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Acne - Basics Facts

Acne is the most common skin disorder seen by doctors. In fact, it will affect almost every one of us at some time in our lives. It can happen at any time, but teenagers are the ones who get it most often.

Acne can cause a great deal of embarrassment and anxiety. If it’s really bad it can cause people to become depressed which can lead to withdrawing from friends, and perform poorly at school or work.

Visible Signs Of Acne:

The following are visible signs of acne:

Comedones:
An early acne blemish is caused by blocked pores, and at first the skin does not look red and inflamed. These early blemishes are called open comedones (blackspecks/blackheads) and closed comedones (whiteheads).

Comedones - Image 1.   Comedones - Image 2.

Papules and pustules:
As these early spots get larger and inflamed, they become papules and pustules (pimples or zits).

Papules and pustules - Image 1.   Papules and pustules - Image 2.   Papules and pustules - Image 3.  

Nodules:
Very large and deep lumps can also develop in some people, these are called nodules and cysts (like boils), and can be painful.

Nodules

Oily skin:
The sebum production increases so that your skin looks and feels oily.

Hyperpigmentation:
After the inflammation subsides, the skin can be discolored by brown acne stains (called hyperpigmentation) and damaged by scars. Acne scars are common and may occur even in mild acne.

Who Gets Acne?

Acne is the most common of all skin disorders. Almost everyone will have acne, most get mild cases, some moderate and a few are severe. Teens aren’t the only ones who get it. Acne has been diagnosed in young infants as well as in the elderly, but it is most often seen in teens and young adults with 85-100% of adolescents and up to 10% of young adults getting it.

Acne seems to affect the sexes somewhat differently. Before children reach puberty, acne is more commonly seen in girls. During puberty, acne affects boys and girls almost equally, but boys generally have more severe cases and in adulthood, it tends to be seen more often in women.

Where Does Acne Develop?

You can have acne on any part of your skin where sebaceous glands are found. These are the glands that produce oil for the skin. Most, but not all people get acne on their face, but the skin on the chest and back can also be affected. Acne can also be seen on the arms and thighs, but is less common.

When Do People Get Acne?

Acne usually starts around the time you reach puberty, and usually will be mild. Often it will last for about 5 years, but can persist for as long as 10-20 years. About 25% of teens who have acne will still have it when they turn 25. The cause is not understood, but it’s becoming more common for women who are in their 20s, 30s, and 40s to develop acne often for the first time. Temporary acne is often seen on the faces of newborns.

How Does Acne Affect You?

Acne not only causes physical discomfort and damage, but it can also have a big emotional and social impact on your life. Acne (pimples or zits) can be tender and painful, and in extreme cases, the pimples can drain pus and blood, soiling pillowcases and clothing.

If you are feeling embarrassed and anxious about your appearance, this can be even more painful. Emotional effects can lead to mood changes, depression, social withdrawal and poor performance in school or at work. If acne is bad enough to leave scars, you may have to endure these emotional issues for years, because scarring is not readily correctable. While laser therapy and skin fillers certainly improve scars, it is best if you can prevent their formation in the first place.


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