Dyshidrotic Dermatitis - Prevention Tips and Treatment Methods

October 30th, 2008 by admin

Dyshidrotic Dermatitis - Prevention Tips and Treatment Methods

Dyshidrotic dermatitis, also known as pompholyx. It is a skin condition and characterized by small blisters on the hands or feet. About 8 to 25 percent of people worldwide have atopic dermatitis (eczema). It often occurs in people who have other allergic disorders. Dyshidrotic dermatitis often appears during times of stress. Hereditary factors appear to play a strong role. In children, eczema is often linked to food allergies. Common food allergens include milk, egg whites, wheat, corn, soybeans, and peanuts. Symptoms of dyshidrotic dermatitis include blisters may itch, cause pain, or produce no symptoms at all. Scratching blisters breaks them, releasing the fluid inside, causing the skin to crust and eventually crack. Fluid from the blisters is serum that accumulates between the irritated skin cells. Nails on affected fingers, or toes, may take on a pitted appearance. Blisters are opaque and deep-seated; they are either flush with the skin or slightly elevated and do not break easily. Females tend to develop dyshidrotic dermatitis more frequently than males. Smoking as well as taking aspirin or an oral contraceptive increases the risk. Most attacks resolve spontaneously within 1-3 weeks, but since the rash can be intensely itchy. Medications may be used to speed healing or control the itching. Nutritional deficiencies may be related, so addressing diet and vitamin intake is helpful. Oral steroids occasionally are used to treat a flare of chronic eczema.Plantain (Plantago major) infused in olive or other oil can be soothing. Wear waterproof gloves while peeling and squeezing lemons, oranges, or grapefruit, peeling potatoes, and handling tomatoes. High strength topical steroids are often used to control itching. Ultraviolet light therapy (phototherapy) can effectively control atopic dermatitis. Avoid Purell and other hand sanitizing products which contain alcohol. Wash affected hands and feet with cool water and apply a moisturizer as soon as possible. Protect the skin from further injury. Using gloves to protect the hands from irritants and allergens. The topical antifungal cream ketoconazole appears to be as effective as topical steroids for the treatment of seborrheic dermatitis. Dyshidrotic Dermatitis - Prevention and Treatment Tips 1. Topical medication, such as pramoxine, can help relieve pain and itch. 2. Avoid Purell and other hand sanitizing products which contain alcohol. 3. Aluminum chloride 20% (Drysol) may help in cases made worse by sweating. 4. Ciclosporin a strong immunosuppressant drug used to combat dyshidrosis caused by ulcerative colitis. 5. Avoid metal computer keyboards and track pads which contain nickel. 6. Apply the dampened fabric to the affected skin. 7. Efalizumab (Raptiva) a medication used to treat psoriasis.

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Cradle Cap: Some Easy Treatment

October 30th, 2008 by admin

Cradle Cap: Some Easy Treatment

One of the commonest neonatal diseases that are seen in case of almost half of the babies is cradle cap. It is marked by crusty, scaly, greasy spots. It generally occurs after two to three months of the birth of the baby and is prominent around the ear, the eyebrows and the eyelids. In some cases, it also occurs in the other part of the body. It is not infectious and do not irritate the baby.   In most of the cases, cradle cap remains mild and does not take any serious turn. However, there is every possibility that the skin condition may take an ugly turn, if it is not taken care of properly and left unnoticed. With a number of easy and cheap remedies available, it is not at all necessary for parents to be worried about treating the disease. In addition to the commercial lotions, some easy homely remedy is also there for it.   Oil can be a good means of curing cradle cap. Any kind of oil (vegetable or chemical) can be used profusely on the affected area and left for a few hours. After some hours, when the scales become greasy, one can brush them off something very soft. While brushing off the oily scales, special care should be taken so that the scales may go away but the affected area is not disturbed.   Apart from oil, there is another very easy remedy for cradle cap in the form of shampoo. Some mild shampoo can be mixed with water in good proportion and used to wash the affected area. Special care is necessary in this case also as using shampoo that has hard detergent in it may cause harm to the disease. Without taking the trouble of curing the disease in this way, commercial lotions can be used to control and cure it easily.             

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Anti-Aging Yoga

October 29th, 2008 by admin

Anti-Aging Yoga

Yoga is one of the most effective ways to make you look and feel younger and can add years to your life with better health, strength and flexibility.Yoga is suitable for all ages and all health conditions and almost everyone will get some positive benefits from doing yoga on a regular basis.Yoga is one of the most effective methods of reducing stress, along with meditation and anything that will reduce the effects that stress can have on your mind and body will make you look and feel younger.There are various different types of yoga and you can choose the one that suits your needs the most from the simplest exercises that will help you to relax to the advanced exercises that will help you get a toned body and help to wind back the years.Yoga helps to improve your blood circulation and that will make your skin condition look and be healthier. Even certain inverted exercises will increase the blood flow to the scalp and this can assist with the reduction of hair loss in some people.Increased flexibility will help to reduce muscular and joint pain and a reduction in pain can help with a reduction of frown lines that are common with people who suffer from constant pain.Yoga helps the digestive system and this will help to get the maximum benefits from the food that you eat and in doing so improve overall health and nutrition which will be reflected in good skin condition.By bringing about a balance in both mind and body yoga can do more for the aging process than a hospital full of surgeons. You should consider trying it as it can be done freely at home without the cost of gym fees; it is convenient and scaleable according to your fitness levels.

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How To Get Rid Of Acne Scars - Acne Scars Can Have A Lasting Effect

October 29th, 2008 by admin

How To Get Rid Of Acne Scars - Acne Scars Can Have A Lasting Effect

Suffering from moderate to severe acne can be a very agonizing experience. As if that is not enough, things can take a turn for the worse. The fact is, even if the acne disappears over time, sometimes, it is unavoidable to leave behind scars. And no matter what method a person uses, he/she just couldn’t get rid of that unsightly scar.So, the next question is, should I just give up? Or is there anything that can be done to prevent those scars or even get rid of them once they appear?Well, fortunately or unfortunately, the answer is sometimes yes. There are times whereby no matter what you do, you just can’t prevent the scars from appearing.But for now, let’s just focus on the positive. Scars can be avoided if you can prevent them in the first place. First, it is very useful to know what the mistakes you should try to avoid are.For example, there may be a myth that says popping your acne helps. Unfortunately, it doesn’t and may even increase the chances of scarring. You definitely should not attempt to do so. Next, you also shouldn’t try to wash your face too often. About twice per day should be sufficient, unless you are specifically told to do so by a qualified professional or you have special skin condition that requires more washing. Over washing may result in irritation of the skin and once again increase the chances of scarring.If you have already tried your very best to avoid and prevent scars but they still occur, then you might want to try other alternative methods. A point to take note is that sometimes, a scar can appear to be very red and noticeable for the moment, but it is very likely that the scar will fade away given time and become unnoticeable.If that is acceptable for you, then there is no need for any alternative treatment. However, if the scars just wouldn’t fade away or you don’t find them acceptable, here are some alternative treatments that may help:1) Laser treatmentsLaser treatments are usually performed by trained and licensed dermatologists. What happens is that the top layer of your skin is removed, revealing an unscarred, smoother layer. Do note that laser treatment may not work for all types of acne scars. Also, it can take quite some time for your skin to heal.2) DermabrasionLike laser treatment, the top layer of your skin is also removed. A rotating instrument is being used instead of laser. Using dermabrasion, your skin can take a longer time to heal, almost up to 3 weeks to minimize the effects.3) Surgery Certain surgery procedures can also help to treat acne scars. Success is influenced by factors like the types of acne scars you have as well as the severity of your scars.4) Chemical PeelsThis is probably the most common type of treatment being offered. It can be done in a salon and need not be performed by a trained medical professional. However, it is always a good idea for you to ensure that the person performing the task is reliable. Like laser treatment and dermabrasion, the top layer of the skin is also removed, but using chemicals.

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How To Treat Acne With New Ideas by Len Cecchetto

October 29th, 2008 by admin

New Treatments To Treat Acne

If you’re suffering with acne there is hope. Science is working all the time to find new treatments. New acne cures and remedies are always being researched. This is good for anyone who suffers with terrible affliction, because with science persuing what causes acne and how to get rid of it…you’ll be happy knowing that there will be new treatments coming out all the time. If you have acne, you ‘ re not alone. An estimated $100 million bequeath be spent this year by nation looking for an acne treatment that really factory. A major measure of that amount leave earnings for over the counter acne treatment cremes, lotions, soaps and ointments.

Pimples, blackheads, whiteheads, zits - whatever you entitle them, they ‘ re one of the main symptoms of acne, a illness that affects the oil glands in your skin and causes eruptions and lesions that can affect your facade and your self - confidence.

If you suffer from acne, don t worry, there are good cures for this skin condition. If the cause of acne has been determined, a solution is certain. With science constantly looking for ways to cure acne, you can rest easy knowing the experts are coming up with the best remedies all the time. Anyone with or who has had acne can tell you, how many times a day they’ve cleaned their faces with anti-bacterial facial wash and still faced new pimples the next day.

The real and main causes of acne are hormone imbalance, water retention and toxins. Let’s talk about hormones. Hormones are chemicals that are produced by glands in the body and circulate in the bloodstream that control numerous body functions including sebum (skin oil) production and regulation. The hormones that are responsible for acne are called androgens. This is because androgens stimulate the sebaceous glands (glands in the skin that secrete oil to the surface of the skin.)

Here are some natural remedies

If you’re looking for a natural remedy for your acne, then how about ‘Tea Tree Oil’. A native of Australia, the native Aborigianals have been using this powerful antibacterial for thousands of years. Just dab a bit on and watch your spots disappear.

Warning: Don’t overuse it or you’ll irritate your skin!! If you’re looking for a natural remedy for your acne, then how about ‘Tea Tree Oil’. A native of Australia, the native Aborigianals have been using this powerful antibacterial for thousands of years. Just dab a bit on and watch your spots disappear.

Warning: Don’t overuse it or you’ll irritate your skin!!

Some natural cures

In order to cure your acne you must to be able to get your hormones into synchronism by feeding your body the key nutrients that aid hormone adjustment in the glands and also bolster the liver which is the other hormone regulatory system. Retinol is the form of vitamin A most often worn as an acne treatment. When it’s practical to the skin, it’s a mild irritant that encourages your body to shed old cells and create new ones. It plant on the same principle as many forms of acne treatment that use dermabrasion or laser to exoliate and promote new skin cells.

Many dermatologist now join both retinol and benzoyl peroxide when treating acne. Most often, they’ll prescribe one acne treatment to be worn in the morning and the other at night. In order to cure your acne you must to be able to get your hormones into synchronism by feeding your body the key nutrients that aid hormone adjustment in the glands and also bolster the liver which is the other hormone regulatory system.

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Psoriasis - An Exciting Breakthrough by Adam Jackson

October 29th, 2008 by admin

There’s good news for the hundreds of thousands of people who suffer with psoriasis. Psoriasis is a skin condition characterised by scaly red blotches which commonly appear on the elbows and knees but can affect the entire body including the scalp.

Researchers have discovered a special extract of the plant Mahonia aquifolium contains potent alkaloids that are effective in the fight against Psoriasis, Eczema and related skin conditions. Using the extract in controlled, clinical studies, the researchers went on to demonstrate that Mahonia aquifolium can effectively alleviate symptoms in 4 out of 5 psoriasis sufferers!

So, what is Mahonia aquifolium?

Mahonia aquifolium is widespread in the forests of North America, and is also known as the cultivated plant ‘Mahonia’. It is commonly found in gardens and parks growing as high as 1 - 2 metres with ever-green, leathery pinnate leaves, with a very shiny upper surface and a thorny toothed edge.

It’s yellow buds develop into blue , frost-covered berries which contain a dark-red juice and contain 2-5 shiny seeds. The berries are edible and are used to make wine and brandy. The bark of roots and stems contain alkaloids which have a number of therapeutic properties.

In North American medicine, Mahonia aquifolium has been traditionally used to treat fever, diarrhoea, dyspepsia, gout, rheumatic ailments, kidney and liver diseases, but most prominently for skin complaints. However, only in the last five years have scientists discovered how and why this herbal extract is so beneficial for psoriasis sufferers.

Research

Mahonia aquifolium has been recommended by Medical Herbalists for many years for people suffering from Psoriasis %26 Eczema. It has been applied topically and taken internally and both forms have been shown to be effective.

The first study to attract media attention about Mahonia aquifolium was an open, prospective multi centre trial in 89 dermatological practices in Germany, where 433 patients with subacute and chronic forms of psoriasis were treated with Mahonia aquifolium ointment.

Of the 433 patients who entered into the study, 375 were treated over the planned period of 12 weeks, or dropped out of the study early because of total clearing of the skin, A modified PASI score fell significantly from 5.5 plus or minus 4.0 to 2.3 plus or minus 2.6.

According to an overall evaluation by dermatologists, symptoms improved or disappeared in 81.1% of patients; and according to a subjective evaluation by the patients, 79.7% improved or healed completely. The tolerability of Mahonia aquifolium ointment was evaluated as good or very good by 82.4% of patients.

Significant improvement

There was a significant improvement in the quality of life, which was used as a subjective parameter throughout the study. While 30.1% of patients had significant or severe symptoms at the start, this was the case for only 5.6% after 12 weeks. M. aquifolium ointment is thus a well-tolerated preparation which should find a place in the treatment of psoriasis.

Later, in a multi-centred, randomised, controlled study, 93 patients suffering from mild to moderately severe psoriasis received treatment by either topical application of Mahonia aquifolium ointment or internal ingestion of Mahonia aquifolium extract. At the end of the treatment, significant improvement had occurred in more than 70 per cent of patients in both groups.

More recently, an article published in 2005 in the American Journal of Therapeutics detailed a further three studies all of which confirmed the beneficial effects of Mahonia aquifolium in the treatment of Psoriasis.

The first study was an open-label study to evaluate the safety of Mahonia aquifolium in 39 patients treated for 12 weeks. Assessments made were modified PASI, global assessment, psoriasis history questionnaire, Dermatology Life Quality Index, and Psoriasis Disability Index. The results revealed a statistically significant improvement in PASI score and Dermatology Life Quality Index after just four weeks of treatment.

The patients were followed up a month later and the positive outcomes were shown to have continued.

In the second study, a clinical trial involving 32 patients with mild to moderate bilateral psoriasis treated up to 6 months. One side of the body received Mahonia and the other standard psoriatic treatment (eg, Dovonex cream). The primary outcomes were patient ratings of the Mahonia-treated side alone and the comparison between treatments received on each side of their body.

The results revealed that eighty-four percent of patients rated the Mahonia-treated psoriasis as ‘good to excellent’ response. When compared with standard treatment, 63% of patients rated Mahonia aquifolium ‘equal to or better’ than the standard psoriatic treatment.

Improvement with ONE week

Study 3 was an observational study of 33 patients with mild to moderate bilateral psoriasis treated for a one month period. The results showed improvement in psoriasis after just one week of treatment. The side treated with Mahonia did as well or better than the side treated with the vehicle cream.

The report concluded that results from all three clinical trials are in agreement with published data that include placebo-controlled studies. Taken together, these clinical studies conducted by several investigators in several countries indicate that Mahonia aquifolium is a safe and effective treatment of patients with mild to moderate psoriasis.

Conclusion

Mahonia aquifolium offers real hope to thousands of Psoriasis sufferers and is, without doubt, the safest %26 most effective herbal psoriasis treatment available. No other controlled studies (even those using corticosteroids) have produced such outstanding results. And, of course, the added benefit of Mahonia Aquifolium is that it is a completely natural, herbal preparation, and unlike steroids, has no major adverse side effects. The leading %26 original brand of Psoriasis products containing Mahonia aquifolium is called ‘M-Folia’ and is available from http://www.taylor-jackson.com.

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A Juice Machine Can Change Your Life

October 28th, 2008 by admin

A Juice Machine Can Change Your Life

For years I would hear from people that had juice machine all of the wonderful things that they could do for your health. They said that it would give me more energy, improve my immune system, improve my psychological well being,and do all sorts of other wonderful things for my body.Since I recently received my very own juicing machine, I have to admit that I have experienced a great sense of wellness and well-being. It’s not only due to the health advantages of the freshly made vegetable juices I’ve been drinking. It’s also caused an extreme and noticeable lessening of mental stress and anxiety which I’d experienced prior to using it. That is, the mental stress bought on by departing with my well earned money to buy the ever more expensive fresh juices in restaurants, health stores, and juice bars.I started using my juicer to create my own interesting and sometimes weird concoctions and combinations. Wheatgrass and ginger to cleanse the lymph system and build up the blood. Barley grass and tomatoes for their high anti-oxidant values. My own original beet, celery, and ginger combination. And many more.Before buying my juice machine, I was really beginning to feel exploited by the juice bars charging as much as five and seven dollars for a few carrots, a stalk of celery, an apple, and some honey through their industrial juicer.In many ways I am not that health-conscious, but I really love freshly squeezed juice. I grew up without a juicing machine, and I remember that many of the bottled drinks at the time advertised that they were “made with real fruit juice”, but in reality they were sugar water with only enough “real fruit juice” in them to give the drinks a hint of the taste of the original fruit.I was also not the healthiest of children. I had asthma and shortness of breath. I was moody, distracted, and had serious problems with attention and concentration. When I reached puberty, my skin condition went from bad to worse. I had pock marks, pimples, and acne and was embarrassed to go out.It wasn’t until I discovered “real” juice in my early twenties, that I became aware of just how much what I ate and drank affected my over all health. My girlfriend was a health addict and, if I remember correctly, had a “Jack Lallane” juicing machine which she used religiously every day. And through her own persistence, she got me hooked on juicing as well.It took me a while to get used to the taste and concentrations of some of the stranger juice concoctions that she came up with. But I noticed almost immediately, within a two-week period, the drastic difference in my energy levels and the clearness of my skin.Now, even though I have my own juicing machine, I no longer juice every day, as my schedule doesn’t permit it. But I do it as often as I can. I just wish I had started sooner.

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Eating Well for an Acne-Free Skin

October 28th, 2008 by admin

Eating Well for an Acne-Free Skin

Acne is a common skin condition that generally develops in puberty and in many cases in adult people as well. Sometimes it can still be present in sufferer’s thirties and forties.

Acne can appear not only on the face, but in the body and back as well. Acne can result in scarring if it’s not properly treated.

A careful research revealed that food and diet can affect acne episodes in many patients. There are many patients that keep trying different acne treatments, ranging from creams to antibiotics, but they can’t get a satisfactory result. Several acne products, including popular remedies, are useless. In fact, some of these remedies make people feel sick instead of being a good acne cure. But these acne patients also have natural remedies as an option to think besides such medications. There is a link found between acne and some types of food which can negatively affect and increase acne severity. Inflammation is an important component of acne, and some foods that cause acne can certainly influence inflammation.

Food that can worsen your acne condition

Do not take excess amount of processed flour, fruit juices, baked goods, sugar, sweets, and trans or hydrogenated fats. If you eat breads, chips, cakes etc on regular basis then you are likely to promote acne. Do not take excess amount of almonds, Brazil nuts, walnuts, and other nuts. Studies show that peanut butter and peanuts sometimes exacerbate acne episodes in some patients. Do not take excess amount of milk products, including ice cream and cheese. Studies show that whether you take milk was skim, low fat or whole, there is an association between acne and milk consumption. This happens because there is a high amount of hormones produced in the cows’ milk. Do not take excess amount of vitamin E supplements. Studies show that some patients notice acne pimples after taking vitamin E. The relationship between vitamin E and acne is still uncertain. In few patients, acne worsened after very large intake of B vitamins.

Don’t loose your hope. There are other aliments that can help you; you should increase the intake of foods that may improve and even clear acne. Such foods include fish like halibut, salmon, tuna, and sardines. These can produce the same results than a good natural skin treatment. Increase the intake of vegetables, preferably organic. Try a variety of vegetables instead of just few ones. The combination of vegetables and fish can be the best meal from the point of view of improving health and acne. Finally, drink a lot of water. Drinking at least 8 glasses of water can keep you safe from bowel diseases and acne.

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Anti Cellulite Treatment Types and Recommendations

October 28th, 2008 by admin

When looking for any anti-cellulite treatment, the most important thing you need to do is to familiarize yourself with what cellulite actually is and how it exists in the first place. How does cellulite happen? When the body reaches a certain level where a lot of fat is trapped in the body, the skin tends to dimple. The unsightly outcome is what we know as cellulite.Cellulite actually builds up in the subcutaneous, or superficial layer of the skin. Fat cells may expand and stretch when there is a lot of water retention. When the skin is stretched enough, it will eventually lose its flexibility. This means some parts of the skin will be held down while others stick out in lumps. And we all already know what this means: cellulites! This probably birthed the new terms for cellulite, such as cottage cheese and orange peel.Weight - Because cellulite has a lot to do with fat cells, it has been said that obesity or being overweight opens more doors to the development of cellulite. However, anyone can get cellulite simply because as humans, we all store fat. It is just all in the matter of how much fat is stored in the body. For instance, lesser men are troubled with cellulite simply because men are built differently and tend to store fat in smaller quantities compared to women. Cellulite has a number of causes, including hormonal change, lack of physical activity, insufficient water consumption and aging.Diet And ExerciseFood Diet - A healthy diet is known to slow down the accumulation of cellulite. A tip is to drink lots of water, about 8 to 12 glasses a day. This will help you keep your body hydrated. Avoid processed foods, alcohol, smoking and over-medication. Minimizing salt consumption is also said to be helpful in the prevention of cellulite build-up, because salt itself triggers water retention. Fiber washes away toxins, giving you better skin condition. And of course, regular exercise will help you burn fat and therefore prevent cellulite.SurgeryAnother method for getting rid of cellulite is surgery. However, there are some things you need to consider first. Liposuction is a popular method in getting rid of cellulite and excess fat in general. The downside of surgery is that it is expensive and still does not guarantee you successful results. In fact no type of plastic surgery to date is known to totally remove cellulite. A reduction is possible though (note the word “possible”). Surgery also poses some risk.SupplementsSupplements can also help. They are known to have some influence in treating cellulite. However, it is often advised to take supplements alongside another anti-cellulite method for them to be effective. There are algae supplements you can take, as algae is known to help reduce cellulite. Be warned though that there could be some bodily reactions to the cleansing agents of certain supplements-this is all in the matter of how you can take side effects.MassageMassage has been used to encourage relaxation, free tension and improve circulation and lymphatic drainage. There are certain massage techniques that could specifically minimize lymphatic problems that eliminate the build-up of fluid. However this has shown to have an inconsiderable effect on cellulite. It is being theorized that the kneading of skin alongside lymphatic drainage may smoothen out soft tissues and get rid of extra fluid, thus resulting in the reduction in the appearance of cellulite.Heat - Massaging in general has also been known to generate a bit of heat, which is known to dissolve or “melt” fat cells that cause cellulite. In the end though, massage only has a bit of influence in eliminating cellulite, and therefore should be used with other methods for more effectiveness.

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New Treatments Strategies for Acne

October 28th, 2008 by admin

New Treatments Strategies for Acne

Acne vulgaris is the most common skin condition encountered by physicians, and it affects an estimated 17 million people in the United States. Within the last few years, several new agents for the treatment of acne have become available. This review provides a brief discussion of the pathophysiology of acne, principles for successful management, and an overview of existing therapies. This is followed by a discussion of the new antiacne agents and how they fit into a successful acne treatment strategy.ACNE, ITS PATHOGENESIS, AND TREATMENT GOALSAcne vulgaris is a multifactorial disease affecting the pilosebaceous follicles. It arises from the interplay of 4 pathogenic factors: sebum production, follicular hyperkeratinization, microbial colonization of the pilosebaceous unit by Propionibacterium acnes, and the release of inflammatory mediators into the follicle and surrounding dermis. Acne begins in the prepubertal period, when increased amounts of adrenal androgens cause enlargement of the sebaceous glands and increased production of sebum on the face, chest, and back.The resulting follicular obstruction by the combination of sebum and desquamated epithelial cells causes the formation of a microcomedone, the precursor lesion of acne. This is also a suitable environment for the proliferation of P acnes, an anaerobic diphtheroid that colonizes sebum-rich follicles and uses lipids found in sebum as a nutrient source. Lipases released from P acnes hydrolyze sebum triglycerides into free fatty acids, which are an irritant to the follicular wall and the surrounding dermis after follicular rupture. P acnes also release chemotactic factors and proinflammatory mediators that contribute to the observed inflammatory response. The clinical results of these pathophysiological events include noninflammmatory open (blackheads) and closed comedones (whiteheads), as well as inflammatory papules, pustules, and nodules. Although acne is not a life-threatening disease, it has significant physical and psychological ramifications such aspermanent scarring, poor self-image, social inhibition, depression,andanxiety.STRATEGIES FOR SUCCESSFUL ACNE MANAGEMENTPatient FactorsSuccessful management of acne requires careful patient evaluation followed by consideration of several “patient factors” and “medication factors” in choosing a particular therapeutic regimen. Most patients have a mixture of noninflammatory and inflammatory lesions. The predominance of one type, along with the number of lesions, plays a role in determining acne severity. In addition, other factors to be considered include age, skin type (dry, oily, or combination), coexisting conditions, patient motivation, lifestyle, menstrual regularity and premenstrual flareups, evidence of hirsutism, effect of acne, and potential therapies on the patient’s quality of life. If the patient is taking birth control pills, it is important to determine the brand, as certain formulations contain agents (eg, androgenic progestins) that may provoke acne.

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