Acne is a chronic inflammatory disease associated with multiple factors and is somewhat cosmetic in nature. Its pathogenesis is mainly related to androgen levels, increased sebaceous secretion, hyperkeratosis at the opening of the sebaceous ducts of the hair follicles, and Propionibacterium acnes infection.
Clinical manifestations]
In order to facilitate treatment, acne is classified as mild, moderate or severe according to the severity of the condition.
Mild acne manifests as disseminated to multiple blackheads, which may be accompanied by scattered distribution of inflammatory papules.
Moderate acne presents as numerous pimples and numerous inflammatory papules and pustules.
In severe acne, nodules, cysts and scar formation appear, which seriously affects the patient’s outward appearance and self-confidence building.
[Stratified treatment
The principles of treatment are mainly lipid removal, dissolution of keratin, sterilization, anti-inflammation and regulation of hormone levels.
According to the clinical manifestations, corresponding graded treatment measures are adopted.
Mild acne is usually treated locally with drugs that exfoliate, dissolve acne, inhibit sebum secretion and have antibacterial and anti-inflammatory effects, such as adapalene, peroxymethylphenidate gel and erythromycin isotretinoin gel, etc., which can achieve better results.
Moderate acne There are two cases.
1. Those with a large amount of acne as the main cause can be treated with fruit acid or oral isotretinoin, or a combination of both, but with attention to sun protection and moisturizing and emollient skin for ideal results.
2. For those with a large number of inflammatory papules and pustules, oral memantine combined with fire acupuncture, ear-tip bloodletting, and cupping treatment at the large spine; or oral self-prepared acne elimination drink combined with fire acupuncture, ear-tip bloodletting, and cupping treatment at the large spine will achieve fast and satisfactory results.
Severe acne: divided into the following cases.
1. For nodular cysts that are numerous but not large, oral isotretinoin soft capsule combined with fire acupuncture treatment will have rapid effect and lasting consolidation, but oral isotretinoin treatment should be maintained for more than 4-6 months.
2, nodule cysts and large amount of people, take fractional laser or fire needle combined with photodynamic therapy, the effect is satisfactory, once every 2 weeks, three times in a row, you can achieve satisfactory results. The role of fractional laser or fire acupuncture is mainly drug delivery effect, promoting the absorption of photosensitizers, and also has a rapid local anti-inflammatory effect.
Treatment of post-acne scarring
Severe and persistent acne is very likely to leave scarring such as acne marks and pits of various sizes, causing great psychological and social obstacles to patients. The introduction of carbon dioxide fractional laser in our department can effectively improve the post-acne depressed scarring.
[Acne patients’ daily life precautions]
1.Avoid emotional tension and keep a happy mood
2.Ensure sufficient sleep
3, minimize the consumption of greasy, fried food, sugar, chocolate and spicy, stimulating food, and eat more vitamin-rich vegetables and fruits
4, pay attention to facial hygiene, avoid scratching and squeezing, wash your face with warm water, but frequent washing will aggravate acne
5, avoid taking drugs that may cause or aggravate acne, such as glucocorticoids, halogenated drugs, birth control pills, etc.
6. Avoid using thick cosmetics and excessive makeup.