ACNE

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	ACNE
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ACNE

Acne

The acne is a disease of the skin, frequents in adolescents, characterized by eruptions in the face, chest and back.

Sex

Commonest in boys than in girls.

Causes

The fat glands of the skin are blocked for unknown reasons, but the changes in the sexual hormones that the adolescents experience play an unequivocal role.

When the fat stagnates, it begins to become infected by a bacterium habitually present in the glands.

The acne not this caused by dirt, neither by masturbation, nor by food. The cleaning can avoid it, but the sexual activity does not have any effect on it.

Signs and symptoms

It is characterized by the appearance of the following injuries (of slighter to more intense) in the skin, generally of the cheeks, in front and back:

Black shinbones (black points as large as the head of a needle)

White shinbones (white points similar to the black)

Pustules (small injuries of pus)

Cysts (great swelling but of the skin) and

Abcesos (swollen, inflamed in a slight infected area that contains pus), single in the most serious cases.

These injuries do not itch nor, if they do not become infected, hurt.

Yes they become infected, it appears I pull ahead around rojido, and they are vuleven painful.

Factors of risk

Exhibition to high temperatures.

Stress.

Greasy skin (oily).

Disorder endocrinos.

Medicines, like the masculine cortisone and hormones.

Familiar history of acne.

Some greasy cosmetics.

Prevention

There is no well-known prevention.

Diagnosis and treatment

DIAGNOSIS:

It is made by means of the inspection of the injuries.

TREATMENT:

The treatment is in medical general.

In some residual occasions, and injuries, it can be indicated the abrasion, chemistry or physics, of the superficial layers of the skin ("peeling").

General measures

Yes greasy skin has You it:

Smooth massage on the face with a soap without essences during a period of 3 to 5 minutes.

Not to masajear on doloridas parts.

To clean the skin with smoothness.

Not to use abrasives.

Desenjabonár during 1 or 2 minutes.

In some occasions a antibacterial soap would also serve.

Aplíquese some disinfectant and desengrasante like the alcohol, to remove the fat after the washing.

To use a new towel every day.

To wash to the hair with champú at least 2 times to the week.

To maintain the hair outside the face.

To use champú anti dandruff to fight or to prevent the dandruff. To avoid hair creams.

After a strong exercise, to clean to the sweat and the fat as soon as possible.

To avoid the cosmetics that contain excessive fat.

To avoid creams and cosmetics to not being prescribed by a doctor.

Not to tighten, to press, to take or to rascar the skin.

The acne is cured better without damaging the skin.

For more severe cases:

To remove or to clear the shinbones, can be done by the doctor.

The exhibition controlled by a doctor to ultra-violet rayses can be useful.

Aesthetic surgery (skin abrasion) can be recommended to clear the marks after the cure of the acne.

Medication

His doctor can prescribe to him, in the moderate cases to severe, some of the following ones:

A lotion of 5% or 10% of bencil-peroxidasa.

Local application of lotions with antibiotics, like the clindamicina or the eritromicina.

Local application of acid retinoic or derived, as the tretinoina is effective to open pores.

In the most serious cases:

An oral treatment with Isotretinoina, although must very closely be supervised by a doctor, since it is a very powerful and potentially teratógeno medicine (it can cause fetal malformations).

Antibiotics by via oral to fight the sobreinfection of "grains".

Injections of cortisone in damaged zones more.

Activity

Restrictions do not exist; after its accomplishment, to wash and to dry the skin carefully (to see general measures).

Diet

Some greasy foods can make worse the eruption, although it is a very personal sensitivity, reason why each patient must avoid those foods that increase the eruption to him him.

(One of the implied ones more frequently is the fat of the cacao)

Complications

The injuries can be become infected, producing scars.

Still without becoming infected, the most serious injuries (quístico acne) can leave scars.

Prognosis

With the suitable treatment, usually they cure in all the cases.

In most of cases, the injuries send or disappear when happening the puberty.

The residual scars can be eliminated by means of dermoabrasión.

ACNE

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