PORE DECISIONS: Dealing with Acne Vulgaris

By: Dianne Desacada, MD, Dermatologist 

Summary

Discover what acne vulgaris is, how to manage it effectively, and why self-medication should be avoided.

What is Acne Vulgaris?

Acne vulgaris (AV) is a common skin condition that affects people of all ages, especially during adolescence. It occurs when hair follicles become clogged with oil, dead skin cells, and bacteria, leading to inflammation and the formation of pimples, blackheads, whiteheads, or nodulocystic lesions.


Main factors contribute to acne, including:

Others causes:

Skin findings:

Acne typically appears on the face, chest, back, and shoulders characterized by noninflammatory

comedones (open or closed) and inflammatory lesions (red papules, pustules, or nodules)

Tips for Preventing Acne 

Why You Should Avoid Self-Medication for Acne 

Risk of Worsening Skin Condition

Using the wrong products or treatments can irritate the skin, leading to more severe acne or complications like scarring.

Possible Allergic Reactions

Over-the-counter products may contain active ingredients that could cause allergic reactions or sensitivity that may cause unwanted pigmentations.

Delay in Proper Treatment

Self-medication can delay accurate diagnosis and effective treatment, prolonging the condition.

Risk of Resistance

Misuse of antibiotics for acne can lead to bacterial resistance, making future treatments less effective.

Underlying Conditions

Acne may sometimes be a sign of underlying issues like hormonal imbalance, which requires professional medical attention.

Tip: Always consult a licensed dermatologist for a proper evaluation and personalized treatment plan. They can guide you on safe and effective options to manage acne. Your skin deserves expert care!

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References

1. Acne: Tips for managing. (n.d.). American Academy of Dermatology. Available at: https://www.aad.org/public/diseases/acne/skin-care/tips. Accessed November 29, 2024.


2. Kang, S., & Leffell, D. J. Fitzpatrick’s Dermatology, 9th ed. 2019.


3. National Institute for Health and Care Excellence (NICE). Overview | Acne vulgaris: management | Guidance | NICE. Published June 25, 2021. Available at: https://www.nice.org.uk/guidance/ng198. Accessed November 29, 2024.


4. Reynolds, R. V., Yeung, H., Cheng, C. E., Cook-Bolden, F., Desai, S. R., Druby, K. M., Freeman, E. E., Keri, J. E., Gold, L. F. S., Tan, J. K., Tollefson, M. M., Weiss, J. S., Wu, P. A., Zaenglein, A. L., Han, J. M., & Barbieri, J. S. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2024;90(5):1006.e1-1006.e30. doi:10.1016/j.jaad.2023.12.017.