Acne Severe Acne Treatment

Acne
Severe Acne Treatment
Severe acne (that retention intense, superficial inflammatory acne, acne Conglobata, acne fulminans, pyoderma facial acne isotretinoin resistant or relapsed on stopping orally isotretinoin per os)

 
Acne can be considered serious in the following conditions: • high intensity lesions • extensive damage • Injury treatment with unfavorable evolution • rapid development of scar

 
Steps to follow in the treatment of severe acne depends on its type. Treatment is complex, reducing seborrhea, the introduction of isotretinoin or antibiotics orally, microsurgical treatment, dermatology, cosmetic treatment, psychological support, etc..
  Reducing seboreeei: The women and girls is done by reducing seborrhea: Use of estrogen by general anti androgens: Cyproterone acetate, derived estrogen is anti frenatoare gonadotrp and peripheral action by inhibiting DHT receptor competitive bond citosolic.Spironolactona antiandrogen effect especially at the usual is 100 receptor.Doza up to 200 mg per zi.Dexametazona can also be used with anti androgen at a dose of 0.50 mg daily dose maintained for one month, then low progresiv.Cînd be important to obtain an antiandrogen effect Diane resort to association Androcur.E and preferably be prescribed hormone therapy in conjunction with the endocrinologist. Seborrhea reduction can be obtained through proper hygiene and cosmetics adaptate.Trebuie avoid defatting the skin with soap and brutal alcoholic solutions should avoid the use aftershaves that contain alcohol or parfumuri.Pacientilor with acne are advised to stop using foundation funds , gels and creams or oils emulsified in water which can trigger an aqueous continuous phase seboreee compensatorie.De asemnea be advised to stop using the powder compact. Seborrheic skin care will use soap for cleaning greasy lotions and creams or moisturizers water in oil emulsion to restore damaged skin lipid film keratoreductoare treatments.
  Acne Severe Acne Treatment Isotretinoin has revolutionized the treatment of acne. Sebosupresor It has effect as sebaceous secretion and both declined while the volume is low glandelor.În sebaceous retention by changing the channel follicular corneocytes, decreases the number of bacteria and reduce inflammation by modifying follicle chimiotactismului polinuclearelor and monocytes. Usual dose is 0.5 mg per kg per day, but they can vary depending on the severity and location of isotretinoin per os acneei.Principalele are indications of severe acne, acne resistant to treatment, acne scar, whose evolution is or is responsible for dismorfofobii. The average duration of treatment is four or five months but can be longer if chest acne. Side effects of isotretinoin are common to all retinoids, teratogenicity, mucocutaneous effects especially related mucosal xerosis, especially systemic effects headache and changes in transaminase and colesterolului.Pentru reducing time and improving the aesthetic treatment of the patient is required microsurgical treatment of cystic comedoanelor.Aceasta will be after their treatment with izotretinoina.Evictia is compelled by the dermatologist and not by follicular cosmeticiana.Orificiul bag opens with a scalpel tip, comedones are removed by simple pressure with a scoop or hollow tircomedon . (2,3,6,9)

 
Strictly intralesional corticosteroids and it may have beneficial effects for triamcinolone acetonide uses inflamatorii.Se Kista lesions in concentration of 0.25 mg per ml.

 
General antibiotic therapy is represented by the cyclins, particularly doxycycline and minocycline (tetracycline and erythromycin are not part of the oral acne treatment protocols). These antibiotics work by decreasing the population of Propionibacterium acnes, so by reducing inflammation. They are well tolerated. doses are 50-100mg per day for minocycline and 100 days for doxiciclina.Alte mg.pe antibiotics mentioned literature and not found widespread use in acne deoarce strength to cyclins are Extremely Rare. Unfortunately, many doctors, even dermatologists confused gram elements foliculitele negativ.Doar acne is necessary in this case bacterial culture and antibiogram. (3,9,10)

 
Acne Severe Acne Treatment Scar Treatment If it comes to scars, though, if acne is properly diagnosed and treated timely medical and microsurgical this rarely happens, it is absolutely necessary for their treatment either by lift or laser spray or by peels to minimize the effects their negative psychological.

Acupuncture in acne Literature cites acupuncture in the treatment of acne, especially in the papulopustular, with good results (Xia et al, 1982 Yuging cGezen and A Gunes 1981). Failure in acne treatment is given in most cases a dermatologist poor patient cooperation, in particular started to forget that dermatologist important psychological aspect of the disease, remember to give detailed explanations on the goal of treatment, its nature and especially forget to call patient controls. (5)

 
Acne Severe Acne Treatment Psychological Support Acne lesions induce an increase in emotional reactivity with instability, stress, negative self image and even dismorfofobie.Medicul dermatologist must be prepared to detecting these behavioral changes to make the patient's psychological support or bailout psychiatrist or psychologist . (2,8,)