The most common problem that we face at puberty is the appearance of acne on face, and body, too. Nearly 80% of the population aged 12 to 18 years has problems with acne. Those skin changes may also occur in infants. There is an opinion that acne occur due to the rapid activation of sebaceous glands. This problem occurs in adolescents of both sexes, usually between 13 and 15 years. It previously occurs in girls than in boys. Girls who have acne should have their ovaries examined because of the possibility of polycystic ovaries. Acne usually disappears after the twentieth year in most cases. Due to the increased creation of keratin in the area of follicle openings, a keratin cork is created that prevents the discharge of sebaceous gland, and skin keeps secreting more sebum. As a result, an accumulation of sebum in sebaceous glands occurs. Its decomposition under the influence of ferments of saprophyte bacteria, which are found on the skin and in the openings of hair follicles, fatty acids are released which have influence on the walls of the follicle and the surrounding tissue, and cause abacterial inflammation of the follicles and of its surroundings. Reasons for the occurrence of acne must be: an enlargement of sebaceous glands and seborrhea, the growth and development of follicles, follicles populated by bacteria Propionibacterium acnes, inflammation and immune response. Inflammatory form of acne can be associated with fever, painful joints etc. The disease goes through the stages of exacerebation and remission. The occurrence of acne in the second week of life is called neonatal acne, and when it is manifested between the third and sixth month, it is called infantile acne. Changes that occur can be seen on the face (cheeks, forehead etc.), the upper part of chest and back and on shoulders. Apart from vulgar acne, there are also other forms of it such as radiation excorias etc. But they are rare. Acne vulgaris is divided into several clinical forms.
Acne comedonica (comedonic acne) are non-inflammatory form and comedons (blackheads) prevail. A comedon is the cork that closes the pore. These caps may be black or white and are characteristic for skin with acne. There are comedogenic substances that help the creation of comedons, and they can be found in cosmetic products. Therefore, such acne is called acne cosmetica.
Inflammatory form of acne consists of acne papulopustula. It is a milder form, and arises from the closed comedons. Red papulae and pustulae that fester appear, too.
The most severe form is acne conglobata. Comedons, papulae, pustulae, cyst, and scabs appear and all these are followed by the inflammatory process which includes deeper parts of the follicle and the tissue and creates deep, hard caps. Apart from face it can affect the neck, back and the upper part of the abdomen as well.
Acne is easily diagnosed so that an additional testing is not necessary. Only dermatologists can prescribe medicines for the treatment of acne. Numerous sagged scars are the result of inadequately treated acne. After the active treatment of acne, scars can be treated by special methods, such as chemical peels, for example.
As for the food, avoid sweets (especially chocolate) and snacks. The maintenance of hygiene as well as the use of the products for the removal of impurities from the skin is obligatory.
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