Health Topics

Acne

By Dr. Abbasian

What are the symptoms of acne?

  • Acne skin lesions are characterized by seborrhea, scaly skin lesions
  • Comedomes, consisting of black and white heads that are the direct cause of sebaceous glands getting clogged with sebum which is a naturally occurring oil in the skin
  • Papules or “zits” that apply to small red lesions
  • Pustules lesions with white heads
  • Nodule or cystic acne consist of large, red raised lesions

 

Pediatric acne applies to presentation of the disease before age 11 and adolescent acne refers to acne presentation from age 12 through adult.

 

Neonatal acne – consist of red papule or papulopustular lesions on the face (cheeks, chin, eyelids, and forehead). This is a self limiting problem that resolves in 1-3 months occasionally up to 12 months.

Infantile acne – is more common in boys than girls and is less common than neonatal acne. It usually starts between 3-6 months of age and mostly involves face and cheeks and is more like regular acne with comedomes and occasional nodules and cysts.

 Mild childhood acne  - In general, this form of acne is rare and presents in children 1-6 years of age and it may indicate high androgen levels. Therefore, adrenal gland disorders should be ruled out.

 Preadolescent acne – This is when acne presents between age 7-11 and may be the first sign of pubertal maturation. The lesions are usually comedomes in the T-zone of the face (across the forehead, on and near the nose, and on the chin).

 Adolescent acne – is the most common skin problem, affecting 15% of individuals of all ages and 85% of adolescents. This usually continues into adulthood, but decreases in intensity or disappears.

 

Severe acne that causes large nodules, also called cystic acne, can cause scarring and pigmentation. The psychological impact of acne on individuals, especially adolescents can lead to reduced self esteem and at times depression. Therefore early and aggressive treatment can decrease the overall long term impact.

Contributing factors:

  • Genetics – it tends to have a familial predisposition
  • Hormonal – increased hormone activity during puberty, menstrual cycle and use of anabolic steroids can aggravate or cause acne
  • Infectious agents p. acne and staph epidermitis have been frequently discovered in acne lesions, but not yet certain to be the sole cause of acne
  • Diet high in sugar and excess consumption of milk is believed to worsen acne, but chocolate and salt are not supported by evidence.

 Treatment – There are many different treatments for acne that are all based on normalizing the shedding of the top layer of the skin and preventing the blockage including:

  1. Antiseborrheic medications
  2. Antibiotics and retinoids
  3. Antiandrogenic medications
  4. Keratolytic soaps

Your physician will be able to diagnose the type of acne and provide you with the appropriate treatment.


Topics and Subtopics: Children's Health & Skin Health

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Dermatology
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