ACNE AND ECZEMA

ACNE

There are many different types of acne. Classically acne is classified as comedonal (blackheads and whiteheads), inflammatory (red bumps and pus bumps) and cystic (superficial and deep nodules). Generally these subtypes occur in combination affecting the face, chest and upper back. This occurs most often during adolescence but can be seen at other times in life. Clogged pores are the main cause for acne and result from increased oil production in the skin. The increase in oil production is most frequently associated with an increase in hormones which is why acne is commonly seen in teenagers. In addition to clogged pores, inflammation is a major component of acne and its potential to scar. The inflammation is often associated P. acnes, common bacteria found on the skin.

Acne treatment should be designed to target the type of acne the patient has (comedonal, inflammatory or cystic) and the major causes of that acne. For many patients topical therapy is appropriate but often a combination of topical and oral therapy (including antibiotics) is required to achieve the desired response. Rarely, a patient may require treatment with isotretinoin (formerly known as accutane) in order to reduce the risk of scarring and provide a sustained response for the patient.