About Acne
Acne is
a disease that affects the
skin's oil glands. The small holes in your skin (pores) connect
to oil glands under the skin. These glands make an oily
substance called sebum. The pores connect to the glands by a
canal called a follicle.
Inside the
follicles, oil carries dead skin cells to the surface of the
skin. A thin hair also grows through the follicle and out to
the skin. When the follicle of a skin gland clogs up, a pimple
grows.
Most
pimples are found on the face, neck, back, chest, and
shoulders. Acne is not a serious health threat but, it can
cause scars.
Causes
The cause
of acne is unknown. Doctors think certain factors might cause
it:
- The
hormone increase in teenage years (this can cause the oil
glands to plug up more often)
- Hormone changes during pregnancy
- Starting or stopping birth control
pills
- Heredity (if your parents had acne, you might get
it, too)
- Some
types of medicine
- Greasy makeup.
Treatment
Acne is
treated by doctors who work with skin problems
(dermatologists). Treatment tries to:
- Heal
pimples
- Stop
new pimples from forming
- Prevent scarring
- Help
reduce the embarrassment of having acne.
Early
treatment is the best way to prevent scars. Your doctor may
suggest over-the-counter (OTC) or prescription drugs. Some acne
medicines are put right on the skin. Other
medicines
are pills that you swallow. The doctor may
tell you to use more than one medicine .
Skin Care
Tips for Acne
Here are
some ways to care for skin if you have acne:
- Clean
skin gently. Use a mild cleanser in the morning, evening,
and after heavy workouts. Scrubbing the skin does not stop
acne. It can even make the problem
worse.
- Try
not to touch your skin. People who squeeze, pinch, or pick
their pimples can get scars or dark spots on their
skin.
- Shave
carefully. If you shave, you can try both electric and
safety razors. With safety razors, use a sharp blade. Also,
it helps to soften your beard with soap and water before
putting on shaving cream. Shave lightly and only when you
have to.
- Stay
out of the sun. Many acne drugs can make people more likely
to sunburn. Being in the sun a lot can also make skin
wrinkle and raise the risk of skin
cancer.
- Choose makeup carefully. All makeup should be oil
free. Look for the word "noncomedogenic" on the label. This
means that the makeup will not clog up your pores. But some
people still get acne even if they use these
products.
Natural
Remedies
In a
double-blind trial, topical application of a 4% niacinamide gel
twice daily for two months resulted in significant in
improvement in people with acne. However, there is little
reason to believe this vitamin would have similar actions if
taken orally.
Several
double-blind trials indicate that zinc supplements reduce the
severity of acne. In one double-blind trial, though not in
another, zinc was found to be as effective as oral antibiotic
therapy. Doctors sometimes suggest that people with acne take
30 mg of zinc two or three times per day for a few months, then
30 mg per day thereafter.
It often
takes 12 weeks before any improvement is seen. Long-term zinc
supplementation requires 1–2 mg of copper per day to prevent
copper deficiency.
References for Acne
Article
- Shality AR, Smith JR, Parish LC, et al.
Topical nicotinamide compared with clindamycin gel in the
treatment of inflammatory acne vulgaris.
Internat J
Dermatol 1995;34:434–7.
- Hillström, L Pettersson L, Hellbe L, et
al. Comparison of oral treatment with zinc sulfate and
placebo in acne vulgaris. Br J Dermatol 1977;97:681–4.
- Verma KC, Saini AS, Dhamija SK. Oral zinc
sulphate therapy in acne vulgaris: a double-blind
trial. Acta
Dermatovener (Stockholm) 1980;60:337–40.
- Dreno B, Amblard P, Agache P, et al. Low
doses of zinc gluconate for inflammatory acne.
Acta Dermatovener
(Stockholm) 1989;69:541–3.
- Michaelsson G. Oral zinc in acne.
Acta Dermatovener
(Stockholm) 1980;Suppl 89:87–93
[review].
- Michaelsson G, Juhlin L, Ljunghall K. A
double blind study of the effect of zinc and
oxytetracycline in acne vulgaris.
Br J
Dermatol 1977;97:561–6.
- Cunliffe WJ, Burke B, Dodman B, Gould DJ.
A double-blind trial of a zinc sulphate/citrate complex and
tetracycline in the treatment of acne vulgaris.
Br J
Dermatol 1979;101:321–5.
- National Institutes of
Health
Health
Related Websites
The National Cancer
Institute
The National Eye
Institute
The National Heart, Lung,
and Blood Institute
National Institute on
Aging
National Institute of
Allergy and Infectious Diseases
National Institute of
Arthritis and Musculoskeletal and Skin Diseases
National Institute of
Diabetes and Digestive and Kidney Diseases
National Institute on Drug
Abuse
National Institute of Mental
Health
National Institute of
Neurological Disorders and Stroke
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