Acne is a chronic inflammatory skin disease that involves the sebaceous glands of hair follicles. It occurs on the face, back and other seborrheic areas and is characterized by cosmetic lesions such as acne, papules, pustules, nodules, cysts and scars. The causes of acne are complex and are mainly related to androgens, increased sebum production, abnormal keratinization of follicular sebaceous ducts, proliferation of Propionibacterium acnes, and genetics. The occurrence of some patients is also related to factors such as genetics, immunity, use of cosmetics, dietary stimulation and endocrine disorders, which are manifested in familial aggregation of acne, fulminant acne or acne flare-ups associated with the menstrual cycle. Wang Liuyuan, Department of Dermatology, Guangdong Provincial Dermatology Hospital Clinical manifestations of acne vulgaris 1. It mostly occurs in young men and women aged 15 to 30.
2. The lesions are usually found on the cheeks and forehead, followed by the chest, back and shoulders and other seborrheic areas.
3.The lesions start as whiteheads or blackheads, and may become papules, pustules, nodules, and cysts as the disease worsens, and may become pus and form abscesses after a long time.
4. The lesions are mostly symmetrically distributed and often accompanied by seborrhea.
5, the disease generally no conscious symptoms, inflammation may be obvious when there is pain.
6. The course of acne is chronic, sometimes mild and sometimes severe, and most of it gradually remits after puberty, with a few patients recovering in middle age.
Special types of acne 1. Convergent acne: It occurs in young men and is characterized by severe nodules, cysts, sinus tracts and scarring.
2. Fulminant acne: After months or years of suffering from mild acne, the condition suddenly worsens and systemic symptoms such as fever, joint pain and anemia appear.
There are also medicated acne, baby acne, premenstrual acne, and cosmetic acne.
Treatment of acne Treatment principles: Exfoliation, dissolution of keratin, antiseptic, anti-inflammatory and regulation of hormone levels.
Note: All treatments should be applied under the guidance of a physician and should not be applied at will with your own discretion.
1. General treatment: Wash your face with warm water, do not use oily cosmetics; avoid squeezing and scratching acne with your hands; avoid spicy and stimulating foods, control fat and sugar, eat more fresh vegetables, fruits and vitamin-rich foods; in addition, moderate labor and rest, dietary regimen and proper exercise to correct constipation. It is also very important to prohibit the use of bromine and iodine drugs.
2, drug treatment: the lighter only external drug treatment can be, currently commonly used is the retinoic acid, peroxyphenyl benzoyl, antibiotics, etc.. Heavy cases are treated with internal medication: such as antibiotics, retinoids, anti-androgen drugs and hormone drugs are generally not used as conventional medication, mainly for severe patients.
Chinese medicine treatment is based on physical regulation, or liver depression and qi stagnation, or heat in the lungs and stomach, or heat accumulation in the stomach and intestines, or dysregulation of the flushing and the capitals. Clean acne lesions are massaged or sprayed with medication and can be combined with herbal face molds.
For other treatments, professional therapists can use special acne squeezer to squeeze out the open acne contents. Physical therapy: blue-red light irradiation, photodynamic, erbium laser and ultra-pulsed CO2 laser grinding, etc.
Overall considerations for acne: 1. Do not treat indiscriminately! Treatment ideas should be clear, especially for parents of children.
2, do not buy topical drugs online to use topically on the face at will, there may be glucocorticoids and other ingredients to produce dependence; moreover, do not buy internal drugs online, because it is not clear its drug composition and whether there is a batch number.
3, do not just take laxatives or advertising laxative drugs to laxative, the best diet regimen combined with appropriate exercise to laxative, if necessary, Chinese medicine conditioning.
4, do not just go to individual clinics to prescribe Chinese medicine conditioning, if you look for try to choose a formal Chinese medicine college graduate with a business license, it is best to learn the skin professional Chinese medicine doctor to see, and the prescription is too large, the price of drugs is too expensive should not be selected.
5, do not just take a long-term proprietary Chinese medicine, proprietary Chinese medicine also need to identify the evidence to adjust, short-term on the evidence may be effective, long-term will be excessive, may change the physique, or even positive effect did not, the side effects first appeared, taking soup medicine is generally not combined with proprietary Chinese medicine internal consumption.
6, do not just squeeze the papules, nodules, can lead to aggravation or secondary infection, and easy to leave scarring.
7, do not blindly taboo, avoid spicy and stimulating food, eat less cold, greasy and sweet food.
8, do not be too low self-esteem, maintain a healthy and good state of mind, mood is an important influencing factor in the improvement of the disease.
9, full understanding of the disease + correct standard treatment + good health and good attitude + good living and eating habits is the eternal weight to overcome the disease!