Acne
Of chronic skin diseases, affecting about 90% of both sexes before the age of twenty-skinned fatty particular areas of the face, chest and back
And can affect other age groups for example, 7% of persons aged 28-40 years suffer from acne.
Endocrine disease poetic fatty Pilosebaceous glands
Be an increase in the patient's lipid excretion (seborrheic) seborrhea
Response caused by abnormal levels of Alvezologip (natural) for the hormone androgen (male sex hormone).
The rash appears in the form of capital (Zwnat) Black heads and black heads (Zwnat) White heads and white papules (small grain slightly elevated "above the surface of the skin) Papules and pustules Pustules and nodules (such as the love of hummus or olive) Nodules
Be rash, facial and trunk (upper chest and back).
May lead to permanent scarring
Differential Diagnosis: suspected of acne with the following diseases:
- Rose (pink counting) Rosacea
- Inflammation of the skin around the mouth Perioral Dermatitis
- Eczema fatty (sebaceous) Seborrhoeic eczema
Papules and pustules
Nodules
Capital (Zwnat) and black heads (Zwnat) white

The treatment of acne (acne) Acne
Natural increase in the production of androgen (male hormone) in adulthood and that some patients Zhmip glands (sebaceous) sebaceous glands are highly sensitive to natural levels of androgens.
The causal factors of youth and love, which could be prevented by treatment are:
- Increased secretion of sebum sebum.
- Channel lock poetry sebaceous
- The incidence of non-aerobic bacteria and the bacteria known as Propionibacterium young love propionibacterium acnes.
- For inflammation.

It must also be the primary objective is to improve the appearance of the patient and prevent scars. And the search for a cure should be acceptable to all patients.
The topical treatment of acne suit light and medium, while severe cases require the use of oral medication (taken orally). Also, some places such as the back is difficult to treat topical medicines.




Acne treatment depends on the following:
- Often the kind of lesions (grain).
- Infected premises.
- The severity of the situation.
- Are there any scars or not.
- The desire of the patient in treatment.

Local treatment of young people love

To select the most appropriate local treatment, we know whether it is the dominant pest Zioan Comedone inflammatory or inflammatory. Benzoyl peroxide is benzoyl peroxide topical treatment ideal love of youth, it addresses all the inflammatory lesions and Alzewan. Benzoyl peroxide causes irritation and may cause the white hair and clothing can be overcome by the gradual increase in excitability of the force with the use of Benzoyl peroxide creams refreshing (Emollient) emollients. Must be the first to use Benzoyl peroxide for 15 minutes and then gradually increase the time of use in times to come.

Acid is Alazeljk azelic acid substitute for Benzoyl peroxide, which is less Thaija, and more expensive and sometimes may cause photosensitization photosensitivity. It may be useful in cases of increased pigmentation.

* Topical antibiotics

The topical antibiotics aesthetically acceptable way to treat inflammatory acne. One of the most vehicles and a description Alklndamaysin Erythrocin clindamycin and erythromycin.
In spite of the use of topical antibiotics to protect against systemic side effects of systemic side effects of oral antibiotics, however, it may lead to the emergence of bacterial resistance to bacterial resistance. The inclusion of local and Erythromycin with Benzoyl peroxide or zinc zinc reduces the emergence of bacterial resistance.


To reduce bacterial resistance, we should:
- Non-use of several topical antibiotics combined with another oral.
- Use the same effective antibiotic for the same patient for periods of time.
- Lack of continuity in the use of the antibiotic for a longer period of time necessary.




Retinoids (vitamin A derivatives) Topical Topical retinoids
Topical Retinoids are very useful when they are to prevail Ziouani comedones. Irritation may occur with topical Retinoids, especially during the beginning of treatment. Optical sensitivity may be another problem, but can be overcome on the presentation side of the treatment to limit the use of the evening.
The addition of the antibiotic Rtnoiid Modaien is useful for those patients who do not want to take oral treatment
Local treatment of young people love

Topical treatment for acne
Local treatment
Characteristics
Disadvantages
Benzoyl peroxide
Benzoyl Peroxide
Treatment is essential, but
May not be aesthetically acceptable
Thrash
Acid Alazeljk
Azelic acid
Less than Thaija
Benzoyl peroxide
Expensive
Antibiotics
Antibiotics
Acceptable, and perfect for the inflammatory lesions
Bacterial resistance
Retinoids
Retinoids
Effective against Alzewan
Thrash
Fixtures
Combinations
More effective and resulted in less bacterial resistance
Considered a panacea to all sort

* Oral antibiotics Oral antibiotics

Oral antibiotics are the mainstay for the treatment of moderate acne. Given with the addition of topical treatment, and is usually is Benzoyl peroxide.

Altaatraseklin tetracycline is usually given a dose of 500 mg twice a day for half an hour before eating. Must be given this drug for six months, but it can reduce the dose after three months if there were side effects. The problem is the disruption of the normal digestive system. If there has been no improvement in acne after 3 months may be bacterial resistance is the cause of the problem and then advised to change the antibiotic may also improve the patient to stop taking the antibiotic for two weeks (medical leave) during the long periods of treatment because this may reduce the level of resistance of bacteria Propionibacterium. The patient must continue to use Benzoyl peroxide topical during the cleaning "Wash out" of this.
Altaatraseklin should not be given to pregnant women and children under 12 years old, because the dye may Altaatraseklin emerging teeth have come in the composition of the bone.
Alarthuromaysin that erythromycin does not cause these problems, therefore, some doctors used as a preliminary first-line patients, but bacterial resistance to this drug has become a real problem and must be given the same dose Erythrocin Altaatraseklin.

And that could interfere (overlap) of oral antibiotics on an interim basis with the absorption of contraceptive pills vehicle (double) Combined oral contraceptive pill must be taken more cautious for a few weeks of the start of oral antibiotic use.

Almenuschaelin minocycline is a useful option in the antibiotics for the treatment of acne in order to decrease the proportion of bacterial resistance and could be given once daily. Pigmentation is one of the rare side effects of Menuschaelin. Also, the side effects of Menuschaelin more rare but more serious and this includes pneumonia acid and eosinophilic pnenomonitis Balzob syndrome similar to lupus like syndrome and are reversible Ekosan disappear after the cessation of any use Almenuschaelin.
Itsahb Almenuschaelin with a self-immune hepatitis, autoimmune hepatitis.
Pigmentations due Almenuschaelin.

Doxycycline Doxycycline is a single dose a day, but the optical sensitivity may be a problem. Trimethoprim Turaimthoprem is a promising drug for the treatment of acne in the future, and it says this medicine practitioners to the problems of the urinary tract.
Most doctors prefer skin Doxycycline and Almenuschaelin.

Oral antibiotics for the treatment of acne


Medicine
Dose
Characteristics
Major problems
Altaatraseklin
500 mg
Twice daily
Cheap
Disruption of the digestive system
Alarthuromaysin
500 mg
Twice daily
Can be used
Pregnancy
Bacterial resistance
Almenuschaelin
100 mg
Once daily
Lack of bacterial resistance
Pigmentation and the side effects are rare but serious
Doxycycline
100 mg
Once daily

One dose per day
Optical sensitivity
To Mesiclin
Lymecycline
408 mg
Once daily
One dose per day
Such as Altaatraseklin
Trajmthoprem
Different
Used to difficult situations
However, officially licensed for the treatment of acne - a skin rash

Hormonal treatment Hormonal therapy

The cyproterone acetate Sbrotron Estate anti-androgens, antiandrogen. The integration of Alitnail with estradiol ethinyl estradiol in the product is appropriate in the local market on behalf of Diane 35 Diane 35, a drug that works the bar up and treatment of patients of young love with the same inhibitors Indications Contraindication for oral contraceptive double. Has some beneficial effect for women who suffer from hirsutism hirsutism. Should be for patients who will use the use of topical treatment at the same time, such as Benzoyl peroxide.





I am using
Oral Retinoids (Alruaktin):

Use of oral Retinoids love the faith of young people (Almtkis) as well as the very severe cases that have not responded to adequate treatment of the vital receiving antibiotics, and it is very important to prevent the scars of that very difficult to treat later.
Can help Balrtnoieidat oral treatment of patients with psychological problems associated with young love, but there was a danger of a minor depression depression associated with this medicine.

Alaizotritnuin (Alruaktin) oral

This medicine is very beneficial "for the treatment of acne
- Indications include: acne, cystic fibrosis nodularis severe acne that does not respond to other treatments.
- Alaizotritnuin medicine is highly deformed (distortion) of the embryos, teratogenic.
- Must be the prevention of pregnancy during treatment and one month after stopping the abuse Alaizotritnuin.
- Side effects - hair loss, bleeding from the nose, lips, inflammation of the mucous membranes dry mucous membranes.
- Biochemical problems - could raise the level of fat, as well as liver function tests.
Must be made aware of the patient who is dealing Retinoids for topical potential side effects such as inflammation of the lips and nose.
Retinoids that oral medicines are highly deformed, therefore women should avoid pregnancy during treatment and one month after stopping it, and they must take adequate contraception for pregnancy and access to appropriate guidance.