Acne vulgaris, also known as pimples, acne, spots, or zits, is very common, usually starting in the teenage years and continuing up to the age of 30.
It coincides with the hormonal changes of puberty, and women may suffer into adulthood with hormonal changes in their menstrual cycle. Hormones affect the amount of oil (sebum) produced by glands next to hair follicles – these follicles then become blocked and inflamed.
Acne can cause blackheads, whiteheads or pustules, or more inflamed lesions, including red and sore cysts and larger nodules, which are more likely to cause long-term scarring. Acne usually affects the face - the T-zone is typical in teenagers (forehead, nose, and chin), or the muzzle distribution in early adulthood, which includes the upper lip, chin, jawline, and neck.
Acne is not contagious, and while you may hear about an associated bacteria called P. acnes, this cannot been caught from others and cannot be passed on. It can be tempting to use harsh products on your skin to try to eradicate bacteria, but acne does not relate to skin being unclean. Astringents or exfoliants can cause irritation, further sebum production, and the risk of additional bacterial infection.
There are a variety of products that can help to build a daily regimen to control acne; here are some options we would recommend.
Daily skin cleansers can help unclog pores, helping minimize sweat build-up and reduce outbreaks.
There are products that contain medicated cleaning pads that can reduce the appearance of spots or help clear the spots more quickly. Clearasil pads are a good example of this type of product. It contains salicylic acid, amongst other ingredients, to reduce inflammation and reduce spots.
For more persistent spots or outbreaks of acne, antibacterial treatments can help to control symptoms. Topical products that contain benzoyl peroxide, sulfur, or resorcinol have beenshown to be effective. These products need to be applied regularly for between 6 to 8 weeks on average to achieve optimum control of acne spots. They work by killing bacteria and absorbing excess oil.
Adapalene is another type of topical product that modulates the inflammation process. Acne may worsen during the first few weeks of treatment, but the full therapeutic effect will be seen after 8-12 weeks of treatment.
Products are available to buy over-the-counter, but if your acne is causing large inflamed cysts, leaving behind red scars or pocks and pits once healed, or is causing you psychological distress or low self-esteem, book a routine appointment with your doctor.
They will ask about your symptoms and any previous treatments, they will examine you, and they may prescribe a cream or gel and antibiotics, which have an anti-inflammatory effect on your acne. It can take up to 3 months to see any effect.
Women also have the option of being offered a hormonal option, as contraceptive pills can sometimes be used as an addition to treatment.
You are fit for work if you have acne.
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