Friday 13 July 2012

ACNE VULGARIS

O.k, first of all vulgaris doesnt mean that it is vulgar or dirty, it means most common type e.g. icthyosis vulgaris, acne vulgaris. Acne is a very common problem in world. It is caused as a result of blockages of follicles which are called microcomedone, which later become enlarged and result in comedones if open and milia if closed. The comedones contain sebum and dead skin which can become infected by propionibacterium acne leading to inflammation and pustule ( pimple) formation. Other causes include hormonal changes during puberty, anabolic steroid intake, diet.

Symptoms include comedones, seborrhea, pustules, nodules, scars, pigmentations.

TREATMENT includes ointments like benzoyl peroxide, clyndamycin cream, if they dont help then isotretinoin gel/cream. If all these treatments fail then oral isotretinoin is prescribed which usually given for 4-6 months and can cause long term resolution of symptoms. It is teratogenic ( causes developement problem in fetus) so is contraindicated in pregnancy.


Some other modalities are Dermabrasion, phototherapy, photodynamic therapy, laser.


Home remedies... aloe vera oil, egg oil and tea tree oil.


Also Watch: Blackhead Removal Video Collection by Dr Vikram Singh Yadav 


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