There are as many types of acne. Acne vulgaris is a common skin disease that affect at least 80% of people at some time in their life. It affects the areas of skin with the thickest number of sebaceous follicles, which is why acne is seen mostly on the face, neck, back, and parts of the chest. Acne problems can be easily cured with the right treatment.
Acne vulgaris occurs when the hair follicle becomes clogged with the oil produced by the oil gland. The result is a pimple. Three elements must be present for a pimple to develop: Follicular epidermal, excess selbum, and inflammation
Excess sebum is also an important factor in the development of acne. The amount of sebum the body produces directly relates to the severity of the acne. The initial infection is the formation of the clogged pore, what we call a pimple or a zit. Inflammation of that pimple occurs as a secondary infection.
Before determining an appropriate treatment for your acne vulgaris, your physician needs to collect your personal medication history. They are going to want to know things such as; is your acne season orientated, are under a high level of stress, where do you live, and if you are female if it flares up before your period.
Your physician is also going to want to find out what prescriptions you are currently taking, whether you are on oral contraception, what type of cosmetics you use, what treatments you are currently using on your acne, and whether there are underlying medical conditions that could cause your acne breakout.
Your doctor will then examine the area of the lesions looking for various types of inflammation, papules, pustules, cysts, and nodules, as well as their location on the body.
Next your doctor will probably want to run a test to fine out what type of bacteria is present in your acne. This test usually is a biopsy of the infected area which is tested for specific bacteria.
Once your doctor has collected all relevant information, he or she will make a decision on the best course of acne treatment. Treatment will be based on the severity of the acne, the amount of scarring, and how much body mass is covered with the acne. Treatments may include topical applications, antibiotics, or other oral prescription medications, laser or light treatment.
Most treatments do not entail surgery. In serious cases laser or light treatment may be the first treatment choice. Usually acne vulgaris can be treated with a non intrusive treatment such as prescription medicines, or over the couter creams and salves.
For mild to moderate acne the first line of defense usually included topical applications that have the active ingredient benzoyl peroxide. Many of these topical creams also have an antibiotic element such as erythromycin, tetracycline or clindamycin. An antibiotic will help clear up bacterial infection.
Oral antibiotics are also prescribed for moderate to severe cases of acne. Tetracycline, Erythromycin, Minocycline, and Trimethoprim-sulfamethoxazole are commonly prescribed. Oral treatments may also include hormonal treatments or anti-inflammatory.
Other choices include salicylic acid and a-Hydroxy acid based products, as well as various astringent soaps, creams, and lotions.