Today, we reviewed x out acne treatment review and detailed information in our blog post. 

Acne treatments

Degree of severity of acne. Acne is a disease whose treatment is lasting: from 6 months to several years. All forms of acne can be treated and the motivation of the patient to follow his treatment is a very important component of their success, especially since the results are rarely visible before one to two months.

Acne: a tailor-made treatment, but with adherence and patient compliance

The dermatologist will adapt the treatment case by case according to several criteria:

  • The age of the patient and the age of the illness
  • The shape of acne and its severity: the dermatologist will refer to the GEA (Global Acne Evaluation)
    scale, which describes the severity of acne in grade 0 to 5)
  • Its psychological impact and its impact on the quality of life
  • Treatments for acne that the patient has already followed.

Acne Treatment

X Out Acne Treatment Reviews and Tips

Depending on these elements, the doctor will be able to propose 3 levels of treatment:

Either a local treatment

Either a combined treatment combining local treatment and general treatment

Either treatment with isotretinoin.

Good Practice Recommendations have recently been sent by HAS to all physicians to optimize the treatment of acne. They do not concern acnes in the context of hormonal pathology.

In addition, the dermatologist proposes during his consultation, care to “purge” the skin, incision including microcysts and comedones. It has been shown that it is important to maintain maintenance treatment when acne is stabilized.

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Acne: the local treatment

This one will associate a cutaneous hygiene (resting on a toilet with a gel or a dermatological bread without soap) and the regular application of a local anti-acne treatment. It is a gel, cream or lotion containing one of the 2 active ingredients effective in the treatment of acne: benzoyl peroxide, local retinoids. There is a 3 ° active ingredient, a local antibiotic whose place has been reviewed with the new recommendations. Indeed, its activity has been proven of minimal effectiveness and it has been observed the occurrence of resistant strains due to the use of these local antibiotics, at risk for our ecosystem. It will therefore use exceptionally and not prolonged.

Acne: treatment with isotretinoin

When acne is severe, it is treated orally with isotretinoin, an effective treatment but requires a rigorous medical follow-up by a dermatologist. Currently, this treatment can be offered as a first-line treatment for very severe acne (grade 5) and second-line for severe acne (grade 4), but contrary to previous recommendations, it will not be necessary to wait until the end of 3 months of cycling test if there is a risk of major scars or rapid recurrence.

Skin Diseases Acne Vulgaris Review and Detailed Information

Acne: the right questions to ask your doctor

The treatment of a debilitating acne is a step in time, and it is important that a quality relationship be established between the patient and his doctor. This relationship is often based on the questions asked and the explanations provided during the consultation. It is therefore important to prepare your consultation by noting the points you wish to discuss with your doctor.

The better the patient knows about his illness and his treatments, the more he can be an active partner in his treatment, and the more it will be effective.

Skin Diseases Acne Vulgaris Tips and Recommendations

Acne exams

Acne is easily recognizable because it combines different characteristic lesions. She is diagnosed by clinical examination. In the follow-up of the treatment, para-clinical examinations may be necessary.

Acne vulgaris treatments

Acne: the eye of the dermatologist

The diagnosis of acne is most often done by the doctor on a simple clinical examination. The presence of blackheads (excessive accumulations of sebum) is characteristic of acne and their absence should cast doubt on the diagnosis. No further examination is usually required in the investigation of juvenile acne.

In women, a hormonal assessment may be required to search for a possible cause of hypersecretion of male hormones, but only if clinical signs of virilism are associated (significant hair loss, hair loss, menstruation or weight gain) . The assessment consists of a blood test of certain sex hormones and their derivatives. Sometimes it is supplemented by an ultrasound of the ovaries to eliminate an anomaly of the morphology of these glands. For example, the presence of numerous fluid pockets is characteristic of a disease called “polycystic ovaries”. This type of ovarian involvement can lead to and therefore explain a woman’s late acne.

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Skin Diseases Acne Vulgaris Guide for Patients

Acne: examinations for the safety of isotretinoin treatment.

Some treatments used to treat acne can not be prescribed without a rigorous control of precise biological parameters (biological analyzes, pregnancy test, …). This is particularly the case of isotretinoin, when the drug is used orally.

With isotretinoin treatment, the risk of fetal malformation is real. Examinations are therefore necessary before starting these drugs in young women of childbearing age:

A compulsory pregnancy test. It must be done within 3 days before each consultation. It will allow the doctor to prescribe or renew treatment with isotretinoin. And this treatment must be associated with oral contraception (contraceptive pill). A last pregnancy test will be performed 5 weeks after the end of the treatment.

A blood test (biological assessment) which makes it possible to verify certain dosages (cholesterol, triglycerides and liver enzymes, transaminases) must also be carried out regularly in the case of treatment with isotretinoin. The dosages are done when you start, then a month later, and every 3 months, throughout the treatment.

Isotretinoin can not be prescribed in case of liver malfunction (liver failure). Therefore, certain enzymes that are characteristic of a liver problem should be dosed regularly: transaminases, designated by the acronyms SGPT (or ALAT) and SGOT in the results of the biological assessment.

Definition of acne

Acne is a skin disease characterized by the eruption of red pimples, blackheads and cysts. It affects most often the face and the thorax, but also the back, the torso even the scalp.

Acne is a reflection of reactions that take place in the sebaceous glands. Housed in the skin, these glands produce sebum, a lubricating substance. If it lacks sebum, the skin will be dry and easily chapped. It is sometimes more difficult to cure the acne in adults.

Acne vulgaris causes

Acne Vulgaris Cause: Who is affected by acne?

Acne vulgaris a different skin problem when compared the others. Boys are more affected than girls. Here the other details:

Causes of acne pimples

Here are some elements that can contribute to its appearance.

The hormonal thrust at puberty. At the time of puberty, whatever the sex, the sex hormones increase; especially androgenic hormones (which cause the appearance of male sexual characteristics). Under this effect, the sebaceous glands produce more sebum. This increase in sebum production creates a fertile ground for the multiplication of the Propionibacterium acnes bacteria that feed on it.

Hormonal fluctuations in women. Contraception can also have a positive or negative role: women who start taking some contraceptive pills containing including progestins potentially acneigenic type gestodene, desogestrel, norgestrel, levonorgestrel, norgestrienone, norethisterone, lynestrenol … can see their acne to accentuate or, on the contrary, the cessation of contraception (for a wish of pregnancy for example) can also be provider of acne. Pregnancy and menopause may also be responsible;

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Acne Vulgaris Cause and Affects

A disorder of the functioning of the ovaries or adrenal glands. This most often causes signs other than acne (hair growth, irregular periods …) Other factors can also cause acne or worsen the symptoms.

As a general rule, the treatment will be applied at bedtime and will be followed in the morning by applying a moisturizer. Indeed, these treatments may possibly have drying or irritating effects, which will be offset by the appropriate moisturizer (which will be non-comedogenic, as cosmetology, tinted cream type, foundation …). The frequency of application of the treatment will depend on the principle used, the shape of the acne and the local tolerance of the application. Do not forget: the effectiveness of a local treatment can not be judged before at least 2 months of treatment scrupulously followed. And if it is effective, it will often have to be continued until the disease disappears.

Acne vulgaris cause and treatment today will be reviewed on our web site. Acne vulgaris corresponds to the formation of comedones, papules, pustules, nodules and / or cysts, due to obstruction and inflammation of the pilosebaceous units (the hair follicles and their associated sebaceous glands) . Acne develops on the face and upper trunk. It most often affects adolescents. The diagnosis is based on clinical examination. Treatment is based on severity, and may include various topical and systemic agents to reduce sebum production, comedone formation, inflammation and bacterial count, and to normalize keratinization.

Acne is the most common skin disease in the United States and affects 80% of the population at one time or another in life.

Acne Vulgaris Cause- Pathophysiology

Acne occurs through the play of 4 main factors:

  • Excessive sebum production
  • Follicular obturation with sebum and keratinocytes
  • Follicular colonization by Propionibacterium acnes (a normal human anaerobe)
  • Release of multiple inflammatory mediators

Acne can be classified as:

  • Non-inflammatory: characterized by comedones
  • Inflammatory: characterized by papules, pustules, nodules and cysts

Acne Vulgaris Cause- Non-inflammatory acne

Comedones are sebaceous plugs that block the follicles. Comedones are said to be open or closed, depending on whether the follicle is open or closed on the surface of the skin. The caps are easily extruded from open comedones, but are more difficult to remove from closed comedones. Closed comedones are the precursor lesions of inflammatory acne.

Acne Vulgaris Cause- Inflammatory acne

The rupture of inflamed follicles in the dermis (sometimes precipitated by physical manipulation or hard rubbing), where the content of comedones triggers another local inflammatory reaction, producing papules. If the inflammation is intense, coarsely purulent pustules appear.

Nodules and cysts are other manifestations of inflammatory acne. Nodules are deeper lesions that can affect follicle, and cysts are large, fluctuating nodules.

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Acne Vulgaris Treatment

Acne Vulgaris Cause and Treatment

Comedones: topical tretinoin

Moderate inflammatory acne: topical retinoid alone or with a topical antibiotic and / or benzoyl peroxide

Moderate acne: oral antibiotics plus topical treatment as for mild acne

Severe acne: oral isotretinoin

Cystic Acne: Intralesional Triamcinolone

  • It is important to treat acne to reduce the importance of the disease, scars, and psychological distress.
  • The choice of treatment is usually based on gravity; the options are summarized in the Table Drugs Used to Treat Acne. See guidelines for the management of acne vulgaris from the American Academy of Dermatology.
  • Affected areas should be cleaned daily, but additional washes, use of antibacterial soaps and rubbing are unnecessary.
  • A diet containing a lower glycemic intake and a moderation of milk consumption may be considered to treat the adolescent’s resistant acne.
  • Exfoliating agents such as sulfur, salicylic acid, glycolic acid and resorcinol may be useful therapeutic additions, but they are no longer frequently used.
  • Oral contraceptives are effective in the treatment of inflammatory and noninflammatory acne, and spironolactone (starting at 50 mg po 1 time / day, increased to 100 mg po 1 time / day after a few months, if necessary) is another anti-androgen that is sometimes helpful in women. Various light therapies, with and without topical photosensitizers, have been used effectively, especially in cases of inflammatory acne.
  • Treatment should include patient training and a realistic therapeutic program for the patient. Treatment failure can often be attributed to a lack of protocol adherence and also to a lack of follow-up. The consultation of a specialist may be necessary.

Medical Treatment For Tinnitus ;Acne disease combines different types of lesions that are composed, to varying degrees, of sebum retention, inflammation or infection of the pilosebaceous follicle.

Acne: a disease of the pilosebaceous follicle

Acne is a chronic disease that affects the pilosebaceous follicles, an assembly of the hair and the sebaceous gland in which each hair is associated with a gland that secretes sebum, an oily fluid whose normal function is to protect the body skin and which flows continuously where the hair emerges from the epidermis.

When the follicle is touched by acne, the hair canal (which allows the sebum to flow along the base of the hair to go to cover the skin) is clogged or congested by excessively viscous sebum or manufactured in excess and by dead skin cells. The disease essentially affects the face, but can also affect the forehead, back, back of the neck, front of the chest and forearms.

Acne Treatment for Body

Medical Treatment For Tinnitus : Information and Guide

Several types of lesions for the same disease: acne

Acne disease combines different types of lesions that are composed, to varying degrees, of sebum retention, inflammation or infection of the pilosebaceous follicle.

Retentional forms depend on the nature of the skin and hormones. The transition to inflammatory forms of the disease is due to the proliferation of a microbe, normally present in the skin’s glands: propionibacterium acnes.

Retentional acne: a simple accumulation of sebum

Seborrhea, literally the flow of sebum, is often the first manifestation of acne. The skin of the face is so bright and the pores dilated. This secretion of sebum takes place in the areas where the sebaceous glands are located: essentially the face, but also the anterior aspect of the thorax and the central part of the back. This modification of the texture of the skin concerns initially the central part of the face (the forehead, the tip of the nose, the cheeks and the chin). This excess of sebum is quickly accompanied by very small black dots called micro-comedones. The presence of fat or free fatty acids in the sebum is the ideal food for certain bacteria that will then be able to develop in the pilosebaceous follicles and prepare, at this stage, the inflammatory phase of acne.

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The black dot is called open comedo (or “skin worm”) because, when a black spot is pressed, a mixture of sebum and other cells that form the wall of the hair canal, the keratinocytes, comes out in the form a worm-like filament (this maneuver is not recommended, it may lead to a secondary infection). The black coloration is due to the oxidation of the keratinocytes contained in the sebum. The black dot is between 1 and 3 mm in diameter. At this stage, the conditions are met for the development of a bacterium, usually present in the follicle, propionibacterium acnes, and the comedone that is not treated is intended to evolve to the papule or pustule.

The micro-cyst or white point corresponds to a pilosebaceous follicle whose orifice of the hair canal is covered with cells of the epidermis (the upper part of the skin) which obturate it. The accumulation of sebum and keratin that continue to be secreted by the sebaceous gland induces an indurated and localized bulging of the skin centered by a pale zone, hence its name of white point. Here too, microbial growth (propionibacterium acnes) exists and makes the ground of the next phase that is inflammatory.