Acne advice, information, documentation
Clinical practice and recommendations, acne treatment, acne advices what treatment based formulas you should use to cure acne, acne information about how acne develops, acne documentation about acne types and classifying it by type.
Classifying Acne (The severity of acne is generally assessed by the number, type, and distribution of lesions.):
Mild Acne (no inflammatory lesions) are the main lesions.
Papules and pustules may be present but are small and few in number (generally <10). Multiple open and closed comedones are present, with few inflammatory papules.
Moderate Acne - numbers of papules and pustules (10-40) are present. Mild disease of the trunk may also be present. Erythematous papules and pustules are the predominant lesions, and disease is limited to the face.
Moderately Severe Acne - numerous papules and pustules are present (40-100), usually with many pimples (40-100) and occasional larger, deeper nodular inflamed lesions (up to 5). Widespread affected areas usually involve the face, chest, and back.
Severe Acne Nodulocystic acne and acne conglobated with many large, painful nodular or pustular lesions are present, along with many smaller papules, pustules, and comedones.
Topical antimicrobial agents are effective in the treatment of inflammatory disease. Benzoyl peroxide is a bactericide and is an excellent first-line medication. The response to this agent is rapid, with improvement noted as early as five days after treatment has begun, but irritation is common. Water-based products, as compared with alcohol based products, when used at low peroxide concentrations (2.5 to 5 percent) will help to limit this problem and have an efficacy similar to that of other products in this class. Benzoyl peroxide does not induce resistance; when used with topical or oral antibiotics, it protects against the development of this problem.
Oral antibiotics are indicated for moderate-to severe disease, for the treatment of acne on the chest, back, or shoulders, and in patients with inflammatory disease in whom topical combinations have failed or are not tolerated. After control of the acne is achieved and maintained for at least two months, a reduction in the dose can be attempted. Hormonal treatment is especially useful in women who desire contraception or have other manifestations of hyperandrogenism, such as irregular menstrual cycles or hirsute. Oral antibiotics and topical therapy may be used in combination with hormonal treatments.When the use of this agent is being considered, an assessment of the severity of disease should include the effect of the acne on the patient, such as the potential for scarring.
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