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Archive for the ‘Acne’ Category

Severe acne can cause physical as well as emotional scars. Although most people stress out over the occasional zit, acne can deliver serious blows to an individual’s sense of confidence and self-perception. Acne can cause a person to experience consistently blemished skin that may include pimples, papules, abscesses, cysts, blackheads, whiteheads, and other painful inflammations of the skin. Moreover, acne can be a whole body problem. While most people are seriously afflicted primarily in the facial area, many people also experience considerable blemishing across their back, chest, neck, and other areas of the body.

While most people experience the brunt of acne during the difficult adolescent years, imagine the agony of living with acne well into your middle years. With the stress of modern day living and increased exposure to environmental pollutants, adult acne is becoming a fact of life for many adults. Although most people will only have to deal with transient acne, some will experience far worse. Here is a quick run-down of the most serious forms of acne.

Acne Conglobata (AC) This is a very uncommon form of acne that can produce significant disfiguration. Acne conglobata is characterized by the development of burrows in the skin, along with papules, abscesses, keloidal and atrophic facial scars. Individuals with AC often develop blemishes that appear in clusters of two or three. Cysts are often present that are filled with pus. Nodules may also be present, especially in the area of the back and chest.

Who is more susceptible to acne conglobata? In general, males are more likely to experience AC. Onset of AC usually occurs at a young age, between the ages of 18 and 30. Although no one knows the exact cause of AC, some believe it is caused by a mutation in the XXY karyotype chromosomes. A person with AC may experience extensive scarring and subsequent disfigurement. Because the effects of AC can often be dramatic, individuals afflicted with the skin disorder may be at greater risk of suffering from self-esteem issues, depression, anxiety, and they may feel stigmatized.

Acne Fulminans (AF): Acne fulminans, sometimes referred to as acne maligna, was originally thought to be acne conglobata (AC).

The major characteristics of acne fulminans include sudden onset of ulcerating acne, which may be accompanied by fever and symptoms of polyarthritis. Usually, AF does not respond well to conventional acne treatment, such as antibacterial therapy. The most successful treatments appear to be debridement used in conjunction with steroid therapy.

What causes AF? It appears that acne fulminans is caused by a weakened immune system and increased levels of testosterone and certain anabolic steroids. These high levels of hormones cause an increase in the production and excretion of sebum and the acne-inducing bacteria known as propionibacterium acnes (P acnes). Some skin professionals believe that isotretinoin may also precipitate an eruption of AF.

How can you tell the difference between acne conglobata and acne fulminans? Although the physical symptoms may at first appear identical, AF is usually characterized by the presence of more physical pain. Patients with AF may describe feelings of bone or facial pain, migraines, and fever. Acne conglobata and acne fulminans also differ in the way they are treated. While AC may be treated with conventional anti-acne oral and topical agents, AF typically does not respond well to such treatments. AF responds better to steroid treatments.

Gram-Negative Folliculitis: Gram-negative folliculitis refers to an infection of gram-negative rods that usually occurs after an extended period of antibiotic therapy. Scientists use the word “gram” to describe the blue stain that is used in laboratories. This is often used to locate microscopic organisms. The bacteria that cause gram-negative folliculitis does not stain blue, thus the term ‘gram-negative.’ The most common forms of bacteria that are believed to cause gram-negative folliculitis include E. coli, serratia marcesoens, pseudomonas aeruginosa, and bacteria’s from the proteus and klebsiella species.

How does gram-negative folliculitis differ from regular acne vulgaris? Most cases of gram-negative folliculitis produce less papules and comedones than acne vulgaris. Treatment of gram-negative folliculitis is fortunately much easier to treat than other severe types of acne. In most cases, conventional antibiotic therapy will help clear up gram-negative folliculitis. Isotretinoin may also help clear up this condition.

Acne is one of the major problems teenagers face, it is something that, in some conditions, may have a devastating effect on their social life, self esteem and mental health. The acne condition can range from mild to severe, and in some cases is very difficult to treat and decrease. In addition to acne being a skin condition that is, to say the least, unpleasant, it also have social and emotional effect. This effect carries with it a multitude of psychological issues that change teens lives in different ways.

When thinking back I remember my acne problem and very clearly remember that my friends and peers were not much of a help to me at those times. Society seems to react to this skin condition in the worst possible way, when the spirit of the teenager is at its most delicate phase. This is a prime reason to why many teens try and avoid social events, situation where they might be in danger of embracement over a skin condition on which they seemingly have no control.

One big problem is that some people do not understand the acne problem for the mere reason that they never suffered from it, obviously this creates a terrible situation where the teen is not only ridiculed for the acne he suffers from, he gets this from others that very clearly do not have the problem. In more recent years, however, the problems faced by those who suffer from acne are being more widely addressed, and the social and psychological effects being studied more closely.

Some will say that the problem is our society and the norms it sets, the definition of beauty or of health in certain ages and in certain cultures. In a society where so much importance is placed on appearance and complying to the “norm”, higher standards have been set concerning what people do and don’t accept. In the defining phase of his life, the teenager is extremely exposed to these social agreements and this creates problems with the understanding of the limits to improvement and the shame that follows lack of improvement. For teens this very important and sometimes even seem crucial. Many teenagers slowly get used to what other teenagers say about them and within a short period of time become very critical of their appearance and social possibilities, it is of course ridicules that a young man will judge himself for having a skin condition but this actually happens and even more, some teens begin to develop inner hate towards themselves – because of this social pressure.

The best solution for explaining and combating acne and its social implications, it is recommended that a parent or a guide of some sort will explain to the teen that acne is caused by many different things, many factors contribute to the development of acne. In teens it is believed that hormones are the primary reason, hormones cause the body to produce excess oil, which in turn clogs pores and causes pimples. This kind of situation can be solved by regular acne treatment. The parent should also explain that eating certain foods and the way you clean your face also has little to do with the development of acne, reassuring the teen at this point is very important as he is very likely to be bombarded with exaggerated acne urban tales that create a feeling like everything the teen is doing is the cause of the acne, as if it was a curse he couldn’t shake.

Since the majority of the worlds population suffer from acne at some point in their lives, there is no surprise that such efforts are invested in finding out how to it. While there have been some definitive answers on whether acne is hormonally induced (yes), and what can be done to prevent it (prescription drugs, certain herbal remedies, etc), there are still many unknown factors that cause acne.

However, of all the many acne questions that science is yet to find answers to, the most controversial is whether or not diet has an effect on acne.

Historically, diet was thought to be linked to acne. Doctors and housewives alike believed that a high fat content in ones diet would cause an oilier complexion, and this in turn would create acne breakouts.

However, as time went on, science found no directly link between a diet high in lipids (fat), and acne. Since acne is caused by a bacterial growth in sebum trapped in clogged pores, there is no such thing as “extra oil secretion”. So, for at least the last 15 years, western medicine has claimed there is no connection between diet and acne.

However, a study conducted in 1997 has rekindled the flame in the “diet causes acne” argument, and this time, with a bit more heat.

This study, conducted by Dr. Lit Hung Leung, states that Acne breakouts are because the body cannot create enough of Coenzyme A to break down the fatty acids that create sebum. The reason is, Coenzyme A is probably the single most needed enzyme in the body. This Coenzyme-A is what synthesizes sex hormones, and what breaks down fatty acids.

The only part of Coenzyme-A that the body does not produce itself is vitamin B5. So, if there is a shortage of B5, there is a shortage of Coenzyme-A. And if there is a shortage of Coenzyme-A, the body will use it to synthesize sex hormones, not break down fatty acids.

So, you can see where this is going…more fatty acids, more sebum production, more acne.

Now, the interesting thing is that Dr. Lit Hung Leung substantiated this claim by testing it on 100 people. The group took 10 grams or more per day of pantothenic acid ( B5 ), and used a B5 topical cream of 20% by weight. After 2-3, sebum production was reduced, and many people with acne noticed a reduction. For those with more extreme acne, a higher dosage of B5 was used (approx. 15-20 grams per day), and treatment was prolonged to see an effect, sometimes up to 6 months.

So, while one study does not definitively prove whether B5 can prevent or reduce acne, it may well be worth considering, particularly for those who want a natural or herbal cure for acne, and do not want to use chemicals such as benzoyl peroxide, or other prescription acne treatments.

As with any medical treatment, it is best to consult a doctor before trying a B5 regimine.