Acne Vulgaris

Acne vulgaris is a chronic inflammation of the pilosebaceous follicles characterized by comedones, papules, pustules, and cysts. Predilection of acne vulgaris on the face areas, upper shoulders, chest and back.

     Acne vulgaris was first published in 1931 by Bloch. At the time, stated that the incidence of acne vulgaris in girls more than boys, with ages of about 13% in children aged 6 years and 32% in children aged 7 years. Since that time there was no significant evolution of age with acne. According to different studies from the literature of various countries, the average initial age of 11 years in girls and 12 years in boys.

       Basically, Acne is a disease in adolescents, with 85% occurred in adolescents with some degree of acne. This happens with greater frequency between the ages of 15-18 years in both sexes. In general, the involution of the disease occurred before age 25.
       However, there is great variability in age at onset and resolution of 12% of women and 3% of men will continue to be clinically until the age of 44 years. A small part will be the inflammatory papules and nodules until late adulthood.
     Acne vulgaris may be caused by various factors. The exact cause is not known with certainty. There are several factors suspected to be caused, among other things: genetic, endocrine (androgen, pituitary sebotropic factor, etc.), dietary factors, the activity of sebaceous glands, psychological factors, the influence of season, bacterial infection (Propionibacterium acnes), cosmetics, and chemicals other. There are four important things that is associated with acne: increased sebum secretion, keratinization of the follicle, bacteria, and inflammation (inflammation).
    There is no uniform grading system and standardized for severity of acne suffered. Acne is generally classified by type (comedoal / papular, pustular / nodulocyst) and or severity of the disease (mild / moderate / moderate-weight / weight). Skin lesions can be described as an inflammatory and non-inflammatory.
     Mild acne vulgaris usually occurs in infants who was given follicular stimulation by the adrenal glands that continued androgen in the neonatal period. Acne is also usually manifests early in puberty, with blackheads as predominant lesions in patients who are very young. Number of cases occurred during the mid-to late teens, after that incident will decrease. But the woman can continue until more than three decades.
   Diagnosis of acne vulgaris can be enforced based on anamnesis, physical examination, and laboratory tests. Differential diagnosis of acne vulgaris include acneform eruption, rosacea, and perioral dermatitis.
     Treatment of acne vulgaris in the form of systemic therapy, topical, physical, and diet. In general, the prognosis of acne is quite good, the treatment should be started at the beginning of the emergence of acne onset and aggressive enough to avoid permanent sequelae.

Do you wanna know more informations about acne?
check here!
1. What are causes of Acne Vulgaris?
2. Pathogenesis of Acne Vulgaris
3. Clinical Manifestasions and Classification of Acne
4. How to diagnose Acne Vulgaris
5. What are skin diseases which similar with acne vulgaris?
6. How to treat Acne Vulgaris?

6 comments:

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