Acne is one of the most common skin conditions and affects people of all ages, particularly teenagers during puberty and young adults. It is characterized by pimples, blackheads, and in more severe cases, inflammatory nodules. Acne is caused by excessive sebum production, issues with skin cell shedding, and bacterial infections in hair follicles. It often flares up during hormonal transitions, such as puberty, but also during hormonal changes in adulthood.
Acne vulgaris is the most common form, but there are also specific variants:
Acne papulopustulosa: Inflammatory papules and pustules.
Acne conglobata: A severe form with large, painful nodules that can leave scars.
Acne inversa: A chronic inflammatory condition mainly affecting the underarms and genital area.
For mild to moderate acne, topical treatments are often used. These include:
Benzoyl peroxide:
Reduces bacteria and promotes skin renewal.
Retinoids:
Encourage the shedding of skin cells and prevent clogged follicles.
Antibiotics:
Used for inflammatory acne to combat bacterial infections.
Severe acne often requires systemic treatments:
Oral antibiotics:
Have anti-inflammatory and antibacterial effects.
Hormone therapy:
Particularly helpful for women with anti-androgenic medication.
Isotretinoin:
A potent retinoid used for severe acne, but it can have many side effects.
Laser therapy and chemical peels:
Support skin renewal and reduce scarring.
Skincare:
Regular cleansing with gentle products and avoiding comedogenic items are essential.
Proper skincare and avoiding comedogenic cosmetic products are important. Maintain a balanced diet and manage stress, as stress can worsen acne.
If acne does not improve after several weeks of self-treatment or if you develop severe, painful nodules, you should consult a dermatologist.
Topical treatments can cause skin irritation and dryness. Systemic medications like isotretinoin can have more serious side effects such as dry skin, liver issues, and psychological effects. Medical supervision is therefore essential.
Acne inversa, also known as Hidradenitis suppurativa, is a chronic inflammatory skin disease that causes painful nodules and abscesses, mainly in the underarms and groin area. This type of acne requires specialized treatments beyond standard acne therapies. These may include:
Surgical interventions: Removal of inflamed tissue areas.
Biologics: Modern medications that modulate the immune system.
Long-term antibiotics: To control bacterial infections.
Treating acne is complex and should be tailored to the individual patient’s needs. Whether topical or systemic therapy, the right treatment can significantly improve skin appearance and enhance quality of life. In the case of acne inversa, specialized therapies are required to control inflammation and avoid complications. An early visit to a dermatologist can help determine the best treatment strategy and prevent long-term skin damage.