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Acne«C¬Kµk
Acne vulgaris is one of the most common skin diseases. Acne affects most teenagers to some extent. However, the disease is not restricted to any age group; adults in their 20s - even into their 40s - can get acne. It affects 80% to 85% of teenagers and young adults, with estimated prevalence of 8% in adult in aged 25 to 34 years and 3% in those between 35 to 44 years of age.
While not a life threatening condition, acne can be upsetting and disfiguring. Acne can last for years and cause both physical and psychological scarring. In a study on quality of life issues, acne had a great impact on social functioning and emotional wellbeing.
Acne can be treated with topical cream/gel, oral antibiotics, isotretinoin tablets, laser/light treatments above. Besides, different types of acne scars can be reduced by various treatment options include laser treatment provided. Treatments are also available for open pores.
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Comedone Acne
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Comedones (whiteheads and blackheads) are the primary lesions of acne. Sebum production increases, follicular wall cells fail to desquamate to the surface in the normal manner and Propionibacterium acnes grows in the sebum-cell mixture and forms a plugged pore or a microcomedo and then a visible comedo.
Treatment
Retinoids are comedolytic and are drugs of first choice. Apply q.o.d, q.d or b.i.d as tolerated. Creams are for dry skin and less irritating. Gels are for oily skin.
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Open comedones and closed comedones are the first acne lesions to appear. Some become inflamed and become papules or pustules.
Closed comedones or whiteheads have a very small orifice. This impedes drainage. They respond slowly to treatment.
Open comedones remain for months. Stretch the skin for support and remove them with a comedone extractor.
Open comedones in the ear are unsightly. They respond slowly to topical treatment and should be removed.
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