Acne Treatment
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What is acne ?
Acne (pimples) is an inflammatory skin disease, primarily involving sebaceous glands: affecting the face, but can also occur on the arms, back and chest.
How dose one get acne?
There are 4 events in causation:
- Excess sebum (oil) in the skin: the oil producing glands in the skin are stimulated by hormones after puberty to produce more sebum.
- Clogged pores (pilosebaceous unit) : the dead cells, bacteria and sebum form a plug at the outlet of the pilosebaceous follicle and appear as black heads (open comedones) if the plug remains below the surface it appears as white heads (closed comedones)
- Bacteria (P. acne) :the bacteria caused inflammation in the pilosebaceous unit. P.acne also initiates comedone formation.
- Inflammation : this leads to formation of large solids bumps, pustules and fluid filled cavity caused cyst.
How does acne get aggrevated (factors aggrevating acne)?
- Genetics factors: the type and severity of acne a person gets is influenced by his genes i.e. , when a person suffer from severe acne it is often found that either or both parent had a similar problem in their childhood.
- Pre-menstrual aggrevation are commonaly seen. Though hormonal factor are implicated , it is peripheral heightended sensitivity that cause acne.
- Use of cosmetics (oil based) , scrubs can aggrevate acne.
- A sudden bout of acne following facial, clean-up, bleaching etc. is common.
- Sometimes multiple cysts in the ovaries called polycystic ovarian syndrome can caused acne in addition to irregular cycle, weight gain and hair loss on the scalp and excessive hair on the face.
- Certain drugs like steroid, antitubercular medicines (isoniazide), antiepileptics (phenobarbitone) can cause acne like eruption.
- Abuse of topical steroid cream on the face often promoted as fairness creams can cause adverse effects including acne.
- Acne can persists or appear postadolescence. It may be associated with other sign such as hair loss on the scalp and excessive hair on the face.
- Diet is an important factor in aggrevating acne. Acne is not caused by specific foods but certain food may make some people acne worse. High caloric(glycemic) foods such as pastries and sweets and dairy product like cheese, paneer,butter & ghee can trigger or worsen the existing acne. Whey protein, used by adults engaged in body-building sports is also implicated in aggrevation of acne. Healthy food habits, fresh vegetables and fruits and lots of water help in maintaining healthy skin.
- Emotional and physical stress an also aggrevates acne.
- Dandruff and acne often co-exist
