Category: Children’s Health

Acne Cysts And Their Treatment

Deep cysts, inflammation, extensive damage to the skin and scarring characterize severe acne. It often requires an aggressive treatment regimen and should be treated by a dermatologist. Severe forms of acne can require years of treatment and may experience one or more treatment failures. However, almost every case of acne can be successfully treated. There are five popular treatments for acne cysts. There are many effective treatments that are available currently.

Drainage and surgical excision, inner lesion corticosteroid injection, isotretinoin (a potent drug for treating severe cystic acne), oral antibiotics, and oral contraceptives are the most popular treatments. Some people may choose a more natural treatment for severe acne, which will also be covered briefly in this article.

Drainage and extraction, or acne surgery as it is also called, should not be performed by patients and is used on some large cysts that do not respond to medication and require drainage and extraction. Dermatologists are trained in the proper technique and perform acne surgery under sterile conditions. Patient attempts to drain and extract acne cysts, by squeezing or picking, can lead to infection, worsening of the acne and scarring.

When an acne cyst becomes severely inflamed, there is a good chance it will rupture and scarring will occur. To treat these severely inflamed cysts and prevent scarring, dermatologists may inject such cysts with a diluted corticosteroid. This lessens the inflammation and promotes healing of the acne cyst. An inner lesion corticosteroid injection works by melting the cyst over the course of a few days.

Oral antibiotics have been a basis of therapy for severe acne for many years. Like topical antibiotics, oral antibiotics work to reduce the “P. acnes”. “P. Acnes” are normal residents on the skin, which decreases inflammation. Treatment with oral antibiotics usually begins with a high dosage, which is eventually reduced as the acne resolves. Over time, the “P. acnes” bacteria can become resistant to the treatment. When resistance occurs, another antibiotic can be prescribed or other treatment options may need to be explored.

Oral contraceptives have been shown to effectively clear acne in women by suppressing the overactive sebaceous glands. Oral contraceptives can be used as long-term acne therapy; however, this medication should not be prescribed to women who smoke, have a blood clotting disorder, are older than thirty-five or have a history of migraine headaches, without the advice of a gynecologist.

Spironolactone, a synthetic steroid, may be used in combination with oral contraceptives to treat acne in adult females. Spironolactone inhibits androgen, hormones that stimulate oil glands in addition to other effects on the body, production. There are possible side effects that may accompany Spironolactone treatment. A few side affects include irregular menstruation, breast tenderness, headache and fatigue.

Some people choose more natural ways to combat cystic acne. Some natural treatments are eating a whole foods diet that consists of only natural foods that have not been chemically or mechanically processed. Yoga or deep relaxation techniques may be used to reduce the amount of stress that is put on the body and the mind. Essential oils are another natural treatment that may be added to the diet of sufferers of severe acne.

Acne: A Basic Understanding

Statistics indicate that as high as 80% of the entire American population has ever had acne. Acne afflicts all genders, sexes and ages making it a universal skin disorder. As a form of skin disease, the good news is that acne is not transmittable.

Although acne is not contagious from person-to-person, it can spread to the whole face and can severely affect all the skin tissues that have pilosebaceous units. It is not true that acne just affects those going through puberty. Even infants or individuals who may be well over their forties, can develop this skin disorder. Acne infantilis is the term used for acne that grows on newborn babies, on the other hand acne rosacea is related to middle-aged people.

Acne has different classifications, according to the severity of the infection.

Comedo is the form where all severe acne cases originate. This is characterized by red swelling or small lesions on your skin. Whiteheads and blackheads are two forms of comedo. Conversely, blackhead is an open comedo. The coloration is due to the accumulation of dark skin pigments called melanin, plus hardened sebum and other skin debris and particles. This is the basic structure of whiteheads, however, the only difference is the coloration and these are deeply situated into the skin layers.

If you have sandpaper-like skin around the tissue of your mouth and on the surface of your forehead, chin and cheeks, you probably have papules. Pus-filled lesions are also termed as pustules.

Nodules on the other hand are similar with pustules. However, nodules are firmer and are larger acne growing deep in the skin. Inflammation may develop your pustules into containing semi-liquid or liquid materials composed of white blood cells (which are dead because of the acne-infecting bacteria named as Propionibacterium acnes), dead skin cells and active or inactive bacteria. This can result into more serious acne called cysts. In such situations, you may need the assistance of a skin dermatologist or physician.

What is the cause of acne? It is quite difficult to exactly determine what may have caused your acne infection as reasons differ case to case. Studies indicate that the skin disorder may be brought about by many factors, including poor diet, stress, weather elements, and hormone changes or may be genetically influenced.

Medically speaking, acne starts from the formation of hardened sebum, or the oily substance secreted to the skin through the sebaceous glands. This then will be permeated with acne-infecting bacteria, which in return will trigger the immune system to release white blood cells to obstruct the attack of the bacteria. As this happens, dead white blood cells and bacteria will accumulate in the hair follicles mixed with skin debris and dead skin particles, which then will inflame the lesions.

Most mild case acne may be treated with over the counter acne medications. They are generally topical drugs, which you apply on your skin for acne treatment. They may come in the form of soaps, lotions, gels and creams. Conversely, systematic acne medications are taken orally. The most common of which are the antibiotics.

Knowing that you are not the only one inflicted with acne at some point in life or another helps in that there will always be new research and new products coming on stream. Continue to read up on acne research and help your fight against it.

Acne: 10 Most Common Myths

What we think we know about acne is steadily being replaced by what scientists are learning. Meanwhile, many myths continue to circulate and endure. Clearing up some of the misunderstandings about acne is what this article is about.

Myth #1: Acne only affects appearance. Acne can also cause deep psychological distress. Severe acne can lead to low self-image and feeling depressed. There is a strong link between severe acne and social withdrawal.

Myth #2: Acne is caused by poor hygiene. While skin infections are associated with acne, lack of cleanliness is not the reason for acne outbreaks. The combination of oil and dead cells which produce acne is located beneath the skin’s surface where it is impossible to clean it away. Gentle cleansing with soap and water once or twice daily will keep your skin as healthy as possible. Scrubing too hard may worsen acne.

Myth #3: Acne is caused by specific foods. Chocolate has long had a reputation as a pimple producer. Studies have shown no scientific evidence that this is true. The same holds true for potato chips and sugar. There are some foods that do seem to aggravate (not cause) the condition: milk and foods high in iodine, such as seafood.

Myth #4: Acne has to run its course. There are many acne treatments available both over-the-counter and stronger medicines from a dermatologist.

Myth #5: The more acne medicine the better. Some people believe that if their acne gets worse they should just use more medicine. That’s a bad idea because medicines can be dangerous when taken in large quantities. Excess use of acne ointments may just irritate the skin further.

Myth #6: Sunbathing is good for acne. Exposure to the sun dries out excess oils, so it does improve acne short-term. However, long-term the skin adapts and the acne is unfazed. Worse, there is scientific evidence that sun exposure damages the skin and increases the chance of skin cancer.

Myth #7: Makeup causes acne. Some makeup products can clog the pores, which is bad for the health of your skin. Cosmetics that are labeled “noncomedogenic” or “nonacnegenic” are safe to use. Some brands are made with ingredients that actually treat acne.

Myth #8: Acne is only a teenage condition. While most teens have acne, so do many adults. Acne generally clears up by the early 20s. But some people experience acne for the first time as late as their 40s. And for the most unfortunate of all, some people endure acne flare-ups their entire lives.

Myth #9: Acne is related to sex. We’ve probably all heard that either celibacy or too much sex causes pimples. There is no evidence for this. There is a link between sexual activity and hormone production, but the relationship between sex and the production of sebum (the oily substance which combines with dead skin cells to cause acne) is not known. Stress and anger also affect hormone levels.

Myth #10: Popping pimples is the best way to get rid of them
The fact is popping pimples may worsen acne by spreading the bacteria that is causing it. Popping can also lead to eventual scarring, which in severe cases, can be permanent.

Acne – Possible Link to MRSA

There is growing evidence that the major cause of MRSA is the inappropriate over prescribing of antibiotics by general practitioners. This is not news and it is common knowledge that most infections are viral and do not require antibiotics.

Also it is well known that antibiotics upset gut bacteria and lead to overgrowth of the intestinal tract with fungi such as Candida which is present in everyones guts, but normally kept in check by the probiotic bacteria surrounding it and which also produce chemicals to keep it in check. Antibiotic use can reduce the probiotic bacteria and allow the fungus to grow which over time can lead to inflammation and misdiagnosis of IBS later in life and open another chapter in prescribing.

A downward spiral we dont want to promote. Candida overgrowth and dysbiotic guts probably affect millions of 20 something’s who have just had years of antibiotics for acne, or million of 40 somethings who have been put on antibiotics for rosacea. We have clever ways of restoring the normal bacterial balance and reducing Candida without harsh antifungals.

However the use of antibiotics for skin infections such as acne and rosacea often at low doses and often for 3 to 6 months at a time is possibly a cause of MRSA in some patients (multi resistant Staphylococcus aureus) in hospitals.

It doesn’t matter whether oral or cream antibiotics are used they cause the same problem. In acne if you have many blocked pores (pilo sebaceous ducts) then the anaerobic bacteria propiobacterium acnes can start to colonise the area under the plug and cause inflammation and damage. This bacterium only survives in normal skin at very low levels as it likes to live in an environment where there is little or no oxygen. When you create a blockage as with acne, you create the environment for acnes. So antibiotics can help to reduce it, but they also hit other friendly skin bacteria and herein lies the problem.

Staphylococcus epidermidis lives on our skin and helps keep other nasty bacteria away. It likes an oxygen rich environment. The same antibiotics that reduce acnes often hit the staphylococcus epidermidis as well.

Now Staphylococcus epidermidis is related to Staphylococcus aureus. It lives inside the body and staphylococcus epidermidis lives on the skin. They meet at places such as the nose and other entrances into the body. They can pass information to each other through the use of things called plasmids and it is highly likely information for developing resistance is transferred.

Hey presto we have started the super bug development. The acne sufferer ends up in hospital for an operation. They get a wound infection either from their own bacteria but also through other bugs already there. S.aureus is a typical bacterium that infects wounds. The antibiotics used for wound infections are often the same or similar to the one that has been used for the patients acne, and it is not surprising they find the antibiotics dont work as the bugs are already resistant. This resistant strain becomes the dominant resident s.aureus in the hospital and is extremely difficult to remove and can go on to infect many other patients.

Using a product such as Aknicare which has 4 antibacterial agents which control p.acnes by changing conditions in the area under the plug rather than directly destroying it means you can prevent damage and inflammation without breeding resistant bugs. Aknicare can reduce p.acnes and all the other key causes of an acneic skin, such as inflammation, oil production, cell turnover all without breeding resistant bugs.

As a final thought the main treatment for rosacea recommended is rosex creams and gels. Rosex contains the antibiotic metronidazole. Rosacea patients often use it for months and years.

It works in a few. Metronidazole is also a powerful antioxidant and it is these properties that help with rosacea symptoms, not the antibiotic properties. Rosacea is not caused by bacteria. It is a sobering thought that the antibiotic most used in theatre to prevent infections during and shortly after surgery is metronidazole. Imagine if you had been using it for months or years before that operation.