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• It is a chronic  inflammatory disorder of oil glands of the face.
• Affecting at least 85% of adolescents and young adults
• More than 85% of adolescents suffer from acne and in 50% cases, it extends into adulthood
• Acne is considered to be merely a cosmetic problem
• Acne usually occurs on the  face,  arms,  chest,  neck and back

• Caused by multiple factors
• Family/Genetic History
• Oily Cosmetics
• Stress
• Hot Weather
• Exposure to Some chemicals
• Vitamin a and Vitamin E Deficiency
• Poor Hygiene
• Use of Steroids both tablets and creams
• Puberty and Menstrual Cycles
• Hormonal imbalance
• Post Facials in salon

Please watch the following video it provides All details on skin care in Acne and Acne prone people.

https://www.facebook.com/acnecarestartshere1/videos/740094283416799/?sfnsn=wiwspwa&extid=SwU5hdnK8Dwu1DTi&d=w&vh=e

 Skin is covered with very small holes, called  follicles Skin is covered with very small holes, called  follicles

• Each follicle has a fine hair growing out of it
• The follicle produces a special moisturizer for the  skin, called sebum, that flows out along the hair.
• Sometimes the follicle gets filled with dried  out oil and dead skin
• Sebum builds up
• Blackheads form
•   White heads form.

• Have very low self esteem
• Feel unattractive
• Be bullied by their peers
• Become depressed
• Consider suicide

Acne can feel so distressing that you just want to hide your face from the world.

• 1. What is acne? 
  • Acne, also known as pimples in layman term is an inflammatory disorder whereby the hair follicles become plugged with excessive oil production from the sebaceous gland. There is also proliferation of bacteria called Propionibacterium acnes on patient’s skin. 
• 2. What are the complications of acne? 
  • The main physical complication of acne is scarring.
  •  It is much easier to treat acne than to treat acne scar.
  •  Other complications include psychological morbidities such as anxiety and depression. 
  • Therefore seek treatment early to avoid complications.
  • 3. . What is the common age to get acne? 
  • The common age to get acne is between 13 to 18 year old although patient can get it at any age. 
  • It is not a disease specific to youth. 
• 4. Who are at risk of getting acne? 
  • Patients with family history of acne are at higher risk of getting acne. Obesity in children and certain hormonal diseases are also known to be at increase risk of getting acne. Certain medications such steroid, anti-tuberculous medication and anti- cancer treatment can cause acne. Products or environment that block our hair follicles can also cause acne. 
  • 5. What can worsen acne? 
  • We know that acne gets worse during period of stress. Smoking, diet high in sugar and dairy products may also aggravate acne. There is also a study that showed that patients who had facial therapy or salon facial massage aggravated their acne. 
• 6. Does acne confined only to the face? 
  • No. Although acne commonly occurs on the face, it can also be found on the chest and upper back of the trunk. 
• 7. How do we treat acne? 
  • Treatment of acne should be individualized and it depends on severity, types of acne and how it affects the quality of life of the patient.
  •  8. Will acne recur after stopping treatment? 
  • It may recur if the patient stops treatment completely. That’s why we recommend maintenance therapy with topical treatment after stopping oral treatment. 
• 9. Tips of acne care General measures and skin care are also important in the management of acne. 

a. Patient is advised to clean with gentle cleanser and avoid abrasives and scrubbing.

 Antibacterial or antiseptic wash has no proven benefit in the treatment of acne. 

although the evidence is not very strong.

b. Try not to scratch or pick the spots. 

c. Avoid excessively humid conditions such as a sauna, working in an unventilated kitchen or tropical vacations. 

d. If you smoke, stop. 

Nicotine increases sebum retention and increased scale within the follicles, forming blackheads and whiteheads (comedones). 

e. Patient should avoid comedogenic cosmetic, facial products and squeezing pimples. 

f. It is advisable to take a low sugar , low protein, low dairy and high fibre d iet.

Although the evidence is not very strong.