Acne is Not the Same as Spots
Sunday, October 18th, 2009There are various forms of acne, named according to how or why the acne started. Some of the types of acne are: acne conglobata (chronic boils); acne fulminans (an extreme form of conglobata); acne cosmetica (caused by cosmetics); acne keloidalis nuchae (from shaving); acne medicamentosa (caused by starting or stopping a medication); acne rosacea (redness on the face); baby acne; hormonal acne; cloracne and the common variety, acne vulgaris (also known as ‘puberty spots’). In this article, we will concentrate on acne vulgaris.
Acne vulgaris may be described as: ‘an inflammatory disease of the skin, caused by changes in the pilosebaceous units (skin structures consisting of a hair follicle and its associated sebaceous gland). Acne lesions are commonly referred to as pimples, spots or zits’ (from Wikipedia).
Acne is most often found in Western teens, although it does occur in every country in the world, so there could be a genetic predisposition to it. It is possible that it may be an abnormal reaction to quite average levels of testosterone. For most sufferers, the condition lasts only until adulthood, probably only a few years or at most ten. For others, however, it can be a life-long recurring problem. It most often affects the face, upper-chest, upper-arms and back. However, an occasional spot is not the same as acne.
Acne vulgaris shows itself in different many forms, including: whiteheads, caused by pores that are completely blocked, trapping sebum (oil), bacteria, and dead skin cells, causing a white spot on the surface; blackheads, caused by pores which are only partially blocked, allowing some of the trapped sebum, bacteria, and dead skin cells to slowly drain to the surface (the black colour is not caused by dirt, but is a reaction of the skin’s own pigment, called melanin, with the oxygen in the air); papules, which are inflamed, red, tender lumps with no head and pustules, which are similar to whiteheads, but are inflamed, and appear as red circles with a white or yellow centre.
Whiteheads do not often last for a long time; blackheads do last a long time and pustules are what people usually refer to as spots or zits. Severe acne vulgaris is characterized by nodules and cysts. A ‘nodule’ is a rather larger and much more painful kind of pustule and can often last for months. Nodules are large, hard bumps just under the skin. They often cause scarring and should never for any reason be squeezed, since this could make them last for months longer.
A ‘cyst’ may appear similar to a nodule, but it is full of pus and has been defined as having a diameter of at least 5mm and, again, can cause scars and cause irritation. Squeezing an acne cyst may cause a more severe infection and more acute inflammation which can last quite a lot longer than if it had not been squeezed. Skin experts have ways of reducing the swelling and preventing scarring with both nodules and cysts. It is just not true that acne sufferers are not careful about washing.
In fact, over washing can exacerbate acne. There are many, many fake ‘treatments’ on the market and many, many old wives’ tales, but any good dermatologist would tell you that there is no known cure for acne and that the patient should follow a strict regimen of cleansing until the acne just ‘goes away’ of its own accord.
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