Acne (Pimples)

Overview of Acne:

• Acne or Pimples, a common skin condition affecting people of all ages, occurs when hair follicles become clogged with oil and dead skin cells.
• These Pimples typically appears on the face, forehead, chest, shoulders, and back, manifesting as various types of blemishes, including whiteheads, blackheads, papules, pustules, nodules, and cysts.
• While the exact cause of acne (Pimple) is unknown, several factors contribute to its development, such as hormonal changes, excess sebum production, bacterial overgrowth, and inflammation.

Epidemiology of Acne (Pimples):

• The prevalence of acne (Pimples) in India varies across different regions, age groups, and socioeconomic backgrounds. Several studies have explored the epidemiology of acne in India, highlighting its prevalence and associated factors.
• A study conducted in South India by Kumar et al. (2012) reported a prevalence of acne vulgaris among adolescents to be 83.7%. Similarly, a study by Ghodsi et al. (2009) in Isfahan, Iran, found a prevalence of acne vulgaris to be 83.5%. A study by Sharma et al. (2017) in Chandigarh, North India, reported a prevalence of 78.4% in adolescents. Another study by Kumar et al. (2016) in South India among college students revealed a prevalence of 89.4%.
• These studies indicate a high prevalence of acne vulgaris among adolescents and young adults in India, underscoring the need for effective prevention and treatment strategies. (8)(9)(10)(11)

Risk factors of Acne (Pimple):

• Age: People of all ages can get acne, but it’s most common in teenagers.
• Hormonal changes: Such changes are common in teenagers, women also girls, and people using certain medications, especially, including those containing corticosteroids, androgens or lithium.
• Family history: Genetics plays a role in acne. If both parents had acne, you’re likely to develop it, too.
• Greasy or oily substances: You may develop acne where your skin comes into contact with oily lotions and creams or with grease in a work area, such as a kitchen with fry vats.
• Friction or pressure on your skin: This can cause by items such as telephones, cellphones, helmets, tight collars and backpacks may also leads to acne or pimples.
• Stress: Stress doesn’t cause acne, but if you have already, it may make it worse. [2]

Pathogenesis of Acne (Pimples):

The pathogenesis of acne vulgaris (Pimples) is a multifactorial process involving four key elements:

1. Increased sebum production: Sebaceous glands, stimulated by androgens (male sex hormones), produce sebum, an oily substance that lubricates the skin and hair. Excessive sebum production can contribute to the development of acne.

2. Hyperkeratinization of the pilosebaceous follicle: This refers to the abnormal shedding of skin cells lining the hair follicle, leading to the formation of a plug (microcomedone) that can obstruct the follicle and contribute to the development of acne lesions.

3. Colonization of the follicle with Cutibacterium acnes (formerly Propionibacterium acnes): This bacterium, a normal inhabitant of the skin, can proliferate in the clogged follicle and trigger inflammation.

4. Inflammation: The presence of C. acnes and sebum within the follicle can activate the immune system, leading to inflammation and the formation of various acne lesions, such as papules, pustules, nodules, and cysts. [12]

Pathophysiology of Acne (Pimples):

Acne is a chronic inflammatory disease of the pilosebaceous unit. Its pathophysiology includes hyperseborrhoea, abnormal follicular keratinization and Propionibacterium acnes proliferation in the pilosebaceous unit.

Recent research has shed some new light on the involvement of the sebaceous gland in acne, as well as on the pro-inflammatory activity of the cutaneous microbiome. During puberty, alteration of the sebaceous lipid profile, called dysseborrhoea, stress, irritation, cosmetics and potential dietary factors lead to inflammation and formation of different types of acne lesions.

Dysbiosis, the process leading to a disturbed skin barrier and disequilibrium of the cutaneous microbiome, resulting in the proliferation of P. acnes strains, is another important process that triggers acne.

Activation of Receptors

P. acnes activates the innate immunity via the expression of protease activated receptors (PARs), tumour necrosis factor (TNF) α and toll-like receptors (TLRs), and the production of interferon (INF) γ, interleukins (IL-8, IL12, IL-1), TNF, and matrix metalloproteinases (MMPs) by keratinocytes, resulting in the hyperkeratinization of the pilosebaceous unit.

Clinical Features of Acne (Pimples):

The clinical features of acne vulgaris are diverse and can vary depending on the severity of the condition. The most common lesions include:

1. Noninflammatory lesions:

   • Comedones (open and closed):
   • Open comedones (blackheads): Dilated follicular openings filled with compacted keratin and lipid debris that appears dark due to oxidation.
   • Closed comedones (whiteheads): Small, whitish papules caused by blockage of the follicular opening with keratin and sebum.

2. Inflammatory lesions:

   • Papules: Small, erythematous, raised lesions.
   • Pustules: Papules containing purulent material (pus).
   • Nodules: Deeper, larger inflammatory lesions that extend into the dermis.
   • Cysts: Fluctuant nodules filled with purulent material.

Distribution:

• Acne lesions typically occur on areas of the body with a high density of sebaceous glands, such as the face, chest, back, and shoulders.

Severity:

• Acne vulgaris can range in severity from mild to severe.
• Mild acne: Characterized by comedones and a few inflammatory papules and pustules.
• Moderate acne: Presents with more numerous inflammatory lesions, including papules, pustules, and occasional nodules.
• Severe acne: Characterized by numerous inflammatory lesions, including nodules and cysts, which can be painful and leave scars. [12]

Signs and symptoms of Acne (Pimples):

vary depending on the severity of your condition:

• Whiteheads (closed plugged pores)
• Blackheads (open plugged pores)
• Small red, tender bumps 
• Pimples , which are papules with pus at their tips
• Large, solid, also painful lumps beneath the surface of the skin
• Painful, pus-filled lumps beneath the surface of the skin (cystic lesions) [2]

Clinical Examination of  Acne (Pimples):

Visually check for lesions, type, distribution, stages of development, etc.

• Type i.e.: Close comedones, open comedones, inflammatory papules, inflammatory pustules, inflamed nodules.
• Distribution i.e.: Face, chest, shoulders, back or arms.
• Stages of the Lesion i.e.: Check if the lesions in an area are found in the same or different stages of development (typical of acne).
• Signs of Hyperandrogenism i.e.: Suspicion of abnormal increase in androgens, as it may happen with polycystic ovarian syndrome, congenital adrenal hyperplasia, and adrenal or ovarian tumors, signs of virilization in prepuberal people of all genders.
• Presence of Sequelae i.e.: Such as post-inflammatory hyperpigmentation and scarring, typical of acne vulgaris

Diagnosis of Acne (Pimples):

Acne / Pimples is usually diagnosed through a physical examination.

Routine microbiologic testing is not recommended in the evaluation and management of patients with this condition. However, those who exhibit acne-like lesions suggestive of Gramnegative folliculitis may benefit from microbiologic testing.

Routine endocrinologic evaluation (eg, for androgen excess) is not recommended for the majority of patients with acne. However, laboratory evaluation is recommended for patients who have acne and additional signs of androgen excess.

Differential Diagnosis of Acne (Pimples):

Inflammatory Facial Lesions i.e.:

• Rosacea
• Periorificial Dermatitis
• Pseudofolliculitis of the Beard
• Facial Angiofibromas in Tuberous Sclerosis

Non-Inflammatory Facial Lesions i.e.:

• Sebaceous Hyperplasia
• Nevus Comedonicus
• Adnexal Tumors
• Favre-Racouchot Syndrome

Trunk and Extremities i.e.

• Folliculitis
• Keratosis Pilaris
• Suppurative Hidradenitis
• Steatocystoma Multiplex

Acneiform Rash i.e.

• Drug-Induced acne
• Neonatal Cephalic Pustulosis
• Cosmetic acne
• Mechanical acne
• Occupational acne

Complications of Acne:

Acne vulgaris, if not treated properly, can lead to various complications, including:

1. Scarring:

   • Atrophic scars: Depressed scars that can be ice pick, boxcar, or rolling in shape.
   • Hypertrophic scars: Raised scars that are confined to the original wound margins.
   • Keloid scars: Raised scars that extend beyond the original wound margins.

2. Hyperpigmentation:

   • Darkening of the skin after the acne lesion resolves.

3. Psychological distress:

   • Acne can negatively impact self-esteem, social interactions, and overall quality of life.

4. Acne fulminans:

   • A rare, severe form of acne characterized by the sudden onset of painful nodules, pustules, and ulcers, often accompanied by systemic symptoms such as fever, joint pain, and malaise.

5. Secondary infection:

   • Bacterial or fungal infections can occur in acne lesions. [12]

Investigations of Acne (Pimples):

These investigations may include for pimples:

1. Microscopic examination of skin scrapings or pus:

   • To identify the presence of Demodex mites (Demodex folliculorum), which can exacerbate acne.
   • To rule out other skin conditions, such as fungal or bacterial infections.

2. Hormonal evaluation:

   • In women with signs of hyperandrogenism (excess male hormones), such as hirsutism (excess hair growth), irregular menstrual cycles, or obesity, hormonal tests like serum testosterone, dehydroepiandrosterone sulfate (DHEAS), and luteinizing hormone (LH)/follicle-stimulating hormone (FSH) ratio may be performed.

3. Culture and sensitivity testing:

   • To identify the causative organism in cases of secondary infection of acne lesions and guide antibiotic treatment.

4. Skin biopsy:

   • Rarely performed, but may be helpful in diagnosing unusual variants of acne or ruling out other skin conditions. [12]

Treatment of Acne (Pimples):

Acne medications work by reducing oil production, speeding up skin cell turnover, fighting bacterial infection or reducing inflammation which helps prevent scarring.

With most prescription acne drugs, you may not see results for four to eight weeks, and your skin may get worse before it gets better.

It can take many months or years for your acne to clear up completely.

The treatment regimen your doctor recommends depends on your age, type and severity of your acne, also what you are willing to commit to.

For example, you may need to wash and apply medications to the affected skin twice a day for several weeks.

Therefore, Pregnant women will not able to use oral prescription medications for acne.

Topical medications:

The most common topical prescription medications for acne are as follows:

Retinoids and retinoid-like drugs:

• These come as creams, gels also lotions.
• Additionally, Retinoid drugs are derive from vitamin A and include tretinoin (Avita, Retin-A, others), adapalene (Differin) and tazarotene (Tazorac, Avage).
• You apply this medication in the evening, beginning with three times a week, then daily as your skin becomes used to it.
• It works by preventing plugging of the hair follicles.

Antibiotics:

• These work by killing excess skin bacteria and reducing redness.
• For the first few months of treatment, you may use both a retinoid and an antibiotic, with the antibiotic applied in the morning and the retinoid in the evening.
• The antibiotic often combine with benzoyl peroxide to reduce the likelihood of developing antibiotic resistance.
• For instance, include clindamycin with benzoyl peroxide (Benzaclin, Duac, Acanya) and erythromycin with benzoyl peroxide (Benzamycin).
• Topical antibiotics alone aren’t recommended.

Salicylic acid and azelaic acid:

• Azelaic acid is a naturally occurring acid found in whole-grain cereals and animal products.
• Additionally, It has antibacterial properties.
• A 20 percent azelaic acid cream seems to be as effective as many conventional acne treatments when used twice a day for at least four weeks.
• It’s even more effective when used in combination with erythromycin.
• Prescription azelaic acid (Azelex, Finacea) is an option during pregnancy and while breast feeding.
• Side effects include skin discoloration and minor skin irritation.
• Salicylic acid may help prevent plugged hair follicles and is available as both wash-off and leave-on products.

Dapsone:

• Dapsone (Aczone) 5 percent gel twice daily is recommended for inflammatory acne, especially in adult females with acne.
• Side effects include redness also dryness.

Oral medications:

Antibiotics:

• For moderate to severe acne, you may need oral antibiotics to reduce bacteria and fight inflammation.
• Usually the first choice for treating acne is tetracycline such as minocycline or doxycycline or a macrolide.
• Oral antibiotics should use for the shortest time possible to prevent antibiotic resistance.
• Oral antibiotics best use with topical retinoids and benzoyl peroxide.
• Antibiotics may cause side effects, such as an upset stomach and dizziness.
• These drugs also increase your skin’s sun sensitivity.

Combined oral contraceptives:

• Four combined oral contraceptives are approved by the FDA for acne therapy in women who also wish to use them for contraception.
• Additionally, They are products that combine estrogen and progestin (Ortho Tri-Cyclen, Yaz, others).
• The most common side effects of these drugs such as weight gain, breast tenderness and nausea.
• A serious potential complication is a slightly increased risk of blood clots.

Anti-androgen agents:

• The drug spironolactone (Aldactone) may particularly, for women and adolescent girls if oral antibiotics aren’t helping.
• It works by blocking the effect of androgen hormones specifically, on the sebaceous glands.
• Possible side effects for instance, breast tenderness also painful periods.

Isotretinoin:

• Isotretinoin (Amnesteem, Claravis, Sotret) is a powerful drug for people whose severe acne doesn’t respond to other treatments.
• Furthermore, Oral isotretinoin is very effective.
• Potential side effects include ulcerative colitis, an increased risk of depression and suicide, also severe birth defects.

Therapies:

These therapies may suggest in select cases, either alone or in combination with medications.

Lasers and photodynamic therapy:

• A variety of light-based therapies have tried with some success.
• But further study need to determine the ideal method, light source and dose.

Chemical peel:

• This procedure uses repeated applications of a chemical solution, such as salicylic acid, glycolic acid or retinoic acid.
• Any improvement in acne is not long lasting, so repeat treatments are usually needed.

Extraction of whiteheads and blackheads:

• Your doctor may use special tools to gently remove whiteheads also blackheads that haven’t cleared up with topical medications.
• Hence, This technique may cause scarring.

Steroid injection:

• Nodular and cystic lesions can treat by injecting a steroid drug directly into them.
• This therapy has resulted in rapid improvement also decreased pain.
• Furthermore, Side effects may include thinning in the treated area. [2]

Prevention of Acne (Pimples):

• Wash twice a day also after sweating is good to prevent acne.
• Use your fingertips to apply a gentle, non-abrasive cleanser
• Be gentle with your skin to avoid acne
• Scrubbing your skin can make acne worse
• Rinse with lukewarm water
• Shampoo regularly
• Let your skin heal naturally
• Keep your hands off your face
• Stay out of the sun also tanning beds
• Consult a dermatologist if need

Homeopathic Treatment Acne (Pimples):

Find a Homeopathic Doctor or Clinic for Personalized Care

Looking for a natural approach to treating acne? Homeopathy may be the answer! Unlike conventional medicine that focuses solely on symptoms, homeopathy treats the whole person, aiming to address the root cause of your acne.

Here’s what sets homeopathy apart:

• Individualized Treatment: Homeopathic doctors (homeopathic doctor) at a qualified homeopathic clinic don’t prescribe a one-size-fits-all solution. They consider your entire health picture, including:
  
  • Medical history
  • Physical and mental makeup
  • Family background
  • Specific symptoms
  • Underlying conditions
  • Emotional and lifestyle factors
• Addressing the Cause: Homeopathy goes beyond treating just the pimples. It seeks to understand why you developed acne in the first place. This could be due to stress, hormonal imbalances, or other underlying issues.
• Holistic Approach: The goal of homeopathic treatment is to restore your overall health and well-being, not just eliminate the outward signs of acne. This can lead to lasting improvements in your skin health.

Homeopathic Treatment for Acne: Not Self-Prescribed

While this article provides a brief overview of homeopathic medicines for acne, it’s important to remember that self-treatment is not recommended. A qualified homeopathic doctor will select the most appropriate remedy, potency, and dosage based on your unique needs.

Find a Homeopathic Doctor or Clinic Near You

Ready to explore homeopathy for your acne? Search online for "homeopathic doctor near me" or "homeopathic clinic" to find a licensed practitioner either BHMS or MD Homeopath in your area. During your consultation, discuss your acne concerns and overall health to see if homeopathy is right for you.

Struggling with Acne? Find Lasting Relief with Homeopathic Treatment at Mann Homeopathic Clinic

Acne can be frustrating and embarrassing, but there’s a natural approach to managing it and achieving clear, healthy skin: homeopathic treatment. At Mann Homeopathic Clinic, our experienced homeopathic doctors use a holistic approach to address the root cause of your acne, not just the symptoms.

Here’s Why Mann Homeopathic Clinic is the Perfect Choice for Your Acne Treatment:

• Personalized Care: Unlike conventional medicine, homeopathy focuses on treating the whole person. Our doctors take the time to understand your unique health picture, including your medical history, physical and mental makeup, and lifestyle factors. This personalized approach allows us to select the most effective homeopathic medicine for your specific needs.
• Treating the Root Cause: Many factors can contribute to acne, including stress, hormonal imbalances, and even diet. Our homeopathic treatment goes beyond just treating breakouts – it aims to identify and address the underlying cause of your acne for long-term results.
• Safe and Gentle: Homeopathic medicines are safe and gentle, making them a great option for people of all ages, even those with sensitive skin. They work by stimulating your body’s natural healing abilities, promoting overall well-being.

Ready to Experience the Benefits of Homeopathy?

At Mann Homeopathic Clinic, we’re passionate about helping you achieve clear, healthy skin naturally. Book an appointment today and take the first step towards a brighter future! During your consultation, our homeopathic doctor will discuss your acne concerns, review your health history, and recommend a personalized treatment plan.

Don’t wait any longer! Call Mann Homeopathic Clinic today at [Phone Number] or visit our website at [Website Address] to schedule your appointment. We look forward to helping you achieve lasting relief from acne!

Disclaimer: This information provided below is for educational purposes only and should not be construed as medical advice. Always consult with a qualified healthcare professional before starting any new treatment, including homeopathy.

Psorinum – for all types of acne:

• Psorinum is indicated for Acne (Pimples) of all types – acne simplex, acne pustular and acne indurata.
• It is equally effective for acne in oily skin where the overactive sebaceous glands secrete excess sebum leaving the skin constantly greasy.
• Here, psorinum helps decrease oil secretion and treat acne.
• It is used in cases of conditions that worsen from eating sweets, chocolates, meat, and fatty food.
• It also treats intolerably itchy acne and that which worsens during the winter.

Hepar Sulph & Calcarea Sulphurica – for acne that is pustular:

• Pustular acne refers to acne that contains pus.
• The pus may sometimes be stained with blood.
• Where either pus or blood stained pus oozes out of pimples, Hepar Sulph will be effective.
• The pimples may be extremely painful here.
• Acne (Pimples) in youth is also best treated with Hepar Sulph.
• Calcarea Sulphurica is most helpful where pustular acne oozes yellow colored pus.

Kali Bromatum – for face, chest & shoulders:

• Kali Bromatum works wonders in treating acne located on the face, chest, and shoulders.
• Marked itching may attend the acne.
• The Acne (Pimples) may simplex, pustular or indurated.
• This medicine is also prescribed where acne leaves ugly scars.
• Bluish-red pimples are a sure shot sign that kali bromatum will work.

Antimonium Crudum & Natrum Muriaticum – for acne on cheeks:

• In case of heat in the cheeks along with acne, antimonium crudum aids fast recovery.
• The Acne (Pimples) may papular or pustular.
• Yellow scabs may cover the acne.
• A burning sensation is another complaint.
• Natrum Mur will show best results in itchy acne on oily cheeks.
• Prickling pain in the Acne (Pimples) is also cure by this remedy.
• Natrum Mur is also prescribe for Acne (Pimples) in girls who are anemic.

Sulphur – for itchy acne:

• Sulphur is advised for people with dirty, unhealthy looking skin covered in acne that itch a lot.
• Scratching worsens the itching.
• The itching gets aggravated during the night.
• Warmth, too, worsens the itching.
• Burning sensation may also be observed.
• Sulphur is also a good choice for acne that has been treated with external applications or ointments in the past.

Silicea – for acne on forehead:

• For Acne (Pimples) on forehead, silicea brings about quick recovery.
• It works even better for pustular acne.
• Itching may attend the acne.
• Excessive sweat may be noticed along with acne on the face, especially the forehead.
• It is also a wonderful medicine for cystic acne.

Berberis Aquifolium – to erase acne scars:

• Berberis Aquifolium is one of the majorly indicated medicines for acne that result in the formation of scars.
• Moving further, This medicine helps clear off acne scars wonderfully well.

Bovista Lycoperdon – for acne made worse with makeup:

• Bovista Lycoperdon is the most significant remedy that offers help in treating acne that arise or worsen with the use of cosmetic products.
• This acne is mainly papular.
• Particularly, Swelling of cheeks may be noted along with the acne.
• Pain and itching may attend.

Nux Vomica – for acne attended with gastric complaints:

• Nux Vomica works well for acne when it is attended with gastric complaints.
• The gastric complaint is mainly due to chronic constipation or indigestion.
• Moving AheadThe acne may itchy and accompany by a burning sensation.

Pulsatilla Nigricans – for acne in women:

• Pulsatilla Nigricans is a very well indicated remedy for acne in women, especially when attended with menstrual irregularities of any kind.
• Acne (Pimples)occurring in young girls at puberty is another characteristic indication.
• Acne worsened with consumption of fatty foods will also heal effectively with pulsatilla nigricans. [5]

Case Taking :

Homeopathic case taking isn’t just about symptoms. It explores a patient’s whole health picture: mental, emotional, past experiences, lifestyle, and personality. This in-depth approach aims to find the remedy that best fits the individual for natural healing.

The Homeopathy uses case taking to individualize treatment for acne sufferers. Here’s how a homeopath might approach your case:

General details:

• Medical history: Past illnesses, allergies, medications (including over-the-counter acne treatments).
• Family history: Any history of acne or related conditions in your family.

Acne specifics:

• Location and type of acne: Whiteheads, blackheads, pustules, nodules, cystic acne, etc.
• Severity: How widespread are the breakouts?
• Onset and duration: When did the acne first appear? Has it been constant or come and go?
• Modalities: What makes your acne better or worse? (e.g., stress, diet, menstrual cycle, weather)
• Sensitivity: Are you sensitive to touch, certain products, or sunlight?

Digging deeper:

• Mental and emotional state: Do you feel self-conscious or anxious about your acne? Are you easily stressed or prone to mood swings?
• Diet and lifestyle: What kind of diet do you have? Do you have regular sleep patterns? Do you smoke or drink alcohol?

Additional questions might be based on General Acne Characteristics:

• When did your acne first appear?
• Has your acne changed in severity or location over time? (e.g., worse on forehead now, started on cheeks)
• Do you experience any particular triggers for breakouts? (e.g., stress, certain foods, menstrual cycle)
• What kind of breakouts do you typically get? (e.g., whiteheads, blackheads, papules, pustules)
• Do you have any scarring from previous breakouts?
• Do you use any topical medications or skincare products for your acne? If so, what are they and how effective have they been?

By understanding these details, the homeopath aims to find the remedy that most closely matches your unique presentation of acne.

For moderate to severe acne homoeopathic treatments from a Homoeopathic dermatologist might be a more suitable option for you.

If you’re interested in exploring homeopathy, consult our qualified homeopath who can take a full case history and discuss if it’s right for you.

Struggling with Acne? Find Lasting Relief with Homeopathy at Mann Homeopathic Clinic

Are you tired of harsh acne treatments with frustrating side effects? Mann Homeopathic Clinic offers a natural, individualized approach to address the root cause of your acne and achieve clearer, healthier skin.

Harness the Power of Homeopathy

Unlike conventional treatments that focus on suppressing symptoms, homeopathy stimulates your body’s natural healing response. Through a comprehensive consultation with our experienced homeopathic doctor, we’ll create a personalized treatment plan using safe and effective homeopathic medicines.

Our Case Taking Process:

At Mann Homeopathic Clinic, we go beyond the surface. Our in-depth case taking process for acne considers:

• Your unique acne: Location, type, severity, and what makes it better or worse.
• Underlying imbalances: We explore past illnesses, allergies, and family history to identify potential triggers.
• Lifestyle factors: Diet, sleep, stress levels – all play a role in your overall health and can contribute to acne.
• Emotional wellbeing: We understand the emotional impact of acne. We’ll discuss any self-consciousness or anxiety you may be experiencing.

Benefits of Homeopathic Treatment for Acne:

• Gentler approach: No harsh chemicals or side effects.
• Addresses the root cause: Promotes long-term healing.
• Customized treatment: Tailored to your individual needs.
• Improved overall health: Supports your body’s natural defenses.

Ready for Clearer Skin?

Book your appointment with Mann Homeopathic Clinic today and experience the transformative power of homeopathy. Call us at [Phone Number] or visit our website at [Website Address] to schedule your consultation.

Limited Time Offer: Mention this ad and receive a complimentary skin analysis with your initial appointment. (Optional: Add any other introductory offers)

Why Choose Mann Homeopathic Clinic?

• Experienced Homeopathic Doctor: Our highly qualified doctor will guide you through every step of your journey to clearer skin.
• Compassionate Care: We understand the struggles associated with acne. We offer a supportive and caring environment.
• Proven Results: We have a track record of success in helping patients achieve clear, healthy skin naturally.

Don’t wait any longer. Take control of your acne and reclaim your confidence. Schedule your appointment at Mann Homeopathic Clinic today!

Some skin-friendly food choices include:

Acne Management: Do’s and Don’ts

Do’s:

1. Gently cleanse your face twice a day: Use a mild, non-comedogenic cleanser to remove excess oil, dirt, and makeup. Avoid harsh scrubbing, which can irritate the skin and worsen acne. it works wonderfully for acne. 
2. Use over-the-counter acne treatments: Products containing benzoyl peroxide, salicylic acid, or sulfur can be helpful in treating mild to moderate acne.
3. Apply oil-free, non-comedogenic moisturizers: Moisturizers help keep the skin hydrated and prevent dryness, which can exacerbate acne.
4. Protect your skin from the sun: Use a broad-spectrum sunscreen with SPF 30 or higher daily, as sun exposure can worsen acne and lead to post-inflammatory hyperpigmentation.
5. Eat a healthy diet: A diet rich in fruits, vegetables, and whole grains may help improve acne. 
6. Manage stress: Stress can trigger acne breakouts, so finding healthy ways to manage stress, such as exercise, meditation, or yoga, can be beneficial.
7. See a dermatologist: If over-the-counter treatments are not effective or if your acne is severe, consult a dermatologist for personalized treatment recommendations.

Don’ts:

1. Pick or squeeze pimples: This can lead to scarring, infection, and further inflammation.
2. Use harsh scrubs or astringents: These can irritate the skin and worsen acne.
3. Overwash your face: Cleansing more than twice a day can strip the skin of its natural oils and trigger excess sebum production.
4. Use oily or greasy hair products: These can clog pores and contribute to acne breakouts.
5. Sleep with makeup on: Makeup can clog pores and irritate the skin, so always remove it before bed.
6. Expect overnight results: Acne treatments take time to work, so be patient and consistent with your skincare routine. [12]

Terminology:

• Acne Vulgaris: The most common type of acne, characterized by blackheads, whiteheads, and pimples.
• Acne Rosacea: A chronic skin condition that causes redness, bumps, and pimples, often on the face.
• Androgens: Male sex hormones that can contribute to acne development by increasing sebum production.
• Atrophic Scars: Depressed acne scars that can be ice pick, boxcar, or rolling in shape.
• Blackheads (Open Comedones): Clogged pores that appear black due to the oxidation of oil.
• Cystic Acne: A severe form of acne with deep, painful, pus-filled lesions.

• Dermis:

  The deeper layer of skin beneath the epidermis.

• DHEAS (Dehydroepiandrosterone Sulfate): A hormone that can be measured to assess androgen levels.
• Dysbiosis: An imbalance in the skin’s microbiome, the community of bacteria and other microorganisms that live on the skin.
• Epidermis: The outermost layer of skin.
• Erythematous: Redness of the skin.

• FSH (Follicle-Stimulating Hormone): A hormone involved in the menstrual cycle and egg production in women.

• Hair Follicle: A small sac in the skin from which a hair grows.

• Hirsutism: Excessive hair growth in women, often caused by high androgen levels.
• Hyperandrogenism: An excess of male sex hormones (androgens) in women.
• Hyperkeratinization: A thickening of the outer layer of skin.
• Hyperpigmentation: Darkening of the skin.
• Hypertrophic Scars: Raised acne scars that are confined to the original wound margins.
• Keloid Scars: Raised acne scars that extend beyond the original wound margins.
• Keratin: A protein that forms the main structural component of skin, hair, and nails.

• LH (Luteinizing Hormone):

  A hormone involved in the menstrual cycle and ovulation in women.

• Macrolide: A type of antibiotic.
• Microcomedone: The earliest stage of acne lesion formation, a tiny plug within a hair follicle.
• Non-comedogenic: Refers to products that do not clog pores.
• Nodules: Large, solid, painful bumps beneath the skin’s surface.
• Papules: Small, red, tender bumps.
• Pathogenesis: The origin and development of a disease.
• Pathophysiology: The functional changes associated with a disease.
• Pilosebaceous Unit: The hair follicle and its associated sebaceous gland.

• Post-inflammatory Hyperpigmentation (PIH):

  Darkening of the skin after inflammation subsides.

• Progestin: A synthetic form of progesterone, a female sex hormone.
• Propionibacterium Acnes (P. acnes): A bacterium that lives on the skin and can contribute to acne. (Now known as Cutibacterium acnes)
• Pustules: Pimples with pus at their tips.
• Retinoid: A derivative of vitamin A used to treat acne.
• Sebaceous Glands: Glands in the skin that produce sebum (oil).
• Sebum: An oily substance produced by the sebaceous glands that helps lubricate and protect the skin.
• Serum Testosterone: A blood test that measures the level of testosterone.
• Whiteheads (Closed Comedones): Clogged pores that appear as small, white bumps.

References:

1. Davidson’s Principles and Practice of Medicine (22nd edition) Ch. 28
2. https://www.mayoclinic.org/diseases-conditions/acne/symptoms-causes/syc-20368047
3. https://www.healthline.com/health/skin/acne#causes
4. https://www.healthline.com/health/beauty-skin-care/types-of-acne
5. https://www.drhomeo.com/acne/homeopathic-medicine-for-acne/
6. https://www.healthline.com/health/anti-acne-diet#studies
7. https://www.aad.org/public/diseases/acne/skin-care/tips
8. Kumar, B. V., Narasimhamurthy, S., & Ashwini, K. (2012). Prevalence of acne vulgaris among adolescent school children in rural South India. Indian journal of dermatology, 57(4), 316.
9. Ghodsi SZ, Orawa H, Zarei MR. Prevalence, severity, and morbidity of acne vulgaris in high school students: Isfahan Healthy Heart Program. J Am Acad Dermatol. 2009;61:610–614.
10. Sharma, L., & Kaur, I. (2017). An epidemiological study of acne vulgaris in adolescent age group in a tertiary care teaching hospital of North India. Journal of clinical and diagnostic research: JCDR, 11(1), WC01.
11. Kumar, B. V., & Narasimhamurthy, S. (2016). A study on prevalence of acne vulgaris among college students in rural South India. International journal of medical and health research, 2(7), 867-871.
12. Fitzpatrick’s Dermatology in General Medicine, Ninth Edition by  Klaus Wolff, Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest, Amy S. Paller, David J. Leffell,2019

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