Acne vulgaris - what is it? Methods of treatment. Causes, home treatment, photo Rash vulgaris

Acne vulgaris is an inflammatory process characterized by inflammation of the sebaceous glands and hair follicles. The main cause of the pathology are staphylococci. Most often, an unpleasant phenomenon develops on the skin of adolescents from 10 to 19 years old (during puberty). Boys are more severe than women.

Varieties of acne

Pathology can be both inflammatory and non-inflammatory in nature. Its course depends on the activity and role of bacteria in inflammation. There is a mild, moderate and severe phase of the disease. Acne vulgaris itself is divided into the following varieties:

  • Comedones. They are non-infectious in nature and are fatty plugs that clog the pores of the follicles. They can be black (if dirt and dust get on its surface) and white. White subcutaneous pimples on the forehead are easily palpable, their diameter varies from one to three millimeters. Black comedones have the same appearance, only with a black head.
  • Papules are pimples that occur during an inflammatory process when fatty acids irritate the walls of the follicle.
  • Pustules begin with inflammation inside the hair follicle
  • When fatty acids enter the tissues or the follicle ruptures and the inflammatory process begins, nodules and cysts form.
  • Globular eels. This form of the disease is considered the most severe. It is often exposed to males. Symptoms: frequent abscesses, the occurrence of sinuses, scars on the skin. Localized on the back, chest, limbs, head and buttocks.
  • Acne is lightning fast. These are sharply formed acne, with them abscesses often merge into one affected area. Symptoms of the disease are manifested in the occurrence of soft tissue swelling, joint pain and leukocytosis.
  • Pyoderma. Pathology most often affects women, characterized by rosacea on the face. The disease is characterized by lesions of the cheeks, nose, forehead and chin area.

Pain is caused only by cystic formations on the skin, other varieties cause only psychological suffering.

What is the difference between pustules and papules? They have a similar appearance. These are points resembling a cone, their size varies from two to five millimeters. In the epithelium there is an accumulation of lymphocytes and neutrophils. After the rupture of the epithelium, a pronounced inflammatory process begins in the dermis. Papules are highly inflamed, but do not affect the deeper layers of the skin.

The nodes are denser in consistency than papules, similar to cysts, but have a different structure. The cysts are filled with pus and can become infected and form abscesses. After this form of the disease, irregularities occur, the surface of the skin in some areas may sink. Only a specialist can diagnose the disease with the help of laboratory tests.

Acne vulgaris and causes of the disease

Only every fifth teenager treats the disease, the rest of the parents let everything take its course, believing that acne vulgaris will go away on its own. People try to disguise them or crush the emerging acne. Such decisions are a temporary measure that aggravates the situation.

Causes of acne vulgaris:

  • Problems with the functioning of the sebaceous glands (increased production of sebum or changes in its viscosity);
  • hereditary predisposition;
  • The sebaceous glands atrophy;
  • Violation of the hormonal background.

With the beginning of the restructuring of the body for puberty, the children's body changes: the production of the gonads increases, the condition of the skin changes, the glands secrete more sebum. Fat changes viscosity, clogging of pores occurs, followed by inflammation. The skin is “decorated” by acne vulgaris.

They can be caused by a number of other reasons:

  • Unbalanced diet;
  • Constant stress;
  • Increased sweating;
  • In women, acne can cause premenstrual syndrome.

Acne Treatment

Remember that acne leads to boils if left untreated for a long time. There are two directions for treatment:

  1. Internal (treatment with drugs).
  2. External (ointments, skin care procedures, treatment with special devices).

Often, facial acne is a sign of other diseases of the body (failure in the endocrine system, pathology of the gastrointestinal tract). Before starting treatment, you should be examined by a gynecologist, gastroenterologist, endocrinologist. If other diseases are identified, then an integrated approach is needed. The main goal of treatment is to normalize the production of sebum in the patient. For this, it is recommended to treat the skin with drying cosmetics and pharmaceutical products.

Nutrition against acne vulgaris

Doctors recommend to reconsider your diet. Good feedback from cured patients about vegetarianism. It quickly brings the skin back to normal. It is best to eat something that positively affects the functioning of the digestive tract. These are greens added to dishes; cereals; fruits and vegetables.

Therapeutic methods

The most commonly used methods for the treatment of pathology:

  • Skin cleansing. This technique works well when the patient has a mild stage of the disease.
  • Herbal tinctures. Treats acne calendula, celandine, chamomile. They have a strong bactericidal effect.
  • Treatment with a course of physiotherapy. These procedures are carried out only by a doctor. The patient is prescribed quartz radiation, autohemotherapy and other methods of treatment.
  • course of antibiotics. It is used in the severe stage of the disease, when it becomes chronic. These are ointments, creams, tablets and even injections.
  • Beautician's course of procedures. This is laser treatment, peeling, skin cleansing.
  • Facial volumization in the salon helps a lot.
  • A more gentle method can help erbium laser.

Monotherapy

If the patient has a mild degree of the disease, then the treatment is aimed at eliminating comedones. If pustules or papules have formed, then the doctor prescribes the use of antibiotics, tretinoin, peroxide. Course: from 6 weeks to the complete disappearance of symptoms. Comedones are treated with tretinoin with increasing concentration. When allergic to it, treatment with tazarotene, agents with azelaic, salicylic acid, propylene glycol is used.

Antibiotics

With moderate severity of the disease, the doctor prescribes tetracycline, minocycline. Course: 3 months. Gradually, the dose of drugs is reduced. If the disease is complicated or poorly treated, it is possible to increase the dosage of the drug. In order to avoid relapses, prophylaxis with drugs should be carried out.

Before using antibiotics, you should be familiar with the side effects. The patient may be disturbed by a violation of the stool and the work of the gastrointestinal tract. And the use of antibiotics during long-term treatment provokes thrush in female representatives. If the patient has a severe inflammatory process, but antibiotics must be abandoned, then doctors recommend the use of isotretinoin. It is used once a day for 4-5 weeks, if the drug is poorly tolerated, then the dose of the drug is reduced.

Folk methods of treatment

Treatment of acne vulgaris with such means can be done at home, using vegetable raw materials. For lotions, rubbing and masks, decoctions of calendula, aloe juice, infusions of St. John's wort, birch leaves and other plants are well suited.

Treatment with decoctions of plants

To prepare according to these recipes, we take 500 grams of boiling water, 4 teaspoons of vegetable raw materials, insist for an hour, filter. We apply a decoction to clean, fat-free skin, using cotton pads, gauze. Application to the skin is done with gentle movements. They should not injure the skin and remove acne vulgaris.

Lotions are recommended with aloe juice, decoction of marshmallow roots, infusion of celandine. We take a napkin soaked in a decoction (juice) and keep it on the skin for about half an hour. If the cloth dries quickly, then it must be moistened from time to time.

Compresses

This procedure is carried out once a day. If you are the owner of oily skin type, then the procedure is done using hot compresses. If the skin is dry, then the compresses should be made warm so as not to irritate the damaged skin. Compresses are made on the basis of celandine, liquid honey or ammonia. Ammonium chloride is diluted in the proportion of three drops per 250 grams of water.

Trays

Contribute to the disclosure of pores warm steam baths. Do them no more than once every 7 days. For them, herbs with essential oils are used, which have a disinfecting and disinfecting effect. Before the procedure, we thoroughly cleanse the face, without using rough peels and scrubs.

  • We take a wide container, with a volume of at least half a liter. We lay vegetable raw materials on its bottom, pour boiling water and let it brew for 10 minutes.
  • Do not use hot steam, so the patient will avoid damage to the skin.
  • The recommended water temperature is about 43 degrees.
  • Lean over the water and cover the top of the head with a towel. If the skin is dry, it will steam out in 10 minutes. If oily, it will take 20 minutes.
  • Don't lean too low into the hot water. The optimal distance between water and a person's face is 20–30 cm.
  • Do not rub your face when the procedure is over. Just blot it with a clean towel or paper (fabric) napkin.

Yeast mask

Acne vulgaris is afraid of yeast masks. But this technique does not bring quick results. The course should be at least 20 procedures. We take 2 teaspoons of yeast, pour warm water and stir until gruel. Apply to the face for 20-25 minutes, wash it off with warm water.


Bodyagi based mask

For whiteheads, blackheads, and inflamed acne vulgaris, a body mask is used. We mix the bodyaga with water until gruel. Apply to inflamed areas for 7-10 minutes. If the skin burns too much, then this treatment is not suitable for you due to the increased sensitivity of the skin.

Infusion on walnut leaves

We take walnut leaves and fill them with vodka. The proportions are 1 to 10. We insist for several hours, wet the gauze and apply it to the diseased areas of the skin. The method helps well with acne vulgaris on the back.

About the author: Ekaterina Nosova

Certified specialist in the field of reconstructive and aesthetic surgery. Extensive experience, leading specialist in Moscow in the field of thread lifting, blepharoplasty and breast arthroplasty, has performed more than 11,000 operations. More about me in the Doctors-Authors section.

Acne vulgaris is a disease, or rather, an inflammatory process that occurs due to improper functioning of the sebaceous glands. The formation of acne occurs when sebum accumulates in the follicles, as a result of which a favorable environment is formed for the reproduction of these bacteria.

This disease can affect people of different sexes, but the main part of the disease occurs in the male half of the population. This happens due to the fact that during puberty the body undergoes many changes that can be the result of acne vulgaris.

In addition to the main cause of acne vulgaris, the causes of their manifestation can be:

  • Increased sweating.
  • Harmful food (fried, sweet).
  • Heredity.
  • Air and bacteria from outside.

Acne vulgaris can occur due to the misuse of certain medications. In women, the most common cause is a change in the menstrual cycle.

What is acne vulgaris?

Acne can appear both due to inflammatory processes and non-inflammatory ones. Basically, the role is played by the bacterium that takes part in their formation. A feature of non-inflammatory acne is that they appear as comedones - fatty plugs that are quite densely located in the follicles. Acne is usually white in closed follicles and black in open follicles.

Acne itself includes several types of acne, such as:

  • Nodules.
  • Cyst.
  • Pustules.
  • papules.

Let's consider each of them in more detail.

  1. Papules form when irritation of the follicle is caused by fatty acids on the skin.
  2. In the case when the infection originated inside the follicle, pustules appear.
  3. Cysts and nodules form in extreme cases when the follicles are damaged due to external physical influences. (Therefore, before squeezing another pimple on your face, think about whether it is worth further suffering, because complications may arise).

White heads of comedones indicate that inflammation has not yet caused much harm to the body and this can be cured. If the center of the head of the comedone is already black, then the situation is somewhat different.

It is important to remember that the exact diagnosis and method of treating such acne should be prescribed by a doctor, you do not need to make a decision about your treatment yourself. The use of the wrong drugs for the treatment of acne vulgaris can only aggravate the situation.

As already mentioned, acne vulgaris appears in adolescence and, if not given due importance, they can stay with you for life.

Against the background of sebum, anke vulgaris bacteria multiply rapidly, which means that people with oily skin should wash their faces with soap more often. The manifestation of acne can also include:

  • Hormonal changes that lead to a weakening of the immune system.
  • Disrupted work of the gastrointestinal tract.
  • Stress.
  • Many female diseases

Treatment of acne vulgaris (akne vulgaris)

Acne vulgaris is a serious disease that can only be cured with an integrated approach to treatment. In this case, self-medication can only harm your body, since we are often used to using whatever ointment we saw in advertising.

There is no point in denying that the ointment that friends will advise you or that you learn about from TV will help you, but the effect of such treatment will most likely only be temporary, because in order to get rid of the problem, you need to treat the causes, and ointments often help only temporarily.

To treat such acne, you should contact a good dermatologist who, after the tests you have passed, will be able to analyze the problem in more detail and prescribe a treatment.

With a systematic approach to treatment, you will have to use not only ointments and creams, but also drink antibiotics. Treatment with an average degree occurs for 12 weeks. After this period, it is better to continue using medications for the treatment of acne vulgaris for preventive purposes for 2-3 weeks, and, naturally, in smaller dosages.

Treatment of acne vulgaris folk remedies

When there is no beauty parlor at home, you should not lose heart, because many procedures can be done by yourself. The main procedures in the treatment of acne at home are:

  • Gadgets.
  • Masks.
  • Rubbing.
  • Compresses.

Home care products can be made by yourself, for this you do not need to have anything superbly available or something that cannot be bought in a regular supermarket.

When taking care of your skin at home, you should pay attention to your movements, as being too rough can only harm your skin. Now more about the ways to treat acne vulgaris at home:

  1. Compress. With inflammatory acne, compresses should be done no more than once a day. If you have oily skin, then hot compresses are suitable for you, in the case of dry skin, it is better to use warm ones, so we will prevent irritation.
  2. Steam bath. This method will help to perfectly open the pores, which will contribute to
    excretion of the sebaceous glands. However, before use, you should clean your face, and after you perform the cleaning procedure. For this method, we recommend using herbs and essential oils.
  3. Yeast mask. For best results, use this mask at least 20 times. Preparing such a mask is very simple, just dilute a spoonful of yeast in warm
    water and apply the resulting mass on problem skin.

Acne vulgaris treatment reviews

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And in the fall it starts all over again. The period from October to April is not favorable for those suffering from pustular diseases. Is there any way to reduce this suffering? Let's try to answer this question.

Acne vulgaris (or acne, acne vulgaris) is a purulent inflammation of the sebaceous glands and hair follicles.

The cause of the disease is most often a staphylococcal infection in the presence of some factors. This is a hereditary predisposition, dysfunction of the endocrine system, seborrhea, diseases of the gastrointestinal tract, diet disorders (excessive consumption of sweets, fats, spicy and spicy foods). Tuberculosis intoxication may play a certain role.

Acne vulgaris may be the result of prolonged use of corticosteroids, intolerance to any drugs (bromine, iodine, etc.). Acne vulgaris is most often observed in girls and boys during puberty.

To combat inflammatory acne, medical and cosmetic preparations are used, which must be prescribed by a doctor. These can be preparations based on calendula, chamomile, with a small skin lesion - cucumber lotion. Well degreases and disinfects salicylic alcohol. Apply it, slightly diluted with boiled water.

Cosmetologists are your allies in long-term, often requiring special procedures, treatments. In a severe form of pustular diseases, the help of a doctor is mandatory, since this disease has many forms, and there is no home method or remedy that is equally effective in all cases. Antibiotics are often required.

A visit to a cosmetologist to cleanse the skin is, first of all, a medical procedure, and not just beauty care.

Dirty hands, with which, unfortunately, acne is often squeezed out, being in front of a mirror, dangerous infections are introduced that lead to complications in the treatment of acne vulgaris; give up the habit of touching blackheads with your hands - it is actually harmful.

Liquid yeast with pustular diseases leads to a noticeable improvement; they are drunk daily for 1 glass for three weeks, then they are interrupted for three weeks and continue to be taken; they are prepared as follows: 10 g of yeast is crushed into a glass and poured with warm water by three quarters, a teaspoon of sugar is added, stirred and put in a warm place for one hour, then stirred, brought to a boil and, having cooled slightly, drink.

Please note that general hygiene is not only neatness and cleanliness, but also movement in the fresh air, sleep in a well-ventilated room, and preferably with an open window, and morning exercises. In a word, everything that a healthy lifestyle consists of is essential for the treatment of acne vulgaris. Cosmetic procedures alone will not be effective if you do not make friends with general hygiene.

Hot compresses are made with a decoction of chamomile using a large piece of sterile gauze folded in four. Once a week, it is advisable to put them on the face to refresh it, treat the pores with steam, and alleviate inflammation. After putting a hot compress, lie quietly for half an hour. To prevent the gauze from cooling too quickly, cover it with thick foil.

The sun's rays are healing - everyone knows that. Especially with acne vulgaris and other pustular diseases. Under the influence of the sun, acne either disappears completely, or their number decreases. We live in a northern country, where winter lasts for almost half a year, nothing can be done, but in the very first days of spring, try to expose your face to the sun's rays; even if it’s cold outside, they still have a beneficial effect.

During puberty, the activity of the adipose glands increases. Seborrhea associated with this can cause pustular diseases. On the skin covered with a layer of fat, various bacteria and microorganisms (mainly staphylococci) find a favorable nutrient medium.

If at this time, before the epic with acne, you do not give them a general battle and do not pay close attention to the cleanliness of the skin, proper care for it, then after a couple of months its condition may turn out to be deplorable. As with any illness, in this case, preventive measures, sunbathing, diet, frequent bathing, and, if necessary, skin cleansing by a cosmetologist are very essential.

Results can only be expected from complex treatment. It is necessary to apply a variety of methods, methods, comply with a lot of prescriptions and prohibitions, and be a disciplined patient of a dermatologist. As you can see, there are no universal, radical remedies against pustular diseases.

Acne vulgaris is one of the most difficult and difficult to treat diseases of pustular and seborrheic skin. They appear due to the accumulation of keratin in the mouths of the fatty glands. Keratin oxidizes easily, turning black and clogged pores look like black pinheads.

It is necessary to remove acne, clean the skin, if possible, with a cosmetologist. However, this possibility is not always available. Of course, rather than walking around with a face covered with acne, it is better to do the procedure yourself, of course, observing complete hygiene.

Physiotherapeutic procedures are part of anti-pustular measures. In autumn and winter, especially if home methods have proven ineffective, the doctor may prescribe various procedures for the patient, for example, irradiation with a quartz lamp, the ultraviolet radiation of which replaces the sun. But you can not use it without a doctor's prescription.

Coal vulgaris is an inflammatory disease, which occurs due to disruption of the sebaceous glands.

In the area of ​​\u200b\u200bthe hair follicles, an accumulation of keratinized particles and sebum occurs. This process creates a favorable environment for the development and reproduction of pathogenic bacteria (staphylococcal infections).

Acne vulgaris treatment should be carried out in a complex, taking into account the individual characteristics of the skin.

Acne vulgaris ICD-10 (code according to the international classification of diseases): L70.0 Acne vulgaris (acne vulgaris).

What is acne vulgaris? This is an acne rash that can occur in girls and boys. Most often, the disease manifests itself during puberty, when multiple changes are observed in the human body.

Causes of acne vulgaris:

The history of acne vulgaris is peculiar. They can occur due to intolerance to drugs such as bromine and iodine.

The reasons may be a change in the hormonal background of the body, which occurs mainly during pregnancy and during menstruation.

What does acne vulgaris look like? Acne symptoms depend on the nature of the development of the disease and the degree of inflammation of the follicle under the action of the bacterium Propionibacterium acnes.

Manifestations of acne vulgaris depending on the nature of the disease:

White (closed) comedones are soft formations, the size of which is 1-3 mm. Blackheads (closed) Outwardly, they differ only in that they have a black center.

- These are cone-shaped dots of red color, the diameter of which varies from 2 to 5 mm. In the epithelium of the skin, an accumulation of neutrophils and lymphocytes occurs.

When these follicles rupture, an inflammatory reaction occurs. In this case, there is no deep damage to the dermis. The disease is superficial.

Knots are deeper damage to the skin. Despite the fact that they do not have a cystic structure, their structure resembles cysts.

Cyst, in turn, is a nodular formation that undergoes purulent fusion. In rare cases, these acne become infected. What is fraught with the development of an abscess.

With a long course of the cystic inflammatory process, scars remain in place of the existing formations, which look like skin irregularities in the form of depressions.


Most often, acne appears at lightning speed.. Formations appear on the skin, which in themselves become inflamed and spoil the aesthetic qualities.

If acne vulgaris treatment is not started on time, then hemorrhoidal necrosis develops. In the advanced stages of the disease, leukocytosis appears. A person experiences pain and suffers from swelling in the joints.

There is such a course of development of acne vulgaris, as pyoderma. This type of disease occurs most often in girls in adolescence. Acne appears at lightning speed and is concentrated mainly in the center of the face. The lesions may consist of erythematous plaques and pustules.

It is possible to determine the exact type of the course of the disease only with the help of diagnostics carried out in a clinical setting. The stage of the disease is based on the type and number of lesions present.

In order not to start the course of the inflammatory process, you need to know what acne looks like.

It is important to remember that pimples should never be squeezed out! This can lead to the spread of bacteria to unaffected areas of the skin.

It is not worth considering acne vulgaris as a physiological condition. When the initial symptoms of the disease appear should go to the doctor who will conduct a number of necessary studies and prescribe effective treatment.

First of all, the doctor conducts a visual examination and collects an anamnesis of the disease, which allows you to determine the cause of the development of the disease and take measures to eliminate it.

The following are assigned as complex diagnostics: clinical and instrumental studies:

If necessary, the patient is sent to check the reaction of the skin to antibiotics. With a negative result, this technique allows you to choose the most effective drug.

How to treat acne vulgaris on the face? First of all, you need to remember that acne is a disease that requires a phased complex therapy.

The course of treatment includes antibacterial drugs, vitamins, retinoids and immunopreparations. Additional measures are taken without fail in the form of ultraviolet radiation, lotions, which include sulfur, salicylic acid and alcohol. In addition, special ointments are prescribed.

Is it possible to treat acne vulgaris at home? An unprofessional approach to treatment can lead to serious complications.

Only a doctor after a diagnosis can prescribe a qualified treatment, taking into account the following criteria:

Treat red pimples daily but you shouldn't get carried away with it. Any medicine has certain dosages, the excess of which can cause overdrying of the skin.

For fast and lasting results, diet must be followed. Sweet foods, muffins, spicy and fatty foods should be excluded from the diet. You need to give up fried food. Products are best boiled or steamed.

How to get rid of acne vulgaris quickly? This requires individual treatment. The course of drugs is prescribed depending on the stage of progression of the disease:

What to do when acne vulgaris passes? Should I stop treatment? Definitely not!

Drug therapy should be completed. In order to exclude the possibility of recurrence, it is necessary to observe preventive measures.

In order to prevent the development of acne vulgaris, the following recommendations should be followed:

The main key to success in the fight against acne vulgaris is systematic. If you follow all the doctor's instructions and prevent the development of acne between courses of antibiotic therapy, then soon the condition of the skin will improve.

You should not self-medicate. Therapeutic measures should be carried out only under the supervision of a dermatologist.

Acne vulgaris (acne) is an inflammatory process that occurs as a result of changes in the structure of hair follicles and sebaceous glands. It affects adolescents during the period of hormonal changes in the body, as well as adults with physiological disorders.

The upper (horny) layer of the skin has the ability to renew itself, the same process occurs in the hair follicles. During the normal functioning of the body, the sebaceous glands regularly produce a skin secret necessary for moisturizing the skin and protecting it from the penetration of harmful microorganisms.

In adolescence, an intensive change in hormonal levels begins. This leads to increased production of sebum, changes in its composition and hyperkeratosis (excessive accumulation of dead skin cells).

The pores are clogged with the remnants of skin scales and it is more difficult for the fat to stand out, as the secretion produced becomes thicker and denser. There is a blockage of the sebaceous ducts, which leads to inflammation and the formation of acne.

Causes

The factors provoking the appearance of the disease include:

  • increased production of androgens;
  • hereditary pathologies;
  • unbalanced psychological state;
  • excessive consumption of harmful foods (sweets, salty, spicy and smoked);
  • hormonal changes in girls and women (menstrual cycle, contraceptives, pregnancy, childbirth, menopause);
  • harmful environmental conditions;
  • disruption of the gastrointestinal tract;
  • endocrinological pathologies;
  • profuse sweating;
  • the use of drugs;
  • decreased immunity;
  • reproduction of the demodicosis acne mite;
  • infectious diseases of internal organs;
  • skin hyperkeratosis;
  • imbalance between androgens and estrogens (in women);
  • improperly selected cosmetics.

Each person has his own predisposing factor, under the influence of which adverse changes occur in the body and acne vulgaris is formed.

Acne classification

By the nature of the course, there are two forms of the disease with different types of acne formations:

  1. Non-inflammatory acne - occurs as a result of blockage of the sebaceous ducts and leads to the formation of acne. If the mouths of the hair follicles are dilated and clogged, open acne occurs. As a result of oxidation, they become black in color, therefore they are called black comedones. When squeezed, their contents are easily removed. Whiteheads (closed) originate deep under the skin as a result of the accumulation of skin secretions. They look like nodular formations of white color, protruding above the surface of the skin, and are felt during palpation of the skin.
  2. Inflammatory acne - occurs when bacteria that cause infection enter the excretory ducts. Under their influence, comedones become inflamed and pass into the papulo-pustular and nodular stage of development with the possible formation of cysts.

  1. Comedones are small black and white dots that form as a result of blockage of the sebaceous ducts.
  2. Papule - a formation with a changed color, formed under the action of fatty acids affecting the walls of the follicles.
  3. A pustule is an element of a rash containing pus that occurs during inflammation inside.
  4. A cyst is a severe form of acne. It is characterized by a formation filled with purulent fluid.
  5. Acne induria is a large, firm nodule that fuses together and covers large areas of the skin. They look like blue-purple spots that rise above the surface of the skin.
  6. Phlegmous acne is soft, painful acne resulting from the fusion of pustules, which are impressive in size.

Symptoms and manifestations of acne vulgaris

The peak incidence of acne occurs at the age of 14-17 years. The main concentration of skin rashes is grouped in places with a large number of sebaceous glands: on the face, back, chest. With a complicated course of the disease, the affected area extends to the shoulders and forearms.

In the initial stage, closed and open eels appear. When comedones are squeezed out or mechanically damaged, a bacterial infection joins the disease, and red nodules (papules) form. In the future, these formations become inflamed and develop into pustules with a purulent infiltrate, which open up, leaving scars and scars on the skin.

In most adolescents, the disease ends by the age of 20-25, but in some people, signs of acne are noted even at a later age.

The most severe form of manifestation of acne vulgaris is spherical (conglobate) acne, which occurs in men of mature age. They occur during puberty and persist for a long time.

This type of acne is characterized by the fusion of isolated formations into huge painful nodes. After opening, thick pus flows out of them. Non-healing ulcers appear on the spot, and then whitish scars with fistulous passages.

Spherical acne is localized in the area of ​​the face, back, less common on the abdomen, chest and limbs. In advanced cases, they merge into large areas and are difficult to treat.

Differential Diagnosis

To determine the causes contributing to the development of acne vulgaris, diagnostics are carried out, including:

  • biochemical blood and urine tests;
  • examination of the skin for the presence of a tick;
  • determining the level of hormones;
  • bacteriological examination of the intestinal microflora;
  • carrying out bakposev of purulent contents;
  • endocrinological examinations;
  • Abdominal ultrasound.


In some cases, it is necessary to visit narrow specialists: a gynecologist, urologist, endocrinologist, gastroenterologist and others. Only after the consultations have been carried out and the results agreed upon, the appropriate treatment is prescribed.

acne treatment

Depending on the severity of the disease, the treatment of acne vulgaris should be carried out using a complex of drugs. Basic principles of treatment:

  • stabilization of the hormonal background;
  • decrease in the activity of the sebaceous glands;
  • establishing the process of skin keratinization;
  • suppression of the influence of harmful bacteria;
  • cleansing and healing of the skin.

All this will help reduce the inflammatory process and restore the integrity of the epidermis. At a mild stage, the use of zinc ointment, salicylic acid, lemon juice is recommended to clean and dry oily skin.

In some cases, the antibacterial drug Skinoren is used. It contains azelaic acid, which inhibits bacterial growth and reduces inflammation. You can also use Benzoyl peroxide, which has a bactericidal effect and improves skin keratinization. The healing process takes 1-2 months.

At a moderate stage, salicylic, glycolic acid and antibiotics (Doxycycline, Minocycline, Tetracycline, Erythromycin) are used. The duration of treatment is prescribed by the doctor. In order not to disturb the intestinal microflora, these antibiotics must be used in conjunction with Bifidumbacterin and Nystatin. Treatment can last up to 3 months.

In the severe stage, retinoids are prescribed (Isotretinoin, Adapalen, Retinol). They have an anti-inflammatory effect. Girls are prescribed anti-androgen drugs or oral estrogen drugs (depending on the result of the analysis for hormone levels).

Attention! Incorrectly selected medication can worsen the course of the disease and cause irreparable harm to the body.

homemade recipes

At home, you can prepare herbal remedies to cleanse the skin.

Ointment

  • 1 st. l sage leaves;
  • 0.5 tsp honey;
  • 250 ml of water.

Cooking method:

Pour the herb with boiling water and leave for 30 minutes. Then strain, add honey and mix thoroughly. The resulting ointment is applied to the inflamed areas.

  • 2 tbsp. l aloe leaves;
  • 500 ml of water.

Method of preparation and application: before use, keep the leaves in a dark place for about 10 days, then grind until a slurry is obtained. Pour in water, leave for 1.5 hours, boil for 1-2 minutes, strain. Moisten a cotton swab in the decoction and apply a compress to the problem area.

Clover Leaf Infusion

  • 400 gr clover leaves;
  • 2 liters of water.


Method of preparation and use: pour clover with boiling water, leave for 4 hours, prepare a bath and pour the resulting broth into it. Take within 20 minutes. The procedure is carried out every other day for 2 weeks.

To prevent the progression of the disease, you must adhere to the following recommendations:

  • maintain a low-carbohydrate diet;
  • eat fresh fruits and vegetables containing fiber;
  • clean the skin using mild detergents (no more than twice a day);
  • do not squeeze blackheads to exclude bacterial infection.

With a complicated course of the disease and improper treatment, strong defects of the skin remain: scars, depressions, bumps, spots. Eliminating such a negative consequence is difficult, and sometimes impossible. Therefore, it is better to start acne therapy at an early stage of its manifestation and carry out under the supervision of a doctor.

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