A chronic skin disorder in which there is
inflammation of the sebaceous glands
at the base of hair follicles in the skin.
TYPES :
The most common type of acne is sometimes
known as acne vulgaris, which almost
always develops during puberty. Chemical acne is caused by exposure of the skin
to certain chemicals and uo ils. This results in the development of acne in areas
where the chemical has come into contact with the skin, such as on the thighs.
Certain prescribed drugs, such as corticosteroid drugs, can also cause acne.
CAUSE :
Acne spots are caused by the obstruction of
hair follicles by excess sebum (the oily substance secreted by the sebaceous glands).
Bacteria multiply in the
follicle, causing inflammation. Hormonal changes
at puberty, including
increased levels of androgen
hormones (male sex hormones) in
both males and
females, stimulate the production of sebum.There
may also be a genetic predisposition to
acne.
SYMPTOMS:
Acne develops in areas in which there is a
high concentration of sebaceous
glands, mainly the face, centre of the chest,
upper back, shoulders, and around the neck. Milia (whiteheads),comedones
(blackheads), nodules (firm swellings under the skin), and cysts (larger,
fluid-filled swellings) are the most common types of spot. Some, particularly cystic
spots, leave scars.
TREATMENT AND OUTLOOK:
There is no instant cure for acne, although
washing the affected areas at least twice a day with a mild soap may help to
keep it under control. Over-thecounter topical drug treatments such as benzoyl
peroxide or azelaic acid are often effective. Prescribed topical antibiotic drugs
or retinoic acid (a
derivative of vitamin A) are used to treat moderate acne.
Alternative treatment is with oral antibiotics, often tetracycline
drugs. In very severe cases, isotretinoin may be given under hospital supervision. In all
cases, exposure to ultraviolet light (either natural or artificial) may also be
beneficial. However, it is important not to burn the skin. Acne improves slowly
over time, and it often clears up by the end of the teenage years.
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