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.

Table of Contents

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:

Increase Sebum Production

Overactive sebaceous glands can clog pores.

Presence of Bacteria 

Cutibacterium acnes can multiply in clogged pores, causing inflammation

Inflammation

Follicular Epidermal Hyperproliferation

Others causes:

Lifestyle Factors

Diet, stress, and certain skincare products may exacerbate acne

Hormonal Changes

Increased androgen levels during puberty, menstruation, or pregnancy can trigger excess oil production.

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 

Cleanse Gently

Wash your face twice daily with a gentle, non-comedogenic cleanser to remove excess oil, and makeup. Avoid harsh scrubbing, which can irritate the skin.

Moisturize Regularly

Use a lightweight, oil-free moisturizer to keep your skin hydrated and balanced.

Choose Non-Comedogenic Products 

Opt for skincare products labeled as non-comedogenic to prevent clogged pores.

Hands Off Your Face

Avoid touching your face frequently to minimize the transfer of bacteria and irritation.

Healthy Diet

Eat a balanced diet rich in fruits, vegetables, and whole grains. Limit high-sugar and high-dairy foods that may trigger acne in some individuals, but not all.

Protect Your Skin

Apply a broad-spectrum sunscreen daily to prevent sun-damage skin and reduce acne scars.

Stay Hydrated

Drink at least 8 glasses of water to flush out toxins and maintain healthy skin.

Manage Stress

Practice stress-reducing activities like yoga, meditation, or exercise, as stress can exacerbate 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.