Tag: Acne Rosacea

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 – 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.