Acne
1. What is acne?
Acne is a skin condition in which the sebaceous or oil glands of the
skin become inflamed. At first, the sebaceous glands become blocked
by white and blackheads. Then they become inflamed and can lead to
red bumps called papules and yellow heads called pustules and even deep and
tender cysts.
Acne is a very common condition in adolescence. It occurs in
young men aged between 13 and 18 and worsens between 18 and 19 years
old. It is less common in girls and common around 14 years old and
worsen especially around period time. It usually settles by the age
of 20, but may continue longer in severe cases.
Acne often appears on the face, but can extend onto neck, chest,
shoulders and back.
2. What causes acne?
Acne is related to an increase in the levels of male hormones during
puberty in both sexes. Although the increase in the hormone levels is normal,
some people are more sensitive to it. The rise in the hormone levels stimulate
the growth of bacteria that live on our skin. This causes the blockage of the
sebaceous glands and release fatty acids which in turn irritate and inflame our
skin, hence causing acne formation.
3. Important facts about acne:
a. Acne
is usually not affected by diet.
b. It
is not caused by oil hair or hair touching the forehead.
c. It
is not infectious from one person to another.
d. Ordinary
chemicals including chlorine in swimming pools do not make it worse.
e. Blackheads
are not dirty and they will not dissolve in hot or soapy water.
f. Acne
may flare up more with stress and emotional upsets.
4. Advice to parents:
a. Your
son or daughter hates acne and finds it embarrassing, so be supportive.
b. Acne
is not due to the ways the skin is washed or what is eaten.
c. It
will not help if you are over-anxious or nagging your children about it.
d. Be
supportive and understanding.
e. Follow
your doctor’s advice and instructions in acne treatment.
5. What is the treatment for acne?
a. Diet: avoid
foods that seem to aggravate your acne, such as chocolate and milk.
b. Soap
and washing: use normal soap and gentle skin washing.
c. Cosmetics: avoid
oily or creamy cosmetics and all moisturizers. Water based lotions
and cosmetics are preferred. Use cosmetics sparingly.
and cosmetics are preferred. Use cosmetics sparingly.
d. Hair
washing and shampoos: these make no difference to acne.
e. Blackheads
removal: this is not recommended. Avoid picking or
squeezing acne.
f. Exercise: this
has no proven value to the treatment of acne.
g. Ultraviolet: this
can be beneficial. However, avoid extreme exposure to sunlight and
avoid sunburns.
avoid sunburns.
h. Lotions,
creams and gels: these can be useful, such as Sulphur, salicylic
acid,
benzoyl peroxide and retinoic lotions
benzoyl peroxide and retinoic lotions
i. Antibiotics: these
have proven value to acne treatment. Oral antibiotic course and
topical antibiotic preparations are effective. Please consult your doctor for further
advice.
topical antibiotic preparations are effective. Please consult your doctor for further
advice.
j. The
pill: some specific contraceptive pills are very effective in treating
acne in
women.
women.