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Acne Vulgaris Dermatology Medicine Physiotherapy

Brief Note on Acne Vulgaris

In this article we will discuss Brief Note on Acne Vulgaris

In this article, we will discuss Brief Note on Acne Vulgaris. So, let’s get started.

Acne Vulgaris

Acne vulgaris is a common chronic skin disease involving blockage and/or inflammation of hair follicles and their accompanying sebaceous gland. Acne can be present as non-inflammatory lesions,
inflammatory lesions, or a mixture of both, and it is characterized by:

• Open comedones (black heads)
• Closed comedones (white heads)
• Papules
• Enlarged pores of hair follicles
• Pustules
• Scars (occassionally)

Distribution

• Face
• Upper back
• Chest and arms
• Medial sides of thighs
• Buttocks (rarely)
(The condition is commonly seen in adolescents)

Pathophysiology

• Disease of genetic and hormonal factors
• Increased androgens
• Increased sebaceous gland activity
• Propioni bacterium acne organisms

Treatment

a) Comedolytics
• Tretinoin (trans-retinoic acid)
• Benzoyl peroxide (Benoxyl, Persoleforter)
provides bacterio-static action
• Combination of Tretinoinand Benzoyl peroxide
b) Chemotherapy
• Topical agents like Clindamycin, Tetracyclin
• Erythromycin and Aluminium chloride hexahydrate
• Systemic agents like Tetracycline, Erythromycin, Doxycycline, Minocycline
• Clindamycin, Co-trimoxazole, Papsone,
Cimetidine
c) Exfoliants like elemental sulphur, Resorcinol, Salicyclic acid
d) Comedone extraction
e) Corticosteroids (Intralesional)
f) Estrogens and anti-androgens
g) Vitamin A
h) NSAIDs
i) Acne surgery (incision and drainage)
j) Cryotherapy
k) UV rays (UVB)
l) Diet (omit the food items responsible for flare ups)
m) Cosmetic surgery

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