Acne is a disease that often occurs in a greasy skin, resulting in increased secretion of sebaceous glands mainly in the area of the face, chest and back. The forms of acne are different and include comedones, red buds, pustules and sealed buds. These forms can occur on their own, but more often represent successive stages of acne. Comedones are the skin-coloured, small bumps (papules) frequently found on the forehead and chin of those with acne. A single lesion is a comedo. Open comedones are blackheads; black because of surface pigment (melanin), rather than dirt. Closed comedones are whiteheads; the follicle is completely blocked.
Conglobal is painful nodules on the face of the neck and back, which they find, pierce the skin surface (fistulize), smell and heal with ruby (atrophic or hypertrophic scars).
Acne is caused by complexive reasons. The disease occurs in puberty about 12 to 13 years, earlier in girls, but it is more severe in boys. It is right to talk about factors that can be related to the development of acne. Internal factors are genetic inheritance with varying degrees of variability, hormones associated with increased androgen release during puberty. The external factors are anaerobic bacteria in seborrhoeal zones (mainly Propionibacterium acnes), systemic reception or contact with halogen elements, systemic intake of vitamins B6, B12 and E, as well as corticosteroids. Most of the factors are not considered as separate individual causes of acne. Such are: inheritance, food, stress, hormonal changes.
Acne treatment coincide with the care of oily skin with extended pores and comedones. There are several steps that can be used in this early stage of acne.
Cleaning pores and comedones is important for acne treatment. Wash skin once per day with a mild soap that cleans the skin without dehydrating and drying it. When there are papules and pustules, the skin is always more sensitive. This requires the use of hypoallergenic cosmetics (soaps, lotions, creams). Scrub skin with a scrub or peeling mask with microgranules: 1- 2 times per week. For this purpose, the pores should be opened beforehand, which is achieved with a steam bath or local application of 3% oxygen water. When there are papules and pustules, the inflammatory process must first be mastered and scrub or peeling mask. Manually removing papules, pustules and thickened pimples is facile and leads to scarring.
Important procedure is the reduction of fatty secretion by antiseboric preparations, skin fat solvents. As such, 1-2% salicylic alcohol and various ready-to-use lotions containing glycol or t-hydroxy acids are used. In case of additional use of suspensions or mixtures according to the dermatologist’s opinion, the skin fat solvents are applied prior to application and after removal of the suspension or the mixture. Mixtures are often prescribed at an advanced stage of acne, as they are applied in the evening and the remainders are cleansed in the morning. They contain antisebored and antibacterial ingredients.
Antibacterial application of gels, creams, lotions, blends are suitable forms for oily skin. The finished preparations are Dalacin T, Acnerin, erythromycin-containing lotions. Antibacterial ingredients, in addition to topical antibiotics in the various mixtures, are benzoyl peroxide, resorcinol and sulfur.