 health servic - univers waterloo http healthservic uwaterloo html file localhost d itu web 20mine project uw-can-data webdata servic html file localhost d itu web 20mine project uw-can-data webdata hour html file localhost d itu web 20mine project uw-can-data webdata emerg html file localhost d itu web 20mine project uw-can-data webdata insur1 html file localhost d itu web 20mine project uw-can-data webdata appoint html file localhost d itu web 20mine project uw-can-data webdata staff html file localhost d itu web 20mine project uw-can-data webdata topic html file localhost d itu web 20mine project uw-can-data webdata link html file localhost d itu web 20mine project uw-can-data webdata event html acn acn chronic inflammatori diseas involv skin site hair origin - hair follicl - sebac gland acn life-long process start preadolesc year howev adulthood elderli peopl area face neck upper chest shoulder acn sex male femal at ag 18 acn frequent men women beyond ag 23 common women the sever inflammatori form acn men ag scar rare occur femal lesion manipul patient how acn origin? the increas product hormon androgen puberti trigger higher product sebum sebac gland skin the sebum natur subtract bacteri growth allow bacteria increas dramat number propionibacterium acn p acn the sebum transform p acn free fatti acid chemic produc inflamm process the combin increas androgen pro-inflammatori chemic higher cohes epiderm cell pore area form pimpl characterist lesion acn there close open pimpl close pimpl close pore tini plug an open pimpl blackhead close pore larger follicular plug blackhead dirti the dark colour increas skin pigment sebum contact oxygen air the plug pore swollen inflam pimpl minor major proport the leakag follicl surround skin produc inflamm creat lesion acn cyst pustul abscess the hypersensit inflammatori process caus p acn greatest individu genet predisposit in problem gene the combin gene person height hair colour ey skin type in earli adulthood androgen level declin slowli thi fact contribut resolut acn adulthood period some updat studi defici vitamin pantothen acid basic acn what symptom? there there pain itch mild sore rare fever inflamm pain joint diagnost test bacteri cultur exclud gramneg follicul infect produc bacteria p acn hormon test excess androgen suspect skin biopsi differenti acn diseas doe acn complic? ye acn treat the complic cyst format big hard deep close pimpl sever scar psycho-social impact what acn treatment? the earli treatment prevent complic the acn treatment depend type lesion sever acn no patient ident acn time treatment do diagnosi treat acn the correct treatment prevent perman scar most acn treatment take 6 8 week benefit diet - acn occur result food howev food aggrav acn sens avoid in femal acn worst pre-menstrual cycl long time sun exposur aggrav acn do abandon treatment doctor indic acn dirt wash gentli dai mild soap water do rub scrub wash it recommend avoid exposur oil greas topic treatment in sex acn adult respond well treatment topic treatment includ topic antibiot topic retinoid tretinoin iso-tretinoin benzoyl peroxid azela acid sulphur salicyl acid system treatment most time system treatment oral therapi reserv case moder sever inflammatori acn in case combin topic oral treatment indic oral treatment includ isotretinoin antibiot tetracyclin erythromycin clindamycin sulpha hormon therapi oral contracept corticoid adult femal hormon abnorm acn respond convent treatment notic effect agent destroi pimpl tretinoin retino acid accutan-tm also power teratogen extrem high risk seriou fetal malform do share medic femal friend suffer acn what over-the-counter otc acn treatment? otc agent topic most low-concentr benzoyl peroxid other otc mild dry keratolyt agent remov deposit dead cell skin otc agent help mild acn thei inexpens easili access cream gel lotion soap all skin irrit treatment do acn scar treatment? ye howev requir hand-on clinic train most peopl develop scar acn discolor disappear time avoid sun exposur your dermatologist select best treatment acn scar what psycho-social impact? peopl psycho-social problem acn treat psychologist case psychiatrist some psycho-social impact decreas self-esteem self-confid problem bodi imag embarrass lead social withdraw depress anxieti anger preoccup acn confus frustrat treatment limit lifestyl difficulti famili member rememb acn disord treat dismiss trivial pure cosmet physic well-be treat last updat april 03 2001 thi maintain castrom uwaterloo chri strome http uwaterloo web-doc uw infoserv copyright html copyright univers waterloo http uwaterloo 