Acne
Condition Information
Acne consists of comedones (whiteheads and blackheads), papules ("pimples"), nodules (large papules) and cysts. Teenagers and many adults have persistent acne. Many factors contribute to acne, including inheritance, hormones, bacteria, and tendency for follicles to be “sticky”. Why some persons suffer from acne, and others do not, is not known.
Treatment Information
Mild to moderate acne can be treated with topical creams and lotions that kill bacteria, open pores, and decrease inflammation. Severe or resistant acne can be treated with oral antibiotics, in addition to the topicals. Women, including those whose acne persists beyond adolescence, can also be treated with hormones and medications to suppress the effects of hormones on the skin. Sometimes, extraction of comedones (acne surgery), chemical peels, laser, microdermabrasion, or photodynamic therapy can augment the medical treatment. For the most resistant acne in teenagers and adults, the oral vitamin A derivative Isotretinoin (brand name Accutane) will give long-term remissions to the majority of people who use it. However, Isotretinoin can cause birth defects in children born to women who are, or become, pregnant while taking this powerful medication. Isotretinoin can also cause reversible irritation of the liver, elevation of cholesterol and triglycerides, stomach upset and dryness of the skin and lips. Therefore, close monitoring, including frequent blood tests, are essential for all patients prescribed Isotretinoin. Appropriate precautions to avoid pregnancy are essential for women taking this medication. Rosacea
Condition Information
Rosacea is a condition of redness, flushing, and inflammation affecting the face. Patients can also have inflammatory papules (which can look like pimples), and broken out blood vessels. In more advanced cases, the skin of the nose can become swollen and overgrown (rhinophyma). Flushing is often set off by heat, spicy foods, and alcohol. Rosacea can be inherited.
Treatment Information
Mild rosacea can be treated with topical prescription antibiotics, sulfur compounds, azelic acid (finacea), and other anti-inflammatory compounds. Oral antibiotics may be used in more severe cases. Dilated blood vessels and redness can be treated with the V beam laser.
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