Studies show that an estimated 85% of all adolescent shave some form of acne and out of them 30%–50% experience psychiatric disturbances due to their skin condition. Additionally, some studies also have shown that unemployment rates are higher among adults with acne than those without.
These statistics are unacceptable and should not be tolerated since there are many treatment options available and no one deserves to be discriminated against and have their quality of life negatively impacted.
Acne vulgaris is a very common skin disorder of the pilosebaceous unit, an oil gland connected to a hair follicle. Overstimulation of this gland leads to increased oil production, called sebum, which is normally responsible for lubrication and waterproofing of the skin and the hair. These glands are found in greatest numbers over the face and scalp, but are also present on the back, shoulders, and even buttock.
Acne affects both sexes equally and can affect any age group. Acne problems might develop as early as 6–8 years old or may not appear until well after the age of 20 or later. Some people might develop first acne in their 40’s.
Acne development consists of four key elements:
1. follicular epidermal hyperproliferation
2. excess sebum production
4. the presence and activity of bacterium Propionibacterium acnes.
Treatment is tailored to address all of these stages and often consist of a combination of more than one treatment option. Genetic predisposition appears to play a very important role as well as diet.
Acne vulgaris treatments consists of many local and systemic treatments.
Skin cleansers, salicylic acid, azelaic acid, benzoyl peroxide, topical antibiotics, retinoids, oral contraceptives, corticosteroids, and phototherapy and lasers.