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    Acne is an inflammatory condition of hair follicles that is prompted by occlusion (clogging) of pores.  Treatments are thus directed at opening the pores and controlling the inflammation.  Acne is stimulated at puberty when increased oil production occurs under hormonal influence (particularly androgens such as testosterone).  Oil leads to occlusion and is a source of nutrients for bacteria that live on the skin.  When the bacteria feed on the oil they break it down into factors that cause inflammatory cells to migrate into the follicle.  Understanding these processes will help you understand the basics of acne treatment. 

    Treatments for follicular occlusion (clogged pores).  Follicular occlusion leads to whiteheads and blackheads.  Factors affecting this include oil production and a build up of dead skin cells around the opening of the follicle (the pore).  Treatments include keratolytics that break up these dead skin cells such as the common over-the-counter treatments benzoyl peroxide, salicylic acid, and glycolyic acid.  Treatments that break up oil include various cleansers.  The gold standard for treating follicular occlusion are the Vitamin A-derived topicals called retinoids.  Retinoids both decrease oil production and decrease the stickiness of dead skin cells around the pore.  Retinoids can be either over-the-counter topicals such as adapalene 0.1% or prescription topicals such as higher strength adapalene, tretinoin or tazarotene.

    Treatments for inflammation.  Anti-inflammatory strategies include antibiotics to decrease bacterial presence on the skin as well as products that work directly to inhibit inflammatory pathways.  Antibiotic therapies include many topicals such as the facial cleansers as well as benzoyl peroxide; prescription topical antibiotics include clindamycin, erythromycin, and azelaic acid.  Products that inhibit inflammation directly include the prescription topical dapsone.  When inflammation is severe, oral antibiotics are often considered.  The most common class of oral antibiotics is the tetracycline family which includes doxycycline and minocycline; tetracyclines are both anti-bacterial and have an ability to inhibit inflammatory pathways directly.

    Severe cases of acne: In cases in which the standard therapies have failed to control the severest form of acne (nodulocystic), isotretinoin, an oral retinoid commonly known by its previous brand name Accutane, can be considered.  Because of the many potential side effects of this medication, this drug should only be prescribed by the professionals in a dermatology office.

    Other strategies:

    spironolactone and certain oral contraceptives (OCPs) for women:  these reduce levels of pro-acne testosterone; these agents are particularly helpful for women who have acne in the beard area and who have pre-menstrual flares

    photodynamic therapy (PDT) (Blu-U): PDT can decrease oil production in the skin and appears to kill bacteria as well; it is used for moderate to severe acne

    As always, you can contact our office to answer any questions or concerns.

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    Niagara Dermatology Associates
    ...This field deals with not only the medical conditions that affect the skin (like psoriasis, rashes, acne, skin infections and skin cancer), but we are skin surgeons dealing with both benign and malignant conditions of the skin (such as the treatment of cysts, moles or nevi and skin cancers like melanoma),as well as cosmetic dermatology or the cosmetic enhancement of the skin...

    Our Services
    From rashes to melanoma, Niagara Dermatology Associates LLC is equipped to handle all your dermatological needs...

    What is Lupus and How Does It Affect Skin
    ... Lupus Symptoms Those with lupus may experience some or all of these symptoms: Muscle aches and pains Joint pain and swelling Skin rashes, most commonly found on the face Fever Chest pain when breathing deeply Loss of hair Pale fingers and toes Sun sensitivity Mouth sores Extreme fatigue Leg or eye swelling Swollen glands These symptoms may not be present all the time...

    What is Psoriasis?
    ... Both the appearance of these symptoms and the level of their severity can be triggered through a number of factors, including: Skin infections Skin injuries Heavy stress Regular tobacco use Excessive alcohol consumption Use of specific medications, such as lithium, beta blockers, antimalarial drugs, and iodides Treatment Options Although there is no cure for the disorder, your local dermatologist has a number of treatment methods that can slow down the growth of skin cells responsible for psoriasis’ uncomfortable rashes...

    RASHES The term rash is a general term used mostly for red (inflammatory) conditions of the skin...

    What is a Dermatologist?
    ...They treat everything from minor skin rashes, like hives, to chronic skin diseases, such as eczema or psoriasis...

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