Acne

The Problem

Acne affects teenagers almost universally. While most cases will resolve over time, some acne may leave severe physical and psychological scars. Fortunately there is a wide range of treatment options, and acne of any severity can be effectively managed and usually cured.  Poorly managed acne may produce problems that last a lifetime

Are there different types of acne?

Dermatologists define a variety of types of acne lesions.  Identify the type of acne and whether it is scarring is very important to select the appropriate management.  Types include:

• comedones- both open and closed
• papules (red bumps) and pustules
• nodules (deep lumps)
• cysts
• scars, excoriations and pigment marks

Can acne be associated with other problems?

Sometimes there may be a more complex problem.  Special treatment will be needed if there is coexisting:

• polycystic ovary syndrome
  this is a relatively common hormone imbalance seen in females pausing irregular periods, acne and sometimes hirsuitism (excessive hair growth on the face) it is important to diagnose and treat this.
• Excessive excoriation (scratching of acne spots}
• eczema related to irritation from topical acne products or overwashing
• rosacea, fungal infection or other skin problems

A dermatologist is most qualified to diagnose and successfully treat these more complex cases.