Before you can treat your acne it is vital to know just what sort of
acne you have because, despite what many of us think, acne can be more
than a simple case of spots caused by trapped skin oil (sebum), dead
skin cells, white blood cells and bacteria. Acne is often classified by grade starting with grade I which
includes mild, non-inflamed forms of acne such as blackheads and
whiteheads. From here we move to grade II acne which involves cases of
acne with a large number of blackheads and whiteheads and generally also
includes papules or pustules which are mildly inflamed.
A papule is a small lesions, or break in the skin, which appears as a
bump that rises above the surface of the skin and is normally smaller
than about 5 mm across. A pustule is very similar to a papule but is
pus-filled and contains a mixture of dead skin cells, white blood cells
and bacteria. Next on the scale come grade III acne which is simply a more severe
case of grade II acne in which the papules or pustules are red, larger
and more numerous. Finally, we come to grade IV acne which is the most severe case of
acne and includes nodules and cysts. Inflammation in the case of grade
IV acne is normally wide spread and grade IV acne generally encompasses
more than simply the face.
Grade I acne, which includes the common form of mild acne known as
acne vulgaris, is not normally difficult to treat and can generally be
cleared up with over-the-counter medications. A more severe form of acne is acne congoblata which is characterized
by heavy inflammation and deep abscesses which can frequently result in
scarring and other forms of skin damage. Inflamed and often painful
nodules form around comedones (a medical term for mild acne spots) and
will often grow until they spontaneously discharge pus. This type of
acne can often result in keloid-type scarring. Acne fulminans is another form of acne in which nodules will often
ulcerate, resulting in a painful and recurrent form of acne. Sufferers
can also sometimes run a fever and experience aching joints and
treatment with corticosteroids or non-steroidal anti-inflammatory drugs
is normally required. Such drug treatments are however designed to treat
the symptoms of this form of acne and not its underlying cause.
Continuing on up the scale some people will develop nodulocystic
acne. Unusual cysts (red bumps caused by severe inflammation) form and
occasionally they become so numerous and appear close enough together to
create a fairly large area of inflammation. Nodulocystic acne can form
small tunnels below the surface of the skin allowing infection to spread
easily and quickly. This form of acne is generally treated using
antibiotics and a commonly used drug treatment is isotretinoin, which
many people will know by the name of Accutane.
Finally, we come to gram-negative folliculitis which occurs when hair
follicles become infected. Bacteria growing at the base of a hair
follicle cause the body to respond by sending white blood cells to fight
the infection and this can occasionally result in a deep eruption which
requires special treatment. This particular form of acne is often
resistant to treatment with antibiotics and indeed the condition can
sometimes by causes by using antibiotics to treat other forms of acne.
Although extremely common, acne is not the simple condition which
many of us have always thought it to be and it is not always a simple
case of buying a cream from the corner drugstore to treat it. So, as
soon as acne appears pop along to your doctor, or better still a
professional dermatologist, and get a diagnosis so that you can knock it
on the head with the correct treatment right from the outset.
Source: http://goarticles.com/article/Acne-Treatment-Depends-Upon-The-Type-Of-Acne-You-Have/943449/
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