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What is Acne? Acne is an inflammatory disease, which is focused in the oil, or sebaceous, glands of your skin. Acne surfaces when dead skin cells and bacteria accumulate at the surface of the gland and plug the opening. Acne is an ‘epidemic’ plaguing men and women of all ages, of all genders and ethnic backgrounds. Children are relatively safe from the problem, only until they’ve reached a certain stage of maturity. Acne is a common problem in adolescents and young adults. The disorder is caused by abnormal desquamation of follicular epithelium that results in obstruction of the pilosebaceous canal. Severe Acne Severe acne is inflammatory, but acne can also manifest in noninflammatory forms. Acne lesions are commonly referred to as pimples, blemishes, or zits. Severe cystic acne causes pain, recurrent bleeding and purulent discharge. In rare instances, patients with acne develop severe systemic toxicity and require treatment in hospital. Severe cases may also be treated with steroids to reduce the inflammation. Keeping the acne at bay may require clipping and daily application of chlorhexidine. Stress Stress and anger also affect hormone levels. Stress and anxiety may be a causative factor in Acne as in other skin disorders and having a condition that rules your life described as trivial is stressful indeed! It will come as no surprise to Acne Sufferes that studies have shown intolerance and bigotry against Acne in the work place is common. Stress can not cause acne, but it can make acne worse, and having acne can be very stressful. When the body becomes stressed, the adrenal cortex converts adrenal androgens to testosterone in BOTH men and women, resulting in over active sebaceous glands. Acne Treatments Treatments are available in gels, solutions, creams, lotions, or pads. Before you use a new product on your face, always test the product on a small patch of skin on your arm or behind the ear to see if you are sensitive to the product. Treatment typically involves heat application, draining the boil, and antibiotics to eliminate bacterial infection. Treatments include managing stress and diet and using skin treatments. Medication and antibiotics are also used to treat acne. Treatment for acne will also include topical or systemic drug therapy. Depending upon the severity of acne, topical medications (medications applied to the skin) or systemic medications (medications taken orally) may be prescribed by your child's physician. Treatment can include gels with benzoyl peroxide or azelaic acid (which stops the growth of bacteria), antibiotic creams or oral antibiotics. It can take up to eight weeks before you see a difference in your skin, and treatment might need to be continued for?six months. Treatment with isotretinoin generally lasts 5-7 months. It requires careful follow-up by the dermatologist to make sure that no side-effects occur with the medication.
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