Acne

Acne is one of the most common dermatologic disorders affecting men and women. Acne usually begins on the face or back area. Earliest lesions are referred to as "blackheads" or whiteheads. These initiate the acne process. Factors such as emotional stress, circulating hormones and exposure to various environmental agents can precipitate an acne flare. Diet has not been shown to play a convincing role in the etiology of acne formation. Acne can be readily managed with the use of oral and topical antibiotics, exfoliating agents and good skin hygiene.

Who is prone to acne? All people can develop acne. There are various types of acne conditions that can be due to hormones, environmental exposures to cosmetics, inherited acne conditions etc. This is why it can be a troubling disease of the skin

Why does acne occur? There are four essential reasons why acne is thought to occur:

• An increase in the oil secretion rate.
• A change in the composition of the oil that is secreted.
• Abnormal growth and "stickiness" of the cells of the skin, which allow for bacteria and secondary infection to set in.
• Release of certain growth factors and hormonal influences.

Circulating hormones (which are elevated one week before a woman's period) can increase or change the rate of sebum or oil production. This usually results in the adult female complaining of a flare-up of acne one week prior to her menstrual cycle. If a female or young child has excessive hair growth, abnormal menstrual cycle pattern, persistent headaches or other signs of masculinity, it is possible that an underlying condition may be present ( such as Polycystic Ovarian Syndrome). Estrogen Therapy (Birth Control Pills) may be a useful treatment in such instances. It is important to let us know if you are experiencing similar symptoms with your acne flares.

Risk Factors for Developing Acne Vulgaris

What is the treatment for acne?

This depends on the nature of the disorder. Sometimes topical antibiotics or exfoliating lotions are used to treat the condition. The latter will help, improve the way the skin's oil is secreted and how skin cells adhere to one another. If blackheads are noted, we may recommend some salicylic acid peels or light treatments. It is important to avoid picking or scratching bumps because scarring may result. It is common for pigmentation to persist in areas where acne lesions were severe. In cases due to ingrown hairs, hair removal therapies may be indicated. Finally in cases where acne consists of cysts or deep lesions, a medicine called Accutane^® may be employed.

"We look forward to helping you and answering those questions which you may have about acne. Remember, you should continue to follow through with your prescribed treatment to achieve optimal results. Sometimes this may result in your condition worsening temporarily Though an instant "cure-all' for acne is currently not available, acne can be controlled and scarring prevented only through your medical compliance."   Dr Harvey

If you have any questions, or wish to schedule a consultation, please call  Ponte Vedra Dermatology & Aesthetic Surgery at (904) 285-7546 or email consultation@pvderm.com.