can be combined with other topical or oral products
- Oral Contraceptives
- Oral isotretinoin
- Cosmetic procedures such as chemical peeling and microdermabrasion, lasers, pulsed light.
Acne Scar Treatment
It is possible to use certain procedures to lessen the scars left by acne. Look:
- Facial fill with hyaluronic acid
- Chemical peels
- Laser and radiofrequency treatments
- Microsurgery to remove acne scars.
The most commonly used medications for treating acne are:
- Diane 35
- Drospirenone + Ethinylestradiol
- Hyoderme Omega 45g
- Hipoderme Omega 90g
Only a doctor can tell you which drug is most appropriate for your case, as well as the correct dosage and duration of treatment. Always follow your doctor’s guidelines carefully and NEVER self-medicate. Do not stop using the medication without first consulting a doctor and if you take it more than once or in much larger amounts than prescribed, follow the instructions in the package insert.
You can adopt some habits to prevent acne or prevent it from getting worse:
- Gently wash the skin every day. Avoid rubbing too hard or washing excessively
- Avoid sweating a lot if you think this will make your acne worse. If it is not avoidable, sanitize the face after the activity
- Wash your hair often and keep them from getting too oily
- Avoid hair products (such as gel, mousse, leave-in and ointment) that are very oily
- Avoid touching your face often or touching your face
- Wear light clothing and avoid synthetic fabrics
- Avoid skin exposure to oils and other chemicals.
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