Acne and pimples
Acne are a multifactorial disorder in the work of the sebaceous glands. Clinical picture may vary from very mild, predominantly with blackheads, to very severe forms with extensive purulent process and pronounced scars.
About 80% of population between the ages of 12 and 25 suffer from this disease, and 3% of population in the age of 45 still has problematic skin. The main factor that causes acne is the genetic predisposition, but often it is also the changed hormonal status, polycystic ovaries, hyperandrogenism.
How do acne occur?
The inflammatory process always begins with the formation of comedones (blackheads), which compromise the circulation with their growth and enable the accumulation of dead skin cells, which altogether creates good conditions for bacterial and pus development. Acne can occur by constant mechanical trauma of the skin – acne mechanica. Acne excoriee – are caused by scratching and squeezing of the skin, creation of tiny knots and fissures. Acne caused by medications occur frequently with the use of corticosteroid creams, steroids, iodide, lithium, and rarely antibiotics. Acnes in newly born children occur in almost 20% of healthy children and spontaneously disappear up to the third month of life.
Early acne and pimple treatemants are essential for prevention of a liflong cosmetic prolem and scaring. Altough pigmentation usually disaperas in 6 months to a year, in some cases it can be permanent. Atrophic or hypertrophic scars are a consequence of nodular and conglobate acne and can be seen very often.
Therapy is individual, depending on the form of the disease. Topical retinoids, benzoyl peroxide, azelaic acid, salicylic acid and glycolic acid peels are used. In severe forms therapy can consist of antibiotics, contraceptives, isotretinoin and corticosteroids.
Can acne be permanently cured?
Yes. This condition is completely treatable but it takes up to a year of persistent treatment. If acne is left permanent scars on the face or body can be accessed by removing the acne scars.
Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade Serbia