Frequently Asked Questions About Acne

By [http://EzineArticles.com/expert/Rachel_D_Frag/265268]Rachel D Frag

Frequently Asked Questions About Acne

Acne is a very common disease. People who have it tend to have similar kinds of questions about it and its treatment. This section addresses some of the common questions asked by people with acne. Please remember that your dermatologist is always the best source of specific information about your individual health issues, including acne.

Questions and Answer does follows:

1.   What causes acne?

The causes of acne are linked to the changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous (oil) glands of the skin to produce more sebum (oil). The hormones with the greatest effect on sebaceous glands are androgens (male hormones), which are present in females as well as males, but in higher amounts in males.

Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly. In people who develop acne, cells shed and stick together more so than in people who do not develop acne. When cells mix with the increased amount of sebum being produced, they can plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.

In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in the clogged hair follicle. In the process, these bacteria produce irritating substances that can cause inflammation. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, from blackheads to pimples to nodules, are formed.

2.   I wash my face several times a day. Why do I still get acne?

Many people still believe that acne is caused by dirty skin. The truth is, washing alone will not clear up or prevent acne. Washing does, however, help remove excess surface oils and dead skin cells. Many people use all kinds of products, including alcohol-based cleansers, and scrub vigorously, only to irritate the skin further and worsen their acne. Washing the skin twice a day gently with water and a mild soap is usually all that is required. However, acne is actually caused by a variety of biologic factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for the acne.

3.   Does stress cause acne?

Stress is commonly blamed for the development of acne. Stress can have many physiologic effects on the body, including changes in hormones that may theoretically lead to acne. In some cases the stress may actually be caused by the acne lesions, not the other way around! If the acne is being treated effectively, stress is not likely to have much impact on the majority of people.

4.   I never had acne as a teenager. Why am I now getting acne as an adult?

Usually, acne begins at puberty and is gone by the early 20s. In some cases, acne may persist into adulthood. Such types of acne include severe forms that affect the body as well as the face (which afflict males more than females) and acne associated with the menstrual cycle in women. In other cases, acne may not present itself until adulthood. Such acne is more likely to affect females than males.

There are several reasons for this. As females get older, the pattern of changes in hormones may itself change, disposing sebaceous glands to develop acne. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue birth control pills that have been keeping acne at bay. Sometimes young women may wear cosmetics that are comedogenic-that is, they can set up conditions that cause comedones to form.

5.   What role does diet play in acne?

Acne is not caused by food. Following a strict diet will not, clear your skin. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and some fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid any foods which seem to worsen your acne and, for your overall health, eat a balanced diet-but diet shouldn't really matter if the acne is being appropriately treated.

6.   Does the sun help acne?

Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne management, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin's sensitivity to ultraviolet light, making the risk of ultraviolet light exposure all the worse.

7.   What is the best way to treat acne?

Everyone's acne must be treated individually. If you have not gotten good results from the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. For more information about the types of acne treatments that are available, and for basic acne treatment guidelines, please see Acne Treatments in the main part of AcneNet.

8.   What kind of cosmetics and cleansers can an acne patient use?

Look for "noncomedogenic" cosmetics and toiletries. These products have been formulated so that they will not cause acne.

Some acne medications cause irritation or pronounced dryness particularly during the early weeks of therapy, and some cosmetics and cleansers can actually worsen this effect. The choice of cosmetics and cleansers should be made with your dermatologist or pharmacist.

Heavy foundation makeup should be avoided. Most acne patients should select powder blushes and eye shadow over cream products because they are less irritating and noncomedogenic. Camouflaging techniques can be used effectively by applying a green undercover cosmetic over red acne lesions to promote color blending.

9.   Is it harmful to squeeze my blemishes?

Yes. In general, acne lesions should not be picked or squeezed by the patient. In particular, inflammatory acne lesions should never be squeezed. Squeezing forces infected material deeper into the skin, causing additional inflammation and possible scarring.

1.      Can anything be done about scarring caused by acne?

Scarring is best prevented by getting rid of the acne. Dermatologists can use various methods to improve the scarring caused by acne. The treatment must always be individualized for the specific patient. Chemical peels may be used in some patients, while dermabrasion or laser abrasion may benefit others. It is important that the acne be well controlled before any procedure is used to alleviate scarring.

2.      How long before I see a visible result from using my acne medication?

The time for improvement depends upon the product being used, but in almost all cases it is more a matter of weeks or months instead of days. Most dermatologists would recommend the use of a medication or combination of medications daily for 4 to 8 weeks before they would change the treatment. It is very important for patients to be aware of this time frame so they do not become discouraged and discontinue their medications. Conversely, if you see no change whatsoever, you might want to check with your dermatologist regarding the need to change treatments.

3.      Would using my medication more frequently than prescribed speed up the clearing of my acne?

No-always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually induce more irritation of the skin, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed, they won't work any better, but there is a greater chance of side effects.

4.      My topical treatment seems to work on the spots I treat, but I keep getting new acne blemishes. What should I do?

Topical acne medications are made to be used on all acne-prone areas, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. Patients are generally advised to treat all of the areas (forehead, cheeks, chin and nose) that tend to break out rather than just individual lesions.

5.      My face is clear! Can I stop taking my medication now?

If your dermatologist says you can stop, then stop-but follow your dermatologist's instructions. Many times patients will stop their medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, it may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Ask your dermatologist before you stop using any of your medications.

6.      Does it matter what time I use my medication?

Check with your dermatologist or pharmacist. If you were taking one dose a day of an antibiotic, you could probably take it in the morning, at midday or in the evening, although you should pick one time of day and stay with it throughout your treatment. With oral medications prescribed twice a day or three times a day, you should try your best to spread out the doses evenly. Some antibiotics should be taken on an empty or nearly empty stomach. For optimal results with topical treatments, you should strictly follow your dermatologist's recommendations. For example, if instructed to apply benzoyl peroxide in the morning and a topical retinoid at bedtime, it is important to follow these directions strictly. If the two were applied together at bedtime, for example, you could decrease the efficacy of the treatment because of chemical reactions that make them less effective.

7.      I have trouble remembering to take my oral medication every day. What's a good way to remember? What should I do if I forget a dose?

This is a common problem. Many patients try to associate taking their medication with a routine daily event such as brushing teeth or applying makeup. It also helps to keep the medication close to the area where the reminder activity is carried out.

In most cases, if you miss a day of your oral treatment, do not double up the next day; rather, get back to your daily regimen as soon as possible-but there may be different instructions for different oral medications. Ask your dermatologist or pharmacist about what to do if you miss a dose of your particular medication.

8.      I have been using topical benzoyl peroxide and an oral antibiotic for my acne and have noticed blue-black and brown marks developing on my face and some discoloration on my body. The marks are especially noticeable around acne scars and recently healed lesions. Is this a side effect of medication and is it permanent?

It is not possible to make general statements about side effects of medications that apply to individual cases. A dermatologist should be consulted. The facial marks and body discoloration described by the patient in this case do fall within the range of side effects of some antibiotics.

Unique patterns of pigmentation are sometimes seen in acne patients treated with certain oral antibiotics-particularly minocycline. The pigmentation patterns that appear may include:
* Localized blue-black or brown marks in and around acne scars and in areas of previous acne inflammation

* A "muddy skin" appearance that may cover much of the body

* Diffuse brownish pigmentation of the feet and lower legs.

The pigmentation side effect gradually disappears after the therapy is discontinued.

Any side effect of a medication should be noted by the patient and brought to the attention of the physician. While most side effects are temporary they should be discussed with the physician and monitored.

1.   My doctor is prescribing a topical retinoid for my acne. He said a retinoid is a substance related to vitamin A. If the drug is related to vitamin A, shouldn't vitamin A dietary supplements be helpful in getting rid of acne?

Dietary vitamin A is essential to good health, especially vision. It has healthful effects in the skin. Large doses of vitamin A for the treatment of acne is not recommended on grounds of safety. The retinoids and retinoid-like substances used as topical treatments for acne are prepared especially for their potent effect on the shedding of cell lining in the sebaceous follicle. Their use should be monitored by a dermatologist.

Dietary vitamin A has multiple health effects in the human body. Vitamin A is essential for good vision. Extreme vitamin A deficiency can result in blindness, usually accompanied by dry, scaly skin. Vitamin A overdose that far exceeds the Recommended Dietary Allowance (RDA) of 5,000 IU can have effects nearly as catastrophic. Extreme vitamin A overdose can cause the skin to blister and peel-an effect first seen in early North Pole explorers who nearly died after eating polar bear liver that has an extraordinarily high vitamin A content.

Topical retinoids are usually prescribed as a treatment for moderate to severe acne. Side effects are chiefly dermatologic, including redness, scaling and dryness of the skin, itching and burning. These side effects can usually be managed by adjustment of the amount and timing of retinoid applied to the skin. Dose adjustment must be discussed with the dermatologist who prescribed the treatment.

2.   Are there any acne treatments specifically for people with dark skin? Are there any treatments specifically harmful to dark skin?

There are no acne treatments specifically for use on dark skin. Acne treatments are generally as safe and effective on dark skin as on light skin. Some treatments for acne scars may cause temporary lightening of dark skin.

Acne is a common skin disease that has the same causes and follows the same course in all colors of skin.

Very dark or black skin may be less well-moisturized than lighter skin. Topical anti-acne agents such as benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist. Benzoyl peroxide also is a strong bleach and therefore must be applied carefully to avoid inadvertent decolorization of a patch of hair, towels or clothing.

Darker skin has a tendency to develop post-inflammatory hyperpigmentation (excessive skin darkening at places where the skin was inflamed). Severe inflammatory acne may result in dark spots. The spots resolve over time; a dermatologist may be able to recommend cosmetic measures to make the spots less apparent until they resolve. Some acne treatments, such as topical retinoids and azelaic acid, may also help fade the discoloration.

Removal of acne scars by dermabrasion or chemical peeling may cause temporary lightening or darkening of dark skin in the areas of treatment. Scar treatment should be discussed with a dermatologist or dermatologic surgeon before it is undertaken.

Alterations of melanin (dark pigments that give the skin its color) pigmentation such as vitiligo and melasma are not related to acne, but they may be present simultaneously with acne. The diagnosis and treatment of melanin pigmentation disorders such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions.

3.   Is acne that appears for the first time in adulthood different from acne that appears in adolescence?

Acne has a specific definition as a disease of sebaceous follicles. This definition applies to acne that occurs at any age. However, it may be important to look for an underlying cause of acne that occurs for the first time in adulthood.

Current understanding of the causes of acne vulgaris is described in the Main Text section Why and how acne happens. In brief summary, acne vulgaris develops when excessive sebum production and abnormal growth and death of cells in the sebaceous follicle result in plugging of follicles with a mixture of sebum and cellular debris and formation of comedones (blackheads and whiteheads). Bacteria in the follicles-chiefly Propionibacterium acnes, the most common bacterial colonist of sebaceous follicles-may contribute to the inflammation of acne by release of metabolic products that cause inflammatory reaction. The pathogenic events, which cause disease, in the sebaceous follicle are believed to be due in large degree to changes in levels of androgenic (male) hormones in the body-a circumstance usually associated with growth and development between ages 12 and

4.   Some acne investigators believe that although this understanding is generally correct, there is more yet to be learned about the causes of acne vulgaris.

Acne that appears after the age of 25-30 years is (1) a recurrence of acne that cleared up after adolescence, (2) a flare-up of acne after a period of relative quiet-for example, during pregnancy, or (3) acne that occurs for the first time in a person who had never previously had acne.

Acne that occurs in adulthood may be difficult to treat if there are multiple recurrences. Some patients with severe recurrent acne have undergone repeated courses of treatment with the potent systemic drug isotretinoin.

Acne flares in association with pregnancy or menstruation are due to changes in hormonal patterns.

Acne that appears for the first time in adulthood should be investigated for any underlying cause. Drugs that can induce acne include anabolic steroids (sometimes used illegally by athletes to "bulk up"), some anti-epileptic drugs, the anti-tuberculosis drugs isoniazid and rifampin, lithium, and iodine-containing drugs. Chlorinated industrial chemicals may induce the occupational skin disorder known as chloracne. Chronic physical pressure on the skin-for example, by a backpack and its straps, or a violin tucked against the angle of the jaw and chin-may induce so-called acne mechanica. Some metabolic conditions may cause changes in hormonal balance that can induce acne.

Some lesions that appear to be acne may be another skin disorder such as folliculitis-infection and inflammation of hair follicles-that require different treatment than acne. Acne that appears for the first time in adulthood should be examined and treated by a dermatologist.

5.   My 15-year-old daughter has what I would describe as a very mild case of acne. She has made it much worse by constant picking and squeezing. She looks in the mirror for hours, looking for some blackhead or blemish she can pick or squeeze. Does she need psychological counseling?

Excessive picking and squeezing of otherwise mild acne is a condition called excoriated acne, seen most often in young women. A dermatologist may provide effective counseling.

The typical person with excoriated acne is a person-often a young women-who is so distressed with her appearance due to acne that she literally tries to "squeeze the acne out of existence." The acne is often very mild, but the person's face may constantly be covered with red marks from squeezing, and open sores where lesions have been picked open.

The word excoriate means to scratch or abrade the skin. Excoriated acne is a medically recognized condition that should be discussed with a dermatologist. Occasionally giving in to a temptation to squeeze a blackhead is not defined as excoriated acne. Hours in front of a mirror, squeezing and picking every blemish, is a definition of excoriated acne. A dermatologist may be able to counsel the patient regarding a course of treatment in which the patient can participate, but keep "hands off."

6.   Can the rate of secretion or the composition of sebum be altered by diet? If it can, shouldn't alteration of diet be considered a treatment for acne?

Diet has never been proven to have a role in the cause or treatment of acne. Dietary manipulation may have a role in the treatment of some scaling diseases of the skin, but not in the treatment of acne.

Dietary cause is one of the most persistent myths about acne. Foods, such as chocolate or greasy foods, do not cause acne, but certain foods seem to make some people's acne worse. The following can bring on or worsen it:


*Hereditary factors


*An increase in male hormones found in both males and females


*Menstruation


*Emotional stress


*Oil and grease from cosmetics, work environment

No food has been shown to be effective in preventing or treating acne. A healthy diet is, of course, necessary for good general health.

7.   Shouldn't I just try to eliminate sebum from my body?

No. When it isn't blocked in your pores, sebum helps keep your skin healthy.

8.   Why does acne usually start at puberty?

No one knows for certain. What is known is that the sebaceous glands that produce sebum get much larger at puberty than they were before.

9.   Why does the skin around a pimple turn red?

This redness is caused by the body's inflammatory response. Inflammation is a sign that your immune system is working to fight an infection. However, the inflammatory response doesn't always work perfectly, and can even be the cause of scarring.

10.   If my skin turns red, does that mean that I'm going to have scars?

Usually, no. Even when there will be no permanent scar, the aftereffects of the inflammatory response can leave the skin red for months, sometimes for more than a year.

11.   What are free radicals?

Free radicals are byproducts of oxidation in your body. We all need oxidation to occur as part of our life process, but there is concern that the buildup of unrecycled free radicals contributes to many conditions, including skin damage. Antioxidants, including several of the active ingredients in Acuzine, help prevent the buildup of free radicals.

Jesica Bacalla writes for Acne Article [http://www.acneblogs.net] for more info visit [http://www.acneblogs.net]

Article Source: [http://EzineArticles.com/?Frequently-Asked-Questions-About-Acne&id=1472918] Frequently Asked Questions About Acne

Frequently Asked Questions About Acne

By [http://ezinearticles.com/?expert=Rachel_D_Frag]Rachel D Frag 

Frequently Asked Questions About Acne

Acne is a very common disease. People who have it tend to have similar kinds of questions about it and its treatment. This section addresses some of the common questions asked by people with acne. Please remember that your dermatologist is always the best source of specific information about your individual health issues, including acne.

Questions and Answer does follows:

1.   What causes acne?

The causes of acne are linked to the changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous (oil) glands of the skin to produce more sebum (oil). The hormones with the greatest effect on sebaceous glands are androgens (male hormones), which are present in females as well as males, but in higher amounts in males.

Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly. In people who develop acne, cells shed and stick together more so than in people who do not develop acne. When cells mix with the increased amount of sebum being produced, they can plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.

In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in the clogged hair follicle. In the process, these bacteria produce irritating substances that can cause inflammation. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, from blackheads to pimples to nodules, are formed.

2.   I wash my face several times a day. Why do I still get acne?

Many people still believe that acne is caused by dirty skin. The truth is, washing alone will not clear up or prevent acne. Washing does, however, help remove excess surface oils and dead skin cells. Many people use all kinds of products, including alcohol-based cleansers, and scrub vigorously, only to irritate the skin further and worsen their acne. Washing the skin twice a day gently with water and a mild soap is usually all that is required. However, acne is actually caused by a variety of biologic factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for the acne.

3.   Does stress cause acne?

Stress is commonly blamed for the development of acne. Stress can have many physiologic effects on the body, including changes in hormones that may theoretically lead to acne. In some cases the stress may actually be caused by the acne lesions, not the other way around! If the acne is being treated effectively, stress is not likely to have much impact on the majority of people.

4.   I never had acne as a teenager. Why am I now getting acne as an adult?

Usually, acne begins at puberty and is gone by the early 20s. In some cases, acne may persist into adulthood. Such types of acne include severe forms that affect the body as well as the face (which afflict males more than females) and acne associated with the menstrual cycle in women. In other cases, acne may not present itself until adulthood. Such acne is more likely to affect females than males.

There are several reasons for this. As females get older, the pattern of changes in hormones may itself change, disposing sebaceous glands to develop acne. Ovarian cysts and pregnancy may also cause hormonal changes that lead to acne. Some women get acne when they discontinue birth control pills that have been keeping acne at bay. Sometimes young women may wear cosmetics that are comedogenic-that is, they can set up conditions that cause comedones to form.

5.   What role does diet play in acne?

Acne is not caused by food. Following a strict diet will not, clear your skin. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and some fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid any foods which seem to worsen your acne and, for your overall health, eat a balanced diet-but diet shouldn't really matter if the acne is being appropriately treated.

6.   Does the sun help acne?

Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne management, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin's sensitivity to ultraviolet light, making the risk of ultraviolet light exposure all the worse.

7.   What is the best way to treat acne?

Everyone's acne must be treated individually. If you have not gotten good results from the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. For more information about the types of acne treatments that are available, and for basic acne treatment guidelines, please see Acne Treatments in the main part of AcneNet.

8.   What kind of cosmetics and cleansers can an acne patient use?

Look for "noncomedogenic" cosmetics and toiletries. These products have been formulated so that they will not cause acne.

Some acne medications cause irritation or pronounced dryness particularly during the early weeks of therapy, and some cosmetics and cleansers can actually worsen this effect. The choice of cosmetics and cleansers should be made with your dermatologist or pharmacist.

Heavy foundation makeup should be avoided. Most acne patients should select powder blushes and eye shadow over cream products because they are less irritating and noncomedogenic. Camouflaging techniques can be used effectively by applying a green undercover cosmetic over red acne lesions to promote color blending.

9.   Is it harmful to squeeze my blemishes?

Yes. In general, acne lesions should not be picked or squeezed by the patient. In particular, inflammatory acne lesions should never be squeezed. Squeezing forces infected material deeper into the skin, causing additional inflammation and possible scarring.

1.      Can anything be done about scarring caused by acne?

Scarring is best prevented by getting rid of the acne. Dermatologists can use various methods to improve the scarring caused by acne. The treatment must always be individualized for the specific patient. Chemical peels may be used in some patients, while dermabrasion or laser abrasion may benefit others. It is important that the acne be well controlled before any procedure is used to alleviate scarring.

2.      How long before I see a visible result from using my acne medication?

The time for improvement depends upon the product being used, but in almost all cases it is more a matter of weeks or months instead of days. Most dermatologists would recommend the use of a medication or combination of medications daily for 4 to 8 weeks before they would change the treatment. It is very important for patients to be aware of this time frame so they do not become discouraged and discontinue their medications. Conversely, if you see no change whatsoever, you might want to check with your dermatologist regarding the need to change treatments.

3.      Would using my medication more frequently than prescribed speed up the clearing of my acne?

No-always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually induce more irritation of the skin, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed, they won't work any better, but there is a greater chance of side effects.

4.      My topical treatment seems to work on the spots I treat, but I keep getting new acne blemishes. What should I do?

Topical acne medications are made to be used on all acne-prone areas, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. Patients are generally advised to treat all of the areas (forehead, cheeks, chin and nose) that tend to break out rather than just individual lesions.

5.      My face is clear! Can I stop taking my medication now?

If your dermatologist says you can stop, then stop-but follow your dermatologist's instructions. Many times patients will stop their medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, it may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Ask your dermatologist before you stop using any of your medications.

6.      Does it matter what time I use my medication?

Check with your dermatologist or pharmacist. If you were taking one dose a day of an antibiotic, you could probably take it in the morning, at midday or in the evening, although you should pick one time of day and stay with it throughout your treatment. With oral medications prescribed twice a day or three times a day, you should try your best to spread out the doses evenly. Some antibiotics should be taken on an empty or nearly empty stomach. For optimal results with topical treatments, you should strictly follow your dermatologist's recommendations. For example, if instructed to apply benzoyl peroxide in the morning and a topical retinoid at bedtime, it is important to follow these directions strictly. If the two were applied together at bedtime, for example, you could decrease the efficacy of the treatment because of chemical reactions that make them less effective.

7.      I have trouble remembering to take my oral medication every day. What's a good way to remember? What should I do if I forget a dose?

This is a common problem. Many patients try to associate taking their medication with a routine daily event such as brushing teeth or applying makeup. It also helps to keep the medication close to the area where the reminder activity is carried out.

In most cases, if you miss a day of your oral treatment, do not double up the next day; rather, get back to your daily regimen as soon as possible-but there may be different instructions for different oral medications. Ask your dermatologist or pharmacist about what to do if you miss a dose of your particular medication.

8.      I have been using topical benzoyl peroxide and an oral antibiotic for my acne and have noticed blue-black and brown marks developing on my face and some discoloration on my body. The marks are especially noticeable around acne scars and recently healed lesions. Is this a side effect of medication and is it permanent?

It is not possible to make general statements about side effects of medications that apply to individual cases. A dermatologist should be consulted. The facial marks and body discoloration described by the patient in this case do fall within the range of side effects of some antibiotics.

Unique patterns of pigmentation are sometimes seen in acne patients treated with certain oral antibiotics-particularly minocycline. The pigmentation patterns that appear may include:

* Localized blue-black or brown marks in and around acne scars and in areas of previous acne inflammation

* A "muddy skin" appearance that may cover much of the body

* Diffuse brownish pigmentation of the feet and lower legs.

The pigmentation side effect gradually disappears after the therapy is discontinued.

Any side effect of a medication should be noted by the patient and brought to the attention of the physician. While most side effects are temporary they should be discussed with the physician and monitored.

1.   My doctor is prescribing a topical retinoid for my acne. He said a retinoid is a substance related to vitamin A. If the drug is related to vitamin A, shouldn't vitamin A dietary supplements be helpful in getting rid of acne?

Dietary vitamin A is essential to good health, especially vision. It has healthful effects in the skin. Large doses of vitamin A for the treatment of acne is not recommended on grounds of safety. The retinoids and retinoid-like substances used as topical treatments for acne are prepared especially for their potent effect on the shedding of cell lining in the sebaceous follicle. Their use should be monitored by a dermatologist.

Dietary vitamin A has multiple health effects in the human body. Vitamin A is essential for good vision. Extreme vitamin A deficiency can result in blindness, usually accompanied by dry, scaly skin. Vitamin A overdose that far exceeds the Recommended Dietary Allowance (RDA) of 5,000 IU can have effects nearly as catastrophic. Extreme vitamin A overdose can cause the skin to blister and peel-an effect first seen in early North Pole explorers who nearly died after eating polar bear liver that has an extraordinarily high vitamin A content.

Topical retinoids are usually prescribed as a treatment for moderate to severe acne. Side effects are chiefly dermatologic, including redness, scaling and dryness of the skin, itching and burning. These side effects can usually be managed by adjustment of the amount and timing of retinoid applied to the skin. Dose adjustment must be discussed with the dermatologist who prescribed the treatment.

2.   Are there any acne treatments specifically for people with dark skin? Are there any treatments specifically harmful to dark skin?

There are no acne treatments specifically for use on dark skin. Acne treatments are generally as safe and effective on dark skin as on light skin. Some treatments for acne scars may cause temporary lightening of dark skin.

Acne is a common skin disease that has the same causes and follows the same course in all colors of skin.

Very dark or black skin may be less well-moisturized than lighter skin. Topical anti-acne agents such as benzoyl peroxide that have a drying effect on the skin should be used under the supervision of a dermatologist. Benzoyl peroxide also is a strong bleach and therefore must be applied carefully to avoid inadvertent decolorization of a patch of hair, towels or clothing.

Darker skin has a tendency to develop post-inflammatory hyperpigmentation (excessive skin darkening at places where the skin was inflamed). Severe inflammatory acne may result in dark spots. The spots resolve over time; a dermatologist may be able to recommend cosmetic measures to make the spots less apparent until they resolve. Some acne treatments, such as topical retinoids and azelaic acid, may also help fade the discoloration.

Removal of acne scars by dermabrasion or chemical peeling may cause temporary lightening or darkening of dark skin in the areas of treatment. Scar treatment should be discussed with a dermatologist or dermatologic surgeon before it is undertaken.

Alterations of melanin (dark pigments that give the skin its color) pigmentation such as vitiligo and melasma are not related to acne, but they may be present simultaneously with acne. The diagnosis and treatment of melanin pigmentation disorders such as vitiligo requires a dermatologist with knowledge and experience in treating these conditions.

3.   Is acne that appears for the first time in adulthood different from acne that appears in adolescence?

Acne has a specific definition as a disease of sebaceous follicles. This definition applies to acne that occurs at any age. However, it may be important to look for an underlying cause of acne that occurs for the first time in adulthood.

Current understanding of the causes of acne vulgaris is described in the Main Text section Why and how acne happens. In brief summary, acne vulgaris develops when excessive sebum production and abnormal growth and death of cells in the sebaceous follicle result in plugging of follicles with a mixture of sebum and cellular debris and formation of comedones (blackheads and whiteheads). Bacteria in the follicles-chiefly Propionibacterium acnes, the most common bacterial colonist of sebaceous follicles-may contribute to the inflammation of acne by release of metabolic products that cause inflammatory reaction. The pathogenic events, which cause disease, in the sebaceous follicle are believed to be due in large degree to changes in levels of androgenic (male) hormones in the body-a circumstance usually associated with growth and development between ages 12 and

4.   Some acne investigators believe that although this understanding is generally correct, there is more yet to be learned about the causes of acne vulgaris.

Acne that appears after the age of 25-30 years is (1) a recurrence of acne that cleared up after adolescence, (2) a flare-up of acne after a period of relative quiet-for example, during pregnancy, or (3) acne that occurs for the first time in a person who had never previously had acne.

Acne that occurs in adulthood may be difficult to treat if there are multiple recurrences. Some patients with severe recurrent acne have undergone repeated courses of treatment with the potent systemic drug isotretinoin.

Acne flares in association with pregnancy or menstruation are due to changes in hormonal patterns.

Acne that appears for the first time in adulthood should be investigated for any underlying cause. Drugs that can induce acne include anabolic steroids (sometimes used illegally by athletes to "bulk up"), some anti-epileptic drugs, the anti-tuberculosis drugs isoniazid and rifampin, lithium, and iodine-containing drugs. Chlorinated industrial chemicals may induce the occupational skin disorder known as chloracne. Chronic physical pressure on the skin-for example, by a backpack and its straps, or a violin tucked against the angle of the jaw and chin-may induce so-called acne mechanica. Some metabolic conditions may cause changes in hormonal balance that can induce acne.

Some lesions that appear to be acne may be another skin disorder such as folliculitis-infection and inflammation of hair follicles-that require different treatment than acne. Acne that appears for the first time in adulthood should be examined and treated by a dermatologist.

5.   My 15-year-old daughter has what I would describe as a very mild case of acne. She has made it much worse by constant picking and squeezing. She looks in the mirror for hours, looking for some blackhead or blemish she can pick or squeeze. Does she need psychological counseling?

Excessive picking and squeezing of otherwise mild acne is a condition called excoriated acne, seen most often in young women. A dermatologist may provide effective counseling.

The typical person with excoriated acne is a person-often a young women-who is so distressed with her appearance due to acne that she literally tries to "squeeze the acne out of existence." The acne is often very mild, but the person's face may constantly be covered with red marks from squeezing, and open sores where lesions have been picked open.

The word excoriate means to scratch or abrade the skin. Excoriated acne is a medically recognized condition that should be discussed with a dermatologist. Occasionally giving in to a temptation to squeeze a blackhead is not defined as excoriated acne. Hours in front of a mirror, squeezing and picking every blemish, is a definition of excoriated acne. A dermatologist may be able to counsel the patient regarding a course of treatment in which the patient can participate, but keep "hands off."

6.   Can the rate of secretion or the composition of sebum be altered by diet? If it can, shouldn't alteration of diet be considered a treatment for acne?

Diet has never been proven to have a role in the cause or treatment of acne. Dietary manipulation may have a role in the treatment of some scaling diseases of the skin, but not in the treatment of acne.

Dietary cause is one of the most persistent myths about acne. Foods, such as chocolate or greasy foods, do not cause acne, but certain foods seem to make some people's acne worse. The following can bring on or worsen it:

*Hereditary factors

*An increase in male hormones found in both males and females

*Menstruation

*Emotional stress

*Oil and grease from cosmetics, work environment

No food has been shown to be effective in preventing or treating acne. A healthy diet is, of course, necessary for good general health.

7.   Shouldn't I just try to eliminate sebum from my body?

No. When it isn't blocked in your pores, sebum helps keep your skin healthy.

8.   Why does acne usually start at puberty?

No one knows for certain. What is known is that the sebaceous glands that produce sebum get much larger at puberty than they were before.

9.   Why does the skin around a pimple turn red?

This redness is caused by the body's inflammatory response. Inflammation is a sign that your immune system is working to fight an infection. However, the inflammatory response doesn't always work perfectly, and can even be the cause of scarring.

10.   If my skin turns red, does that mean that I'm going to have scars?

Usually, no. Even when there will be no permanent scar, the aftereffects of the inflammatory response can leave the skin red for months, sometimes for more than a year.

11.   What are free radicals?

Free radicals are byproducts of oxidation in your body. We all need oxidation to occur as part of our life process, but there is concern that the buildup of unrecycled free radicals contributes to many conditions, including skin damage. Antioxidants, including several of the active ingredients in Acuzine, help prevent the buildup of free radicals.

Jesica Bacalla writes for Acne Article [http://www.acneblogs.net] for more info visit [http://www.acneblogs.net]

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Acne Vulgaris the Cause of Pain and Humiliation

By [http://ezinearticles.com/?expert=Jin_Kahlon]Jin Kahlon 

Acne has many forms but the most common is referred to as "Acne Vulgaris", meaning "common acne". Acne vulgaris is an inflammatory disease of the skin, caused by changes to your skin structures which, consists of hair follicle and its associated sebaceous glands. Acne lesions are commonly referred to as pimples, spots or zits.

What causes Acne Vulgaris

Acne is caused by the blocking of your pores by dead skin cells which subsequently block the hair follicle. This results in the build up of oils produced by the sebaceous glands (these are found under your skin); a perfect environment for skin bacteria to multiply uncontrollably.

The outcome of this build up of bacteria under your skin is the skin inflames, producing the visible lesion (acne). The face, chest, back, shoulders and upper arms are especially affected

Aside from acne scarring the main impact of acne is psychological, such as reduced self-esteem, depression or suicide. Acne usually strikes during adolescence and is more prominent in the western society. It is considered an abnormal response to normal levels of the male hormone testosterone.

As time progresses acne tends to disappear or decrease by the time you reach your early twenties. There is no time frame for acne vulgaris to disappear entirely and some people even suffer from acne decades later, into their thirties and forties and maybe longer. Acne affects a large percentage of the human population at some point during their lives.

Why Have I Got Acne?

A very valid question and unfortunately one that does not have an answer. It is not clear why some people get acne and some people do not. It is partly due to who you are (hereditary). Several factors are known to be linked to acne:

o Diet

o Stress

o Active Hormones - such as menstrual cycles and puberty

o Accumulation of dead skin cells

o Use of anabolic steroids

o Bacteria in the pores, to which the body becomes allergic too

o Skin irritation

o Any medication containing halogens

o Exposure to high levels of chlorine compounds

Getting acne vulgaris in your later years is not common but the development of rosacea which may have a similar appearance is. If you do suffer from adult acne this may be due to a underlying condition such as pregnancy or disorder. Dermatologists are seeing more cases of menopause-associated acne as fewer women replace the natural anti-acne ovarian hormone estradiol whose production fails as women arrive at menopause.

Acne vulgaris is a skin disorder which impacts us at some point during our lives, some more than others. Skin care is essential to help prevent or reduces the effects of acne.

For simple easy to understand information about acne, acne blemishes, acne treatment and rosacea visit Acne Cure [http://www.acnecurenews.com].

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Acne Vulgaris - The Cause

By [http://ezinearticles.com/?expert=Noel_Clarke]Noel Clarke 

The most common form of acne is referred to as "Acne Vulgaris". Alterations to your skin especially your hair follicles and the associated sebaceous glands cause inflammation of the skin . Pimples, zits, spots and acne are familiar names that identify Acne Vulgaris.

Acne Vulgaris is caused by the barring of your skin pores by dead cells, leading to the out break of acne. This results in the build up of oils created by the sebaceous glands (based under your

skin); which is a perfect environment for skin bacteria to multiply.  As the oil collects under your skin it becomes inflamed and creates a visible pimple on your skin. The face, chest, back, shoulders and upper arms are generally the most affected. 

Acne produces visible scars, but it's the emotional ones which can do the most damage, such as depression and low self-esteem, which has even led to suicide . 

Acne usually strikes during adolescence, and is more prominent in the western society.

Normally, as you age you will find that your acne lessens or disappears completely by the time you hit your twenties. But, unfortunately there is no strict time frame for acne vulgaris to vanish altogether, and some people suffer from acne well into their thirties and forties and sometimes even longer. Acne affects a large percentage of the human population at some point during their lives.

The question as to why people get acne has no real answer. It is not clear why some people get acne and others do not. It is partly due to genes, if your parents suffered from Acne Vulgaris, 

then the chances are you will to. 

Diet,  Stress,  Active Hormones - such as menstrual cycles, puberty and menopause, are  known to influence the onset of acne. Other factors include the build up of dead skin  cells and the use of anabolic steroids.  

As people age, they may suffer from Rosacea which has a similar appearance to acne vulgaris.  Acne Vulgaris is a skin disorder which impacts most people at some point in their lives. 

Some people are affected more severely than others, but in all cases It is necessary to treat acne symptoms early to deflect unnecessary pain and grief.

The Author Noel Clarke, has provided more information and resources at his site :

Cause of pimples and acne treatment [http://saygoodbye2acne.blogspot.com]

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Acne Vulgaris Treatment - How to Cure Cystic Acne!

By [http://ezinearticles.com/?expert=Charles_Gordon]Charles Gordon 

What is the best treatment for acne vulgaris? The unfortunate fact for many young men and women is that acne vulgaris, also called cystic acne is a very common skin disease and it isn't very easy to find a treatment that helps you get rid of it. However, don't give up just yet!

What is acne vulgaris?

Acne vulgaris affects mostly skin with the most dense population of sebaceous follicles and these areas include not only the face, but also the upper part of chest and the upper back. It can cause everything from Seborrhea (scaly red skin) and Nodules (large papules) to Comedones (blackheads and whiteheads) and Papules (pinheads). This disease is most common amongst boys and girls in their teenage years, but it often times also occurs in adult men and women.

Different treatment options

There are many treatment options available for this condition and while some of them may produce great results with some patients, others will barely get any help from that very same treatment. So let's take a closer look at how you can possibly cure your acne.

Oral drugs for acne

Vitamin A derivative (Isotretinoin) which is being marketed with brand names Roaccutane and Accutane is an oral drug that is usually prescribed for a period of 4 to 6 months. It can help patients both in short-term as well as long-term.. However, Isotretinoin does not usually cure acne completely and many patients have been disappointed to notice the return of acne vulgaris on their skin some time after they stop taking Accutane. 

It is believed that Isotretinoin primarily works by reducing the secretion of oils from the glands, although some of the studies and clinical trials suggest that it also affects other acne-related factors as well. 

There are some severe side effects caused by Accutane and this is why many men and women have not completed their treatment period. Most notorious of the side effects of course is dryness of skin, which can get so uncomfortable for the patient that they simply can't keep on taking this drug. More concerning is that there are reports which indicate that Accutane can actually damage the liver of patients. This drug also is not for pregnant women because it can cause causes birth defects. In fact female patients are nowadays required to use two separate forms of birth control in order to make sure they won't get pregnant without knowing it while on this treatment.

Natural treatment

In later years, many clinical trials have shown that acne vulgaris responds very well to natural treatment. Mixes of natural herbs have been giving some real relief from acne to many men and women of all ages and these type of treatments are getting more and more popular by the day.

One of the reasons for their increasing popularity as acne cure is that medications have not been able to do the job, so does speak. While most popular oral drugs aren't able to provide permanent cure for this very unpleasant skin disease, many natural herbs have worked much better for that. Patients have been able to improve the condition of their skin considerably and most have seen acne disappear for good. Another plus side is that there are no side effects whatsoever and that is a huge advantage over prescription drugs!

If you wish to try a natural treatment for acne vulgaris, there is a natural product that has been very popular among men and women suffering from cystic acne. It is called Clear Skin Max and I recommend you'll go and see what others think of it, read Clear Skin Max reviews [http://clearskinmax-reviews.org/].

Article Source: [http://EzineArticles.com/?Acne-Vulgaris-Treatment---How-to-Cure-Cystic-Acne!&id=6988992] Acne Vulgaris Treatment - How to Cure Cystic Acne!

Acne Vulgaris - There is No Acne Vulgaris Treatment - Is That True?

By [http://ezinearticles.com/?expert=Yulistina_Fitri]Yulistina Fitri 

Acne vulgaris is the scientific name for acne. It is an inflammatory disease of the skin caused by changes in the pilosebaceous units. It affects around 60 % until 70 % of USA people and 20 % of them have severe acne. Acne vulgaris affects to skin area including face, upper chest and back.

There are some factors that cause acne vulgaris:

a. Genetics.

This is the easy example, if both parents have acne, then 3 from 4 of their children has a possibility to get acne from their parents. However, not all family will have the same condition as described above. Instead, their children have also chance to get excess sebum, the presence and activity of propionibacterium acnes, and inflammation.

b. Androgen hormones.

These hormones have function to release ovaries, testis and adrenal glands. Androgen hormones also promotes production of sebum and then release it.

c. Excess of sebum.

excess of sebum is caused by puberty. Production of sebum is also influenced by number of different hormones such as Androgen hormones.

d. Propionibacterium acnes.

Propionibacterium acnes is an anaerobic organism that promotes inflammation through variety of mechanism. 

 Acne vulgaris treatment:

For acne vulgaris treatment, dermatologist still don't know one treatment that can solve all your acne problem. They advice patient to try one treatment to another until they find the right solution for the patient. And it makes them frustrated.

Acne should be cured as soon as possible, as they can change very fast from mild to severe form. If you find your doctor advice doesn't work, maybe it's time for you to try natural treatment.

Click here to visit my blog:   Fast Acne Cure 

Yulistina Fitri http://fastacnecure-info.blogspot.com/

Article Source: [http://EzineArticles.com/?Acne-Vulgaris---There-is-No-Acne-Vulgaris-Treatment---Is-That-True?&id=3495932] Acne Vulgaris - There is No Acne Vulgaris Treatment - Is That True?

What is Acne Vulgaris and the Causes of It?

By [http://ezinearticles.com/?expert=Dominique_Brown]Dominique Brown 

Acne Vulgaris (also known as acne) is a common skin condition that affects around 55%-70% of people in the U.S in their lifetimes. Out of those people 20% of them will have severe acne which can scar them physically and mentally. Acne Vulgaris is the most common disease in the U.S and is known noninflammatory, closed or open comedowns, inflammatory papules, pustules, and nodules. The disease affects areas that have the densest amount of sebaceous follicles (oil glands) which are the face, back, and the upper part of the chest.

The causes of acne vulgaris come from 4 factors which the first is genetics. For example if both parents had acne then most likely 3 out of 4 of their children will have acne. For some families though this skin condition skips generations which is similar to other genetic conditions. What the children inherit from their parents is the higher chance of their sebaceous follicles being clogged which will lead to the skin condition. Other things that could be gotten from parents are inflammation, excess sebum, and the activity of P. (Propionibacterium) acnes.

Another of the main things that can trigger acne vulgaris is androgen hormones. These are hormones that are released ovaries, testis, and adrenal glands. Testosterone which is one of these hormones causes sebaceous follicle activity. Also androgen hormones receptors are found within sebaceous glands and if the receptors malfunction they do not cultivate acne. 

A third cause of acne vulgaris is an excess of sebum. Sebum is dictated by different mediators and hormones. A main factor in causing an excess in sebum is androgen hormones but even though it is most men and women who have acne vulgaris have a normal circulation of androgen hormones. Some other things that control sebum are growth hormones and insulin like growth factors.

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Acne Vulgaris - What About It?

By [http://ezinearticles.com/?expert=Chimerenka_Odimba]Chimerenka Odimba 

There is a form of acne which is very common. This is Acne vulgaris also called common Acne of course because of its common nature. Teenagers are the greatest victims of this form of Acne. Any dermatologist would tell you that many of the cases they get are this particular form - Acne vulgaris.

Many teenagers who suffer from this condition also suffer from some loss of self confidence as they see the invasion of their bodies by these strangers. Acne vulgaris can be on the face, chest and back. While the chest and back can be covered, the face obviously can't be without raising questions. Combine the redness usually associated with the pimples and you get a very interesting picture that can discourage many a strong heart.

For many people not just teenagers, appearance is everything or at least very important. This simple fact makes this condition - Acne vulgaris seem such a great deal because its sufferers are always very concerned about its effect on them and this concern turns to worry and for some results in some form of depression as they see their chances of normal social activity reduced due to the perceived disfigurement caused by this condition. It is worsened by the fact that many of them do not know what to do about it or feel it is beyond their control.

Like most things in life, knowing the cause of a problem is a great help towards formulating a solution. This particular form of Acne is mostly caused by the fluctuating level of hormones in the body. As adolescents, going through puberty, lots of changes occur in the body and this changes are caused by certain hormone being secreted by the glands. This changes are quite rapid in nature and cause pimples to breakout on the skin.

This condition can also be cause by stress. The presence and persistence of stress an cause an outbreak. Acne caused by stress usually goes away when the stress is relieved. Genes also play a role in having this condition. If ones parents suffered or are currently suffering from this condition, then chances are that their offspring might have to deal with the same condition.

Sometimes when the body reacts to drugs taken, it shows in the form of an outbreak of Acne. This is why the use of narcotics can result in an outbreak and why drug addicts will usually have pimples on their skin.

Dirt is another common cause. When the pores are clogged, it gives the bacteria the opportunity to thrive. However, in a bid to keep the skin clean and the pores unclogged we can cause more problems by over-washing. Over-washing can cause the skin to get irritated and as the body tries to counter the irritation, the situation can worsen. If your condition is caused by bacteria in the pores, you would need an antibiotic to tackle the bacteria at source.

In treating Acne vulgaris, dermatologist usually prescribe Topical bactericides. This treatment is applied directly on the skin ( face and any other affected part). It attempts to treat the condition from outside in. It would gradually try to cut down the bacteria at the pores and work inwards to get underneath. If you have a mild case, then this treatment might be sufficient. If however you have a more serious case, there are other treatments like Topical antibiotics and oral antibiotics.

Take things easy and be rest assured that no matter the kind of Acne condition you have, there is a remedy.

Have an Acne free, younger looking and healthy skin.

Get help with your skincare Here [http://skincare.getting-ahead-in-life.com/]

Chimerenka Odimba

Article Source: [http://EzineArticles.com/?Acne-Vulgaris---What-About-It?&id=1337862] Acne Vulgaris - What About It?

Acne Vulgaris Treatment

By [http://ezinearticles.com/?expert=David_Bloom]David Bloom 

Acne vulgaris is a form of acne that affects people all over the world. It is mainly found in teens, but adult cases are quite common. The exact cause of the condition is unknown.

All cases begin with a comedone, or acne lesion, that is clogged with oil and bacteria. It lies beneath the skin and grows as the skin produces oil (sebum). The bacteria feed off the oil and it can become enlarged and swollen. If this occurs, the skin in turn becomes irritated as white blood cells try to fight the inflammation.

If the clogged follicle stays beneath the surface of the skin, but does not become inflamed, it is called a whitehead, or closed comedone. If the plug enlarges and pushes through the skin's surface, it is called an open comedone or blackhead. The dark appearance of the plug is due to the melanin buildup on the surface and not dirt.

Acne vulgaris can cause skin to become inflamed. The mildest form of this inflammation is a papule, which appears as a small, hard bump on the skin. Pustules are similar to papules but they have a white or yellow center. This type of acne vulgaris is inflamed and causes irritation. A nodule is a large legion that can be painful and last for a few months. Cysts are similar to nodules, but are pus-filled and also leave deep scars. Both cause scarring and can last for a few months. A rare form is called acne conglobata. This is a condition that usually affects men between the ages of 18 to 30 years old. It affects the face, chest, back, upper arms, buttocks and thighs. It can cause severe scarring of the body.

Acne Vulgaris treatment can range from over-the-counter solutions such as benzoyl peroxide or salicylic acid, found in popular topicals such as Clearasil and Stridex, which fight to clear the skin by reducing the bacteria on the surface and clearing the pores. Other over-the-counter methods that can be used are mild scrubs that will not irritate the skin or tea tree oil (an oil from Australia that has anti-bacterial properties).

Glycolic Acid, a fruit acid that exfoliates the skin to cause quicker cell turnover, works to clear pores quickly and fight clogged pores. In its earlier use, it was only used in a dermatologist's office, but now it can be purchased over-the-counter in low percentages of the acid.

For more severe cases, one must visit a dermatologist for stronger acne vulgaris treatment. Medications such as Accutane or Retin-A may be prescribed. Accutane, or isotretinonin, should only be used when the skin has not responded to other acne vulgaris treatment. It is usually very successful to clear skin of even the worst conditions, but it has serious side effects.

Most people will experience dry face and chapped lips when they take Accutane. Those two side effects are the most common; but other side effects are more serious such as birth defects, neurological and other physical problems and possibly depression. However, if your condition has not improved with OTC remedies, and Accutane is the last resort, the promise of a successful acne vulgaris treatment may outweigh the possible risks.

David Bloom is an avid health enthusiast and a regular contributor to a variety of health websites.  He is the author of [http://natural-acne-treatments.blogspot.com]Acne Vulgaris Treatment, a blog dedicated to the treatment of acne, covering conventional and natural remedies for clearing up blemished skin.

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Acne Vulgaries

By [http://ezinearticles.com/?expert=Fred_Martimes]Fred Martimes 

Acne vulgaries is a skin disease and found in men and women equally. Acne includes whiteheads, blackheads, zits, pimples, outbreaks of lesions and deeper lumps. It appears on face, shoulders, back, upper arms and chest.

Types of acne vulgaries

Inflammatory

Pustules

Cysts papules

Scars

Non-inflammatory

Blackheads

Whiteheads

Secondary lesions

Scratched spots

Pigmented macules

Erythematous macules

Scars

Nodules

Causes of acne vulgaris

Levels of hormones increase and skin glands produce more oil during puberty. These oils help to keep the skin moist. When oil mixes with dead skin cells, acne vulgaris gets start. The mixture becomes infected with bacteria and result is redness, pus-acne and swelling. Sometimes, it can be developed by specific medications. In some cases, hormones pass by mother to newborn baby, and baby gets acne.

Symptoms of acne vulgaris

It can be associated mild to severe. Mild acne may cause blackheads and whiteheads, but severe acne may cause various pimples on the skin. These lesions can leave scars after the treatment and this acne are painful. Acne can lead to depression and low self-esteem.

Diagnosis

Physical examination will be performed by the doctor to diagnose the acne vulgaris. Health care provider will ask some questions about medical history from patients to determine the type of acne. There is no need of any special tests to diagnose acne.

Treatment

The types of treatment depend on form of acne such as mild, moderate or severe. Treatment can include gels or specific lotions to remove the acne from the skin. Sometimes, oral medications or topical medications are prescribed by the doctor.

Mild acne

The treatment for mild acne such as blackheads, pimples or whiteheads may include benzoyl peroxide such as Benzac, Clearsil or Benoxyl or salicylic acid such as Stri-Dex, Clearsil or Propa pH or gentle cleansing with a mild soap such as Neutrogena or Dove.

Sometimes, topical lotions containing antibiotics or another medication for killing bacteria will be prescribed by the doctor to get better result.

Moderate to severe acne

Combinations of medications or therapies will be needed to treat acne vulgaris. Oral antibiotics can be given by the doctor to begin the healing process. There is a need a combination of various therapies for inflammatory acne. Treatment may include:

 Draining of cysts and pimples by a trained health professional.

Applying prescription retinoids.

Taking prescription oral retinoids.

Applying benzoyl peroxide.

Laser treatment.

High-intensity light wave therapy.

Applying azelaic acid.

Home treatment

Wash the affected skin twice a day.

Do not squeeze acne and touch it.

Avoid products such as cold creams, lip glosses, milky cleansers, that contain oils.

Use always nonprescription medicated soaps, gels, creams and lotions to remove the acne.

Use only water-based skin care products.

Nonprescription products include the following to treat acne:

 Benzoyl peroxide

Salicylic acid

Alpha-hydroxy acid

Tea tree oil

Prevention

Avoid heavy sweating.

Wash the face regularly with mild soap and water.

Avoid hair care products such as mousses, gels and cream.

Avoid touching the affected skin.

Avoid exposure to harsh chemicals and oils.

Avoid excessive exposure to sun rays.

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Acne Vulgaris Treatments - Where to Find the Best Remedies

By [http://ezinearticles.com/?expert=James_A._Livingston]James A. Livingston 

If you are an acne vulgaris sufferer, you realize the urgency of finding a treatment that works quickly and safely. So, where is the best place to find these treatments? An acne vulgaris treatment can be found in a variety of different places and the exact treatment that will be used in your case depends on how severe the problem is, and what the exact cause of your acne is. It's important to understand what is causing your acne so that you can find an effective treatment that will remove it, and prevent it from reappearing.

Retail Shops

One good place to find treatments for acne vulgaris is in your local retail shop, where they're likely to have a good selection available. These treatments are most often used to address acne that has been caused by oily skin. The remedies available at these retail locations will not be as strong as those you'll find elsewhere, and are not meant to be used with great frequency.

Your Local Pharmacy

Most pharmacies will offer acne vulgaris treatments with various strength levels, and in various sizes. Many people like having various strength levels at their disposal, depending on the severity of their breakouts. A number of different manufacturers produce these remedies, and they are delivered to pharmacies across the globe.

Your pharmacist can also advise you about the top treatments for acne vulgaris, that are not too expensive, and not too harsh on the skin. In the end, the treatment that you go with will be the one that works most effectively for you.

Beauty and Skin Care Shops

If you still haven't found the treatment you're looking for, check out the options available at a local beauty/skin care shop. The treatments you'll find at a skin care store are typically much better than anything you'll find in a retail location and are generally considered to be the best quality. Acne vulgaris treatments that are purchased from a skin care/beauty store are most often made for daily use to be effectively prevent acne.

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What is Acne Vulgaris and How to Treat It

By [http://ezinearticles.com/?expert=Eric_Smiley]Eric Smiley 

Acne vulgaris is also recognized commonly as acne and this is a skin illness that affects mainly Caucasian people and mostly young men and women. This disease has characteristics of many follicular comedones and also with papules which consist of nodules when it's severe. Acne vulgaris mainly impacts that part of the skin exactly where there is a lot follicies. The region exactly where the infection is most likely to appear is the face and also the chest so as the back. When acne becomes inflammatory then it's severe, but it can also nevertheless show itself in a noninflammatory manner. Lesions of acne vulgaris could be sometimes known as spots or pimples.

Acne vulgaris generally occurs throughout someone's adolescent years and it affects more than 90% of teenagers and although it's meant to just last about the adolescent age, it can well venture into adulthood and be troublesome to some individuals. Acne in teenagers is primarily caused by the improve in sex hormones of which both genders experience during that time in puberty. In general pimple does vanish as someone grows much older or it reduces in visibility even though once someone enters their twenties, it becomes difficult to predict how long it will require to diminish. In some instances pimple vulagris lasts longer than the desired time and carry on right into the thirties which of course can be daunting for anyone. At times it even reaches the ages of forty and most would respond by obtaining some form of treatment.

It will always be the face, the neck and chest that are primarily affected and also the back too does get affected. Other areas of the body that may be noted or attacked with acne are the arms and shoulders. Nodulocystic is when the acne is more severe and is really inflammatory. Cysts are the name given towards the big nodules tends to appear in the armpits, the groin region and also the buttocks, just about anywhere exactly where there is hair which sweat particles can collect in. This acne tends to affect more skin tissues than what the common acne does.

Besides acne vulgaris attacking the skin and scarring, it also causes lots of psychological effects such as lack of confidence, lack of self esteem and although in very isolated instances it is often recognized to cause depression and suicide. The time in which pimple affects people is generally when they are self aware and quite specific about their appearance and looks. To lessen the impact, early treatment must be done, it might go away at a set time but most people may wish to do away with it very early as at times, teenagers do get some type of stigmatization.

Having acne vulgaris isn't a condition that's terminal. It will go away and it's really a phase one goes through throughout their adolescent ages just like man boobs for guys these are conditions that come as part of life and growing up and will soon disappear.

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Article Source: [http://EzineArticles.com/?What-is-Acne-Vulgaris-and-How-to-Treat-It&id=4479623] What is Acne Vulgaris and How to Treat It