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Doctor insights on: Acne

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Dr. Ed Friedlander
2,096 doctors shared insights

Acne (Overview)

Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics (those with antiinflammatory effects).


Dr. Ed Friedlander
2,096 doctors shared insights

Acne (Overview)

Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics (those with antiinflammatory effects).


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What are some treatments for acne?

What are some treatments for acne?

Scientific Rx: The best over-the-counter treatment is topical benzoyl peroxide 5% 2x/day as tolerated. Tea tree oil is the most effective of the "herbal" remedies as it is an estrogen. If benzoyl peroxide does not clear you in two weeks, your physician can guide you among topical retinoic acid derivatives, topical clindamycin, topical spironolactone, systemic antibiotics, "the pill" and isotretinoin. ...Read more

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Managing Acne (Checklist)

Use a gentle cleanser designed for acne-prone skin
1 Min, Daily for 2 Years
Use over-the-counter or prescription acne drugs as the doctor advises
Daily
See the doctor to adjust medications and other treatments
Once
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Is there a CAUSE for acne? If so what tests can I run to find out?

Is there a CAUSE for acne? If so what tests can I run to find out?

No: I see you are a 30 year old female. If your monthly cycle is basically normal, you're not going to find a hormonal disturbance causing your acne. Beyond this, the quest to find a food, habit, exposure or anything else to explain why one person gets acne and the other person doesn't is almost always futile. Mine remitted when I was 50. Until then, do as I did and comply with Rx. Best wishes. ...Read more

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I have acne on my face. How can I get rid of it?

Topical vs. oral: There are hosts of different meds used in acne treatment - oral antibiotics by far are most commonly used. Topical antibiotic and non-antibiotic preps. Have it discussed with your doctor. Also, make sure to minimize or better off to eliminate make up and tampering with your lesions. Don't get frustrated, it may take a while and hard to get rid of them. Time is an important factor as well. ...Read more

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How does acne affect most women?

How does acne affect most women?

Highly variable: Acne affects about 80% of the population. Women can get acne at any age. It can appear as papules (red bumps), pustules (red bump with pus coming to a head), comedones (whiteheads and blackheads), or cystic nodules (deep tender lumps underneath the skin). It can appear anywhere on the body including face, scalp, neck, chest, shoulders, back. It can be mild, moderate, severe. ...Read more

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What are the symptoms of baby acne?

What are the symptoms of baby acne?

None: The acne doesn't bother the baby at all, and causes no symptoms. Acne in babies looks like acne in teenagers, with little bumps and blackheads. ...Read more

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I have acne on my face. How can I get rid of it?

Topical vs. oral: There are hosts of different meds used in acne treatment - oral antibiotics by far are most commonly used. Topical antibiotic and non-antibiotic preps. Have it discussed with your doctor. Also, make sure to minimize or better off to eliminate make up and tampering with your lesions. Don't get frustrated, it may take a while and hard to get rid of them. Time is an important factor as well. ...Read more

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I have acne on my back, shoulders and chest.My dermatologist prescribed me ketonazole.Is it the right diagnosis?

I have acne on my back, shoulders and chest.My dermatologist prescribed me ketonazole.Is it the right diagnosis?

Talk to your doctor: Ketonazole is not an acne treatment. But your doctor may have given it to you for another reason. I suggest going back to your doctor to discuss it. In general, acne on the body requires oral medications as it is difficult to treat such a large area with creams. ...Read more

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Dr. J. Lawrence Dohan
2,405 doctors shared insights

Pimples (Definition)

Pimples are a kind of acne, and are a condition where oil gets trapped in a pore of the skin resulting in small area of ...Read more