Generally yes
1. Acne, also known as acne, is a chronic inflammatory skin disease of the pilosebaceous unit. It mainly occurs in teenagers and has a negative impact on the psychological and social health of teenagers. The impact is great, but it can often be relieved or cured naturally after puberty. The clinical manifestations are characterized by polymorphous skin lesions such as comedones, papules, pustules, and nodules, which commonly occur on the face.
2. Cause: The occurrence of acne is closely related to factors such as excessive sebum secretion, blockage of pilosebaceous gland ducts, bacterial infection, and inflammatory reaction. After entering puberty, the level of androgens, especially testosterone, in the human body increases rapidly, which promotes the development of sebaceous glands and produces a large amount of sebum. At the same time, abnormal keratinization of the pilosebaceous gland ducts causes blockage of the ducts, obstruction of sebum discharge, and the formation of keratin plugs, which are micro-acne. A variety of microorganisms, especially Propionibacterium acnes, multiply in the hair follicles. The lipase produced by Propionibacterium acnes decomposes sebum to generate free fatty acids, and at the same time chemoattracts inflammatory cells and mediators, ultimately inducing and aggravating the inflammatory response.
3. Daily care
Wash your face with warm water once or twice a day to clean the skin. Avoid squeezing or scratching the skin with your hands. Avoid using oils, powder cosmetics and ointments and creams containing glucocorticoids.
4. Common methods of treating acne
(1) Topical retinoic acid (retinoic acid cream, adapalene gel, tazarotene gel) ), benzoyl peroxide, antibiotics (clindamycin, erythromycin, chloramphenicol, etc.), azelaic acid, sulfur lotion, etc.
(2) Tetracyclines (minocycline, doxycycline, etc.) are the first choice for oral antibiotics, followed by macrolides (erythromycin). Avoid antibiotics commonly used to treat systemic infections. Such as levofloxacin, etc. The course of antibiotic treatment is usually 6 to 12 weeks.
(3) Oral isotretinoin. For severe acne, oral isotretinoin is the standard therapy and is currently the most effective method for treating acne. The course of treatment aims to achieve a minimum cumulative dose of 60 mg/kg.
(4) Anti-androgen treatment, such as oral contraceptive compound cyproterone acetate tablets, is suitable for female patients with moderate to severe acne and symptoms of excessive androgen levels (such as hirsutism, seborrhea, etc.) ) or polycystic ovary syndrome. Female patients with delayed-onset acne and significant exacerbation of acne before menstruation may also consider using oral contraceptives.
(5) Oral glucocorticoids are mainly used for fulminant or aggregated acne and follow the principles of short-term, low-dose, and combined use with other methods.
(6) Others For patients who cannot tolerate or are unwilling to accept drug treatment, physical therapy, such as photodynamic therapy (PDT), fruit acid therapy, laser therapy, etc., can also be considered.