How is acne treated

Acne is a chronic problem that its severity is highly variable and not as many believe exclusively characteristic of adolescence. How it's handled.

Acne is a chronic problem that its severity is highly variable and not as many believe exclusively characteristic of adolescence. They occur more frequently in this age but can appear first at any age, even 40, or to continue beyond this age.

The pathogenesis of acne is not fully known, but many factors are involved causally in appearance. Heredity, overproduction of sebum, acne propionic bacteria, hormonal disorders and "blocking" of the sebaceous glands of the skin cells are reasons that contribute to creating.

Affected mainly the face, upper chest and back. It is an issue that causes intense psychological burden, especially among young people and tends to recur. It requires the completion of each treatment and maintenance of specific products and sometimes treatment and scars success.

Women who suffer from acne, often trying to cover up the problem of dealing with them. the help of a dermatologist, who will recommend the appropriate treatment and sometimes will find the cause and when there is a hormonal disorder (polycystic ovaries, congenital adrenal hypertrophy, impaired thyroid function) is required.

Early treatment of acne is very important because it prevents scarring. This will have to take into account the parents of children who develop acne, especially if they themselves do not have a history of moderate to severe acne.

Not according to the clinical classification of the severity of acne and each case is treated differently. In severe cases, there is a danger of remaining scars. Factors associated with exacerbation of acne is stress due to increased production of cortisol, which increases sebum production, hormonal fluctuations, increased sweating.

The sun is in most cases a positive effect on acne, while there is no positive or negative correlation with certain foods although a diet rich in fat can aggravate the situation.

The treatments offered are varied, depending on the type and severity of acne, patient age, time of year. In small groups and topical mild acne treatment usually recommended cleaning with soaps, creams control excess fat, topical antibiotics and retinoids, azelaic acid and benzoyl peroxide.

There are also combinations of these substances in a product. Every dermatologist proposals based on the patient and the appropriate product often alternative treatments depending on the season and the response to treatment.

In the most extensive or severe edges combined topical treatment with oral antibiotics. It emphasizes that the effectiveness of antibiotics after discontinuation of treatment lasting 4-6 months is about 50%.

Antibiotics are mainly used to treat acne are tetracycline, minocycline and azithromycin over a period of 3-6 months.

The most effective treatment is by oral retinoids (isotretinoin), with an efficiency of 80%. Recommended for heavy edges or chronic cases or when the patient wishes to eliminate acne permanently, with the most likely possible.

The prerequisite for this is patient compliance to be monitored with blood tests from the dermatologist every month. Treatment dosage depends on the patient and administer pounds times without strong sunlight caused due to photosensitivity.

It is indicated at 12 years or older and pregnancy during treatment (4.5 - 8mines depending on the daily dose) strictly prohibited. Dryness of the skin and mucous membranes are common side effects, and can occur during treatment back pain, menstrual disorders, dermatitis of the hands, especially at high doses.

Hematological and biochemical disorders are rare, mainly on increasing transaminase (enzymes indicative of liver function), cholesterol and triglycerides. However, in some cases, these disorders are reversible and disappear completely after stopping treatment.

In rare cases it requires retreatment.

When a hormonal disorder, such as polycystic ovary syndrome, treatment with contraceptives or hormones help acne.

Other therapies are contraindicated when oral therapy, the patient selects the peeling is mainly for acne, laser and photodynamic therapy. The efficacy but less than isotretinoin.

Especially in the summer period, patients with acne need to have the following drawing:

The sun and salt water helps in most cases acne, but sun exposure in moderation as excessive exposure can worsen. Acne is also improved due to the good mood and lack of stress during the holidays.

The use of sunscreen is essential, especially for those who have recently completed treatment with isotretinoin, but also those using the topical treatment that can cause photosensitive skin. Women also use contraceptives to treat acne, should be used systematically and sunscreen on your face to avoid the risk of melasma.

Choosing a sunscreen is important because many sunscreens are not designed for acne-prone skin or fat can aggravate or cause.

Scars, acne scars can be treated with a laser. This in my opinion is the best fractional CO2. The shells of no help for acne scars (except phenol is not used in the clinic).

However, it has successfully completed the treatment of acne and if the patient has received isotretinoin pills, start the laser treatment at least 3-4 months after discontinuation. Required 3-6 treatments depending on the depth of the scars, and the effect of each session is established two months after each session.

The laser requires protection from the sun and becomes at once without strong sunlight (October to March).
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