Burt'S Bees Acne Solution Kit! Danielle Houghton, an aspiring musician in their own late teens, thought acne was all about when someone got pimples after which spent a lifetime worrying about them. That was until she sported a number of innocent-looking pimples, picked at them, and saw them become cysts in just days. "I can't believe how stupid and uninformed I was," she says, as she considers LASER therapy to aid her do away with one the most virulent types of acne.
Says dermatologist Dr Andrew Waite, "The chief issue with acne is that it is various types might be interrelated, in order that one form results in another, though not at all times. If you're lucky, you may escape with small red eruptions, but when you pick at them or interfere with them at all, you're in trouble."
He's right, you already know. In its most rudimentry form, an acne outbreak occurs when hair follicles are clogged because of dead cells and excess sebum (oil) in the sebaceous glands, and so are infected by acne-causing bacteria. Ordinarily, this means you will experience mild to moderate localized inflammation, redness and slight pain as papules develop.
However, there exists a prequel to the, too. At the very outset, an acne lesion is known as a micro-comedo, as it would be so small that it cannot be seen unless under a microscope. This minuscule eruption may develop either into 'open' comedo (blackhead) or 'closed' comedo (whitehead). These are most commonly to be found on foreheads and chins. As I said earlier, picking at these lesions may cause them to worsen, as will improper skincare and high humidity.
The common kind of acne described above is recognized as acne vulgaris, which is relatively easy to help remedy, with over-the-counter medication that uses benzoyl peroxide, which can be extremely effective within the of mild to moderate acne vulgaris.
The next stage receives a little nasty. Depending on its size, and on whether it is "inflammatory" or "non-inflammatory", a papule (basic acne lesion) may become a pustule (horrible-sounding word!) or perhaps a nodule (better-sounding but nastier, really). Pustules are brimming with pus and often located on the skin's surface, whereas nodules are larger, firmer, and located underneath the skin.
"You know you're in real trouble," says Dr Waite, "When you start out to see nodules." Nodulo-cystic acne breakouts can be the worst kind of acne there is, since the infection spreads underneath the skin to adjoining tissue. Typically, the infected area is severely inflamed, excruciatingly painful, and difficult to take care of. Worse still, even if your nodules have disappeared as a result of strong medication, nodulo-cystic acne leaves deep, ugly scars.
"Most commonly," says Acne Treatment expert Louisa Craig, "People develop nodulo-cystic acne because of squeezing their acne papules, not realizing the damage they are causing."
Between the years of 30 and 60, plenty of people, a majority of them women, and of Celtic descent, develop acne rosacea. Most commonly, the affliction causes redness and bump-like formations o the face. However, it's not quite acne, though is comparable in appearance. In its severest form, rosacea causes a red lobulated nose (mostly in men), a condition known as rhinophyma.
A rarer form of acne breakouts are seen in newborns, though this usually disappears by itself within several months. Then there's scalp folliculitis, or acne in the scalp, a mix of excess oil, dirt, and sweat.
We've touched the tip of the iceberg here. For a fuller discussion of the varieties of acne, see the article on acne vulgaris.
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