Skin and Beauty

Acne Vulgaris and it's Management

Written by Dr. Kalpana Pathak and medically reviewed by iCliniq medical review team.

 

Acne Vulgaris is a common skin concern in adolescents and may sometimes persist in adulthood too. It is a skin disorder involving pilo-sebaceous follicles or oil glands and is therefore seen to involve areas where oil glands are dense. Hence face, chest, back, upper arms are common sites of involvement.

Though acne is commonly seen in oily skin, it can be involve dry skin too due to blockade of oil glands when excessive creams or greasy thick creams are used to moisturize the skin.

Acne can present as whiteheads, blackheads, papules, pustules, nodules and abscesses. If not treated properly it will leave extensive scarring and pigmentation in the skin.

Common Causes Of Acne:

  • Excessive use of cosmetics, oily creams, facials, medicines like steroids, menses, humid weather, hormonal disorder like polycystic ovarian disease can precipitate acne.
  • Diet has a role in acne too. It has been documented that dairy products and foods with high glycemic index like refined carbohydrates may cause acne.

Management of Acne:

To understand the management of acne, it is essential to understand it's pathogenesis. Acne is basically seen in excessively oily skin(seborrhoea) due to blockade of oil glands by shedding of ductal cells. This blockade leads to growth of a bacteria known as propionibacterium acnes.

Also androgen(hormone) has a role to play in acne. The medicines used in acne are basically meant to target these underlying causes.

  • Antibiotics like clindamycin, nadifloxacin, benzoyl peroxide are used to control the bacteria P acnes.
  • Seborrhoea is controlled by using glycolic or salicylic acid based face washes or tretinoin/ adapalene gels.
  • Retinoids -- a group of drugs(isotretinoin) are said to work on all stages of acne. In cases of hormonal derangement -- medicines like cyproterone acetate, oral contraceptives etc are added to control acne flare ups.

Treatment In Acne:

Treatment is suggested according to type of acne.

  • If lesions are mainly comedonal - salicylic or glycolic acid based face wash along with night application of adapalene gel helps. Sometimes for faster response salicylic acid peels are added too. Also patient should be advised to get blackheads/whiteheads extracted daily.
  • If lesions are red bumps or pustules - benzoyl peroxide based face wash along with application of clindamycin and/or benzoyl peroxide cream and tretinoin or adapalene gel in night helps. If required antibiotics like azithromycin, doxycycline, minocycline or lymecycline can be added.
  • If lesions are severe like nodules and cysts - oral isotretinoin is the drug of choice and gives magnificent results.

Skin Care In Acne Prone Skin:

  • Use a salicylic acid/ glycolic acid based face wash.
  • Get your comedones extracted regularly.
  • Use a water based moisturizer, even oily skin needs hydration.
  • scrub your face two times in week.
  • Use a mud mask weekly.
  • Take salicylic acid or glycolic acid peels every fifteen days or month to improve skin texture, control acne and reduce scars and marks.
  • Take a well balanced nutritious diet and exercise daily.
  • Avoid face massages or application of greasy cosmetics and oils.

Acne prone skin needs proper skin care. If right medicines and products are used, it is easy to manage acne.

It is advisable that one should consult a dermatologist for a proper personalized prescription and skin care regime rather than using home remedies as acne can have long term sequelae in form of scars and marks if not treated adequately.

Last reviewed at: 07.Sep.2018

RATING

42
 


Do you have a question on Acne or Acne Vulgaris?
 
* guaranteed answer within 4 hours.
 

Related Questions & Answers


Acne - Causes, Types, Home Remedies and Treatment Strategy
Article Overview: Acne is a very common condition encountered among teens and adults. To decide the protocol for the treatment of acne, it is important for us to know the causes, conditions associated, sites of acne, the cause of acne and factors affecting the onset of acne. Many home remedies are helpful in treating acne. Mild and moderate acne can be treated with medication and severe acne with other treatment procedures. Prevention is more important than cure.  Read Article »
Dr. Archana
Dermatologist

Acne is a very common skin condition. It commonly starts during puberty but can occur at any age. Although it is not a dangerous condition, acne can leave scars on the skin. Acne appears in different parts of the body like face, chest, and back. Acne affects almost all teenagers in different severit ...  Read Article »
 
Top 10 Questions on Acne
Article Overview: Acne vulgaris or what is commonly known as pimples starts in teens. It leads to the lowering of self-esteem, decreased work capacity and some form of permanent scarring. There is a huge misinformation among parents and patients about the disease, thus leaving them perplexed as to how to deal with it. In this article, I have gathered the top 10 questions on acne to help both parents as well as patients to guide them to make informed choices on the issue. These, however, are general guidelines and patients are advised to consult a qualified dermatologist for treatment.  Read Article »
Dr. Abdul Samieh Deva
Dermatologist

What Is Acne? Acne is a disorder of pilosebaceous unit found in the skin. Sebaceous gland is often associated with a hair follicle and is known as a pilosebaceous unit. The most important lesion in acne is a comedone. Besides, papules, pustules, and nodules are also found. In common terms, these ar ...  Read Article »
 
Acne: Skin Care Tips and Treatment Options
Article Overview: Acne is the most common problem faced by teenagers which has a social as well as psychological impact. It is said that about 90 to 95 % of the world population would have suffered from acne at some point in their life. Acne is very common during 13 to 30 years of age. After 30 years of age, acne is considered as 'adult acne' which has strong hormonal influence.  Read Article »
Dr. Ashwini V Swamy
Dermatologist

How Does One Develop Acne? Acne is a disorder of pilosebaceous unit, pilo meaning hair, and sebaceous meaning oil-producing gland. These pilosebaceous glands are densely distributed over the face, neck, chest, back, shoulder, and arms. It also has a genetic component, meaning the appearance/ severi ...  Read Article »
 
Palmoplantar Keratoderma - Causes and Treatment
Article Overview: This article discusses the general aspects of the commonly occurring skin disorder, palmoplantar keratoderma.  Read Article »
Dr. Suvash Sahu
Dermatologist

Palmoplantar keratoderma is a commonly encountered problem in day to day practice. This disease presents as a distressing thickened skin with fissured pattern, intermingled with recurrent eczema like flare up. Causes: The causes could be either. Exogenous or external factors like irritants, all ...  Read Article »
 
I get red cysts on my face. Is it acne or rosacea?
Query: Hello doctor, I am a 25 year old male. I am 6'1" tall and I weigh 170 pounds. Often, I get red cysts of some sort on my face beneath the skin that take a while to heal. I have oily skin, and get whiteheads as well. I have fluid-filled boil-like lesions on my face. I have been to a few dermatologist...  Read Full »
Dr. Kakkar S
Dermatologist, HIV AIDS Specialist, Venereologist

Answer: Hello, Welcome to icliniq.com. Rosacea is a skin disorder that affects people above 30 years. Other than acne-like lesions, people with rosacea have redness of the face and dry skin associated with burning sensation. They also have redness and irritation in the eyes. The redness of the face is a...  Read Full »
 
What Is Acne Vulgaris?
Article Overview: Acne vulgaris is a common condition that usually starts in teenage years when sebaceous glands become active. However, acne can also occur in childhood and even in infancy, but it is rare.  Read Article »
Dr. Rabia
Dermatologist

Acne vulgaris is a common condition that usually starts in teenage years when sebaceous glands become active. However, acne can also occur in childhood and even in infancy, but it is rare. Some individuals have an inherent tendency of having hyperactive sebaceous glands, this is one of the risk fact ...  Read Article »
 

Ask a Doctor Online

* guaranteed answer within 4 hours

Related Tags