Practice acne diagnosis and treatment

2021-03-25 12:00 AM

Don't try to squeeze out the pimples on your face. In fact, this doesn't help reduce acne at all, but it can also create scars that weren't supposed to be.

Acne is small bumps that appear on the surface of the skin, usually the facial skin, and are most common during puberty. However, acne sometimes occurs in adults, even in middle age. For most people, acne - especially on the facial skin - is not a health issue, but a cosmetic problem, a discomfort in communication. Young people are often uncomfortable going to a party with acne-covered faces that don't know how to hide it.


Acne occurs when the tiny sebum secreting glands in the skin become blocked for some reason. These secretory glands (sebaceous gland) have the function of secreting a special oily substance that helps smooth the skin, protects skin cells and reduces the adhesion of dirt to the skin, keeping the skin moist. and against bacterial invasion.

Sometimes, these secretory glands do not work properly. They secrete more sebum than the ducts convey to the surface of the skin. At that time, the amount of sebum will gradually accumulate under the skin and form pimples on the surface of the skin.

Then, some dead skin cells mixed with the accumulated slime, formed a more complex mixture, forming firm pimples, which we often call "pimples". When these roots remain under the skin, they are white blemishes. As they grow and bulge out of the skin's surface, they form black bumps. The black color of these bumps is caused by an accumulation of a dark pigment (melanin). It is this pigment that causes skin color as well as dark spots when the skin is exposed to the hot sun.

Causes that promote acne formation

Genetic factors: Acne tends to show up in people in the same family. In other words, if parents have had a lot of acne in the past, their children are more at risk of developing acne.

Age and gender factors: Girls typically begin to have pimples around 11 years old, while boys usually start at age 13. At this age, the body begins to produce some. A large hormone called androgens, which acts on the glands to secrete sebum, causes them to secrete excess sebum levels, accelerating the formation of pimples on the face. The level of androgen production in boys is 10 times higher than that of girls. Therefore, acne is more common in men than in women.

Contact with some industrial lubricants or chemicals, makeup creams or soaps, shampoos ...

Psychological stress, anxiety or anger also promote the development of acne, possibly through the impact on sebum production.

Certain foods such as chocolate, fried foods or drinks like soda and coffee are believed to promote the development of acne.

Some medicines, such as birth control pills, can have side effects that can cause acne to develop quickly.

For women, acne usually develops more during the pre- and menstrual periods.


It is necessary to distinguish between two types of acne:

Noninflammatory acne, the most common type of acne. This type of acne usually does not deform the facial skin, only appears in clusters, each cluster is about a couple of small pimples, sometimes emerging on the face and then disappear, leaving no trace.

Inflammatory acne, less common, often continually develops into large areas on the face, on the neck, on the back, and even in the lower abdomen near the genitals. This type of acne has a little cloudy yellow pus inside the pimple, which can leave a small scar on the skin after it heals.


It is very rare to resort to medication. Often it is only necessary to teach the patient some pertinent insights that can alleviate the development of acne:

Wash your face with soap once or twice a day. Avoid using perfumed soaps, especially strong deodorant soaps, as this will strip away the protective oils that protect your face. Use mild disinfectant soaps. Cleans your face gently, without rubbing it. Usually, rubbing hard is one of the reasons why acne can grow faster.

Minimize the use of cosmetics for facial skin. Many types of cosmetics, when applied, often clog tiny holes in the face, and thus speed up the process of creating acne. If you must use them for a short period of time, choose those with a water form rather than creams or oils. The thinner the layer of cosmetics used on the face of the face, the thinner the better, as they allow the skin to excrete better. Immediately after using, be sure to wash your face with soap and water.

Don't try to squeeze out the pimples on your face. In fact, this doesn't help reduce acne at all, but it can also create scars that weren't supposed to be.

In sitting positions watching TV, reading a book, or studying, avoid sitting with your hands on your chin or resting your face on any part of your arm. These postures prevent the clear secretion of the facial skin, making it easier for acne to arise.

Avoid fried foods, fatty foods, or drinks containing chocolate or caffeinated beverages.

Drink plenty of water, possibly up to 7 or 8 large glasses per day. Excess water put into the body will help clean everything, prevent the process of acne formation.

If it is determined that the development of acne is due to a side effect of a particular drug, an alternative medication may be considered. Acne creams are often compounds containing benzoyl peroxide, sulphur or salicylic acid, which can be used effectively in reducing the progression of acne.

Alleviate all anxiety and stress with different measures such as changing daily activities, participating in social activities ... However, the better way is to prevent or avoid the causes. causes anxiety or stress.

In cases where it is necessary to use the drug, it can be used

Azelaic acid has antibacterial effects while also helping to peel off keratinized skin.

Severe dermatitis may require oral antibiotics, 500mg Oxytetracycline or 500mg Erythromycin, twice a day. Treat for 3 months, then reduce the dose to 250mg, 2 times a day. Both of these antibiotics can be increased to 1000mg if needed. Antibiotics like minocycline and doxycycline are more expensive but have the advantage of being less affected by food and using lower doses (100-200 mg/day).

Benzoyl peroxide (CH O) concentration 1% to 10%.

Should start with low concentration inoculants.

Topical medications containing retinoid acid, such as Tretinoin Kefiran, apply once a day.

Can be used in combination. If after 4 weeks of treatment with benzoyl peroxide is not effective, Tretinoin Kefiran can be used. Both types are applied to the skin once a day, but at 2 different times. (Such as one in the morning and the other in the afternoon.) These two drugs are particularly effective for noninflammatory acne.

Topical antibiotics such as clindamycin, erythromycin, or tetracycline are used with inflammatory acne.

For patients taking the combined oral contraceptive pill, the following points should be noted

If you are on long-term antibiotic treatment, the combined oral contraceptive pill can be started without the need for additional contraception.

If you are taking the combined oral contraceptive and have just started antibiotic treatment, or switched to another antibiotic, another form of contraception should be used for 2 weeks.

Red acne

Red acne is characterized by a long-lasting characteristic that makes the face red, slippery, especially the cheeks and between the forehead, there may be red and pus blemishes. Red acne usually appears in women of middle age.

Long-term treatment with oxytetracycline antibiotic 250mg, 2 times a day. Gradually reduce to a maintenance dose of 250mg per day.

Metronidazole topical can be used twice a day.

Do not apply steroids as this will make the illness worse.