Acne is a very common affection between the ages of 12 and 22 and hits twice as many women as men; 80 % of adolescents are involved.
There is no ethnic group that is not included; it occurs commonly in the family and is characterized by a seborrhoic habitus: seborrhoea can exist often without acne, but acne never occurs without seborrhoea.
Most people associate acne with being a teen-
With acne, however, the pores of the skin (which serve as the gland's outlets) become plugged with sebum and other materials, such as pigment, dead cells, and bacteria. If the plug (comedo) remains just beneath the skin, it appears on the surface as a very small, round, whitish bump, often called a whitehead. When the comedo reaches the skin's surface, it looks like a black dot, commonly known as a blackhead. Both "blackheads" and "whiteheads" may remain in the skin for a long time. In some mild cases, they are almost the only manifestation of acne.In other cases the plugged follicle may eventually burst, or the oily contents may seep into the surrounding skin. This causes inflammation. The result can be the formation of small or large, solid bumps, pus pimples, or even cavities containing a sticky fluid (cysts).
Excessive sebum production, androgenic stimulation, the blocking of pilo-
There are still outside influences that come into play. Probably foremost is stress. Severe or prolonged emotional tension may aggravate acne. That's why acne may aften flare up before examinations or under the stress of a new exeperience,such as starting college. In girls, acne may also get work shortly before menstruation because of the influence of hormonal factors.
Many cosmetics, especially some cleansing creams and moisturizers, have greasy bases that can aggravate acne. Even certain "brillantines" used on the hair may drip onto the forehead and help cause blackheads. However, contrary to popular belief, cosmetics don't actually plug the pore or follicular opening. They apparently alter the cells of the follicle, making them more likely to stick together and form plugs or comedones. It is propably best to use as few cosmetics as possible, and wearing cosmetics, use non oily water-
The correct use of Vitamin A acid, benzoyl-
Most authors agree that the best therapy should be based on tetracyclines, its derivatives or the use of zinc. Tetracycline acts on the cornybacterium by blocking the lipases. Zinc blocks the enzyme that converts testosterone into its dihydro derivative, the uncontrolable cause of the seborrhoea and the limited sebum production.
Acne therapy has been done to eliminate iatrogenic effects (iodine, barbiturates, isoniazides, vitamin B6 and B12) work causes, (chlorine, mineral oils, tars) contact (cashmere, woollen clothing) dietetic causes, (carbohydrates, processed meats and chocolate) and cosmetic causes (comedogenic fats, solar protecting oils, synthetic soaps and medications). Also this type of skin should be treated appropriately by regularly using specific masks and detergents, as well as day and night creams, which absorb fats and rebalance all cutaneous secretions.