Acne

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What is...

What is acne?

Acne is a common skin disease most often seen in teenagers and young adults. Acne usually begins during puberty, that time in the teen years when a person's body changes from a child into an adult.

Acne happens then because high levels of hormones stimulate the glands in the skin to produce more sebum than usual. Sebum is an oily substance that normally helps to protect the skin from infection and dryness.

Acne can develop if this oil builds up and becomes trapped by dead skin cells that block the openings (pores) of the glands. Sometimes bacteria that are normally present on the skin can also get trapped in these pores, contributing to the formation of pimples.

Acne is the most common skin complaint in young people, and it is seen to varying degrees in 80-90% of this population. Boys are more likely to suffer from acne than girls, because they produce more of the hormone testosterone that plays a role in acne. Acne tends to fun in families, and cannot be caught from another person.

Symptoms

Acne - Symptoms

When the pores (also called follicles) are clogged by oil and dead skin cells and then close off, white bumps are formed under the skin.

These are called closed comedones or more commonly, "whiteheads." When the pores are clogged but stay open, they are called open comedones. These are also known as "blackheads" because the top surface gets dark when exposed to the air.

When the wall around the clogged follicle bursts inflammation occurs, causing swelling and redness.

If the follicle wall bursts at the skin surface, a pimple forms; if this occurs deeper in the skin, acne nodules or cysts result. Acne is most common on the face, in the neck region, on the upper part of the chest, and on the back.

Acne - Complications

Pimples do not usually lead to complications.

However, picking and squeezing the pimples, as well as vigorous scrubbing of the skin, can cause infection and scarring.

Acne can cause severe emotional stress, which may require psychological treatment.

Home treatment

Treatment / What you should do if your child has acne

If your child has acne, there are a number of medications you can try.

Various over-the-counter medications, such as benzyl peroxide, salicylic acid and resorcinol are available as lotions, gels, creams, soaps and wet wipes. Be patient, as the positive effects of these medications are often not seen until after 4-8 weeks of treatment.

Also, be prepared for things to get slightly worse before they get better. Some of these preparations can cause side effects, such as dryness of the skin and skin irritation, including redness and stinging. Starting with a small amount every other day and waiting 15 minutes after washing the face before applying these medicines can help to reduce the irritation. The redness and irritation often subside on their own in a week or two.

In the case of widespread acne or when the topical treatments mentioned above have not helped, consult a doctor. Your doctor can prescribe other treatments, such as topical antibiotics, or an oral (taken by mouth) antibiotic, such as tetracycline or erythromycin.

Other alternatives include retinoids and adapalene, which can have more serious side effects, and are used only in severe cases of acne, when other treatments have failed. 

Prevention

Prevention of acne

Some medications, steroids, chemicals, oily cosmetics and perfumes may increase the likelihood of developing acne.

For some people, sunbathing can worsen acne, as can menstruation, and stress.

Avoiding products and chemicals that increase the likelihood of getting pimples can help you to prevent acne.

Wash the face daily with mild soap that does not contain harsh perfumes, chemicals or abrasives.

Only oil-free (non-comedogenic) cosmetics should be used.

Eating greasy foods does not cause acne. In fact, there is no proof that any particular type of foods - for example, chocolate --contribute to acne. However, you may notice that a certain food makes your acne worse. If this is the case, you should avoid that food

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