Wednesday, February 5, 2014

Acne Vulgaris (pimples, blackheads, whiteheads)

2:00 AM

Acne (Acne vulgaris) is a common inflammatory skin condition characterised by outbreaks of pimples, blackheads, whiteheads and cysts. It affects the areas of skin with the densest population of oil glands (sebaceous follicles) - the face, the upper part of the chest, and the back. It is common in teenagers and normally tends to clear up after puberty, though the pimples can leave scars.
The main effects of acne are psychological, as it usually appears during adolescence, when people already tend to be most socially insecure.
In older people acne is uncommon, and is sometimes confused with rosacea.
Symptoms:
1.      Pimples (Pustules).
2.      Seborrhoea (Areas of scaly red skin).
3.      Blackheads, whiteheads, pinheads (papules), nodules.
4.      Scarring (in more severe cases).
Causes:
Acne is most common at puberty because the surge of hormones at this time stimulates the sebaceous (oil-producing glands) in the skin and makes them prone to blockages and infection. In adolescence, acne is usually caused by an increase in testosterone that occurs in both males and females at this time. The testosterone is associated with an enlargement of the sebaceous glands and an increase in sebum (waxy oil) production. Several hormones have been linked to acne, including those that change around puberty and menstrual cycles. Taking pharmaceutical anabolic steroids (which mimic testosterone) can also cause acne.
In adult women, polycystic ovary syndrome may cause acne.
1.      Stress. (Some research has shown that stress can trigger acne. The psychological effects of acne can also cause stress for some people, so it can be self-perpetuating)

2.      Bacterial infection. (A healthy skin contains and needs many different bacteria. In the case of acne, some bacteria take advantage of blocked follicles / glands and multiply)

3.      Sugar. (A high sugar diet is associated with acne)

4.      Milk. (Dairy products can cause acne)
5.      Oily processed foods.
6.      Constipation.
7.      Oil-based cosmetics.
8.      Lack of fresh vegetables and fruit.
9.      Dehydration.

Treatments:
Do not touch the pimples or affected areas. It is easy to spread a bacterial infection. Be aware if you have the habit of touching your face absent-mindedly. Gently wash affected areas twice a day with lukewarm water and a mild soap. Keep your hair off your face.
1.      Antiseptics.
Benzoyl peroxide may be used to clean the affected skin and reduce the bacteria. In more severe cases, antibiotics may be prescribed. Tea tree oil is a natural antibiotic and anti-inflammatory that has been used with some success, and is better than benzoyl peroxide and does not have the drying side-effect.
2.      Hormones.
For women, the hormones (oestrogen / progesterone) may be used to treat acne. Sometimes hormonal contraceptives have a beneficial effect too.
3.      Retinoids.
Some doctors prescribe drugs such as retinol, which tend to prevent follicle blockages when applied to the skin. However, they often tend to cause an initial flare-up of acne, facial flushing, and significant irritation of the skin. They should only be used for a limited time, and with excessive or longer use have severe side-effects. Oral retinoids tend to reduce sebaceous secretion. However, they have severe side-effects, and must only be used for a limited time. Side-effects include liver damage, birth defects, nose bleeds, dry skin, hormonal disruption, chronic fatigue and mental disorders including depression.
4.      Anti-inflammatory.
If the acne has an inflammatory component, then the anti-inflammatory diet and lifestyle will help.
5.      Herbs / plants.
In addition to tea tree oil, some people have had success with aloe Vera, Neem, turmeric and papaya.
(For persistent skin conditions, talk to your DOCTOR/ PHARMACIST or consider seeing a dermatologist).

Source:

Dr. Imtiaz Syed, M.B, B.S, MBA, CRA, PCQI, CPC
OpenDoor Team,  www.OpenDoor.cc
Redditch, Gloucestershire. UK.

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