Acne is a disease that affects the skin's oil glands. The small holes in the skin (pores) connect to oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows.
Most pimples are found on the face, neck, back, chest, and shoulders. Acne is not a serious health threat but, it can cause scars.
Acne is not just a problem for teenagers, it can affect people from ages 10 through 40. It is not unusual for women, in particular, to develop acne in their mid-to-late 20's, even if they have not had breakouts in years (or ever). Acne can appear as congested pores, whiteheads, blackheads, pimples, pustules, or cysts (deep pimples).
Sources:
National Institute of Arthritis and Musculoskeletal and Skin Diseases
http://www.niams.nih.gov/Health_Info/Acne/acne_ff.asp
MedicineNet.com: http://www.medicinenet.com/acne/article.htm
Types of Acne:
Here are four common types of acne:
Sources:
WrongDiagnosis: http://www.wrongdiagnosis.com/a/acne/subtypes.htm
AcneResource.org: http://www.acne-resource.org/acne-skin-care/types-of-acne.html
What are the causes of Acne?
The cause of pimples is unknown. The process by which a pimple develops is highly intricate. While we do know that a pore collapses on itself and blocks sebum (oil) from escaping, we do not fully understand why this process takes place in one sebaceous gland versus another.
The main culprit is horomonal changes which influence oil production. It is thought that our hormones play a big part in developing acne, especially in teenagers. This is because our hormones have been known to be responsible for the maturation of the oil glands. This means that any hormone differences can cause acne to flare up.
Stress can contribute to acne because when you get stressed, it stimulates our body enzymes and immune systems and in turn stimulates the oil glands. These then produce more oil and that is when acne can flare up.
Other causes may include diet, evolutionary biology, vitamin deficiency, and more. The real explanation may be a complex mix of many of these factors.
Sources:
MedicalNewsToday: http://www.medicalnewstoday.com/articles/71611.php
MedicineNet.com: http://www.medicinenet.com/acne/article.htm
What are the symptoms of Acne?
There are two main types of acne: non-inflammatory and inflammatory.
In non-inflammatory acne, there are usually just a few whiteheads and blackheads on the face. A relatively mild type of acne, it can often be treated effectively with nonprescription medicines. The majority of people with acne have this type of acne.
With inflammatory acne, the whiteheads become inflamed, and red pimples and pustules develop. In its most severe form, inflammatory acne can cause disfiguring cysts and deep, pitting scars of the face, neck, back, chest and groin. Prescription drugs and sometimes surgery are needed to treat inflammatory acne.
Sources:
Mayoclinic: http://www.mayoclinic.com/health/acne/DS00169/DSECTION=symptoms
HealthScout: http://www.healthscout.com/ency/68/131/main.html
What treatments are available for Acne?
Here are a few common treatments for acne:
Cosmetic procedures - Chemical peels and microdermabrasion may be helpful in controlling acne. These cosmetic procedures -- which have traditionally been used to lessen the appearance of fine lines, sun damage and minor facial scars -- are most effective when used in combination with other acne treatments.
Acne can be treated effectively by a dermatologist. Options may include:
- Topical treatments such as retinoids (tretinoin, tazarotene, or adapalene) or antibiotics (benzoyl peroxide, clindamycin)
- Oral antibiotics
- Hormonal medications like oral contraceptives
- In severe cases, an oral medication called isotretinoin (Accutane) may be prescribed. This is extremely effective, but side effects may include severe birth defects, changes in blood fats and cholesterols, and mood changes. Because of these side effects, Accutane is usually used only for patients with severe acne, or, in patients who have failed all other treatments.
Combination therapies, for example, using prescription creams and oral antibiotics, target all the causes of acne, which makes the treatment plan more successful. Several combination therapies have been shown to be effective in controlling acne:
Here are some tips given by doctors to treat acne:
- Get a nonprescription acne medicine and apply regularly. Over-the-counter drugs containing sulfur, resorcinol, salicylic acid, and benzoyl peroxide, are all effective for treating mild acne.
- Use ordinary hygiene on affected areas, washing your face once or twice daily with your usual soap or cleanser. Deodorant soaps may be used, but they are of no particular value for acne.
- Do not scrub or use a loofa. Friction makes acne worse.
- Do not pick or squeeze. This may worsen scarring.
Sources:
HealthScout: http://www.healthscout.com/ency/68/131/main.html
MayoClinic: http://www.mayoclinic.com/health/acne-treatments/SN00038
HerbaCall Acne Testimonials:
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