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The Complete Guide to Acne;

Prevention, Treatment and Remedies.

By Pamela Archer

Copyright 2006 All rights reserved

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Disclaimer

This information is not presented by a medical practitioner. It is a lay person’s overview for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.

Never disregard professional medical advice or delay in seeking it.

The advice contained in this material might not be suitable for everyone. The author neither implies nor intends any guarantee of accuracy.

Research is changing theories and practices in this area constantly.

The author, publisher and distributors never give legal, accounting, medical or any other type of professional advice. All readers must always seek those services from competent professionals that can review their patients own particular circumstances.

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The author, publisher and distributors particularly disclaim any liability, loss, or risk taken by individuals who directly or indirectly act on the information contained herein. All readers must accept full responsibility for their use of this material.

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Contents

Please Read This FIRST ...............................................................................................................2

Terms of Use............................................................................................................................................................2

Disclaimer................................................................................................................................................................2

1. Acne - An Overview...................................................................................................................9

2. What is Acne? ..........................................................................................................................11

Definition of Acne .................................................................................................................................................12

3. Who Develops Acne? ...............................................................................................................13

4. What is the Real Cause of Acne? ...........................................................................................14

The Hair Follicle and the Sebaceous Glands...................................................................................................14

Sebum ....................................................................................................................................................................14

Hormonal control of sebum..............................................................................................................................15

Role of Sebum ...................................................................................................................................................15

Why Do We Get Acne? ...............................................................................................................16

5. Types of Acne Lesions .............................................................................................................18

6. Scars and Stripes - Scarring in Acne .....................................................................................20

Definition ...............................................................................................................................................................20

Types of Scars .......................................................................................................................................................21

I. Color changes due to inflammatory lesions .................................................................................................21

Treatment for post- inflammatory pigmentation..............................................................................................21

II. Physical disfigurations in the form of pits or lumps .....................................................................................22

Treatment Options ............................................................................................................................................22

7. Seborrhea Due to Hormonal Changes ...................................................................................24

Causes of High Levels of Androgens in Women ................................................................................................24

8. Factors Which Aggravate Acne..............................................................................................26

Acne Lesions..........................................................................................................................................................27

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Inflammatory acne............................................................................................................................................27

Non-Inflammatory acne ...................................................................................................................................27

9. Acne Vulgaris...........................................................................................................................29

Pathophysiology of Acne vulgaris .......................................................................................................................29

Diagnosis................................................................................................................................................................30

Management of Acne Vulgaris ............................................................................................................................31

Topical treatments.............................................................................................................................................31

Systemic treatments...........................................................................................................................................32

Surgical Options ...................................................................................................................................................33

Prognosis ...............................................................................................................................................................34

Precaution for Patients .....................................................................................................................................34

10. Acne Conglobata or Cystic Acne..........................................................................................35

Patho-physiology of Acne conglobata .................................................................................................................35

Characteristics...................................................................................................................................................35

Treatment ..........................................................................................................................................................36

11. Severe Acne: Acne Fulminans or Acne Maligna ................................................................37

Features of Acne fulminans .................................................................................................................................37

Pathophysiology ................................................................................................................................................38

Medical Care .....................................................................................................................................................39

Prognosis ...........................................................................................................................................................39

Management..........................................................................................................................................................39

12. Comedonal Acne ....................................................................................................................41

The Way Out.........................................................................................................................................................41

13. Acne Keloidalis Nuchae.........................................................................................................43

Treatment..............................................................................................................................................................43

14. Acne in Pregnancy .................................................................................................................44

Medicines to be avoided during Pregnancy .....................................................................................................44

Treatment of Acne during Pregnancy ..............................................................................................................44

15. Acne Excorié ..........................................................................................................................45

Treatment..............................................................................................................................................................45

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16. Newborn or Infantile Acne ...................................................................................................46

Infantile Acne........................................................................................................................................................46

17. Acne Due to Medicines ..........................................................................................................48

Hormonal Medicines ............................................................................................................................................48

Other Types of Medicines ....................................................................................................................................48

Precautions............................................................................................................................................................49

18. How to Diagnosis Acne..........................................................................................................50

Prognosis ...............................................................................................................................................................51

19. Ten Tips to Avoid Acne.........................................................................................................53

20. Useful Tips to Reduce Acne Naturally.................................................................................55

21. Tips to Prevent Worsening of Acne .....................................................................................56

22. Step One: - Keeping Your Face Clean.................................................................................58

23. Step Two: - Using Acne Face Creams..................................................................................59

24. Step Three: - Relieving Your Constipation.........................................................................60

25. Step Four: - Making Changes to Your Diet ........................................................................61

26. Step Five: - Foods to Avoid...................................................................................................62

27. Step Six: - Using Essential Fatty Acid .................................................................................63

28. Step Seven: - Using Fish Oil..................................................................................................64

29. Step Eight: - Juices You Should Be Drinking .....................................................................65

30. Step Nine: - Fruits You Should Eat .....................................................................................66

31. Step Ten: - Vegetables to Eat................................................................................................67

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32. Step Eleven: - Eating Protein-Rich Food ............................................................................69

33. Step Twelve: - The Vitamins You Should Take..................................................................70

34. Step Thirteen: – Herbal Mixtures........................................................................................71

35. Step Fourteen: – Changing Your Thinking ........................................................................72

36. The Psychosocial Impact of Acne.........................................................................................73

37. Myths and Misinformation about Acne...............................................................................75

38. When to Seek Professional Help...........................................................................................77

39. Tips for Clear, Beautiful Skin ..............................................................................................79

40. Acne Treatment .....................................................................................................................81

41. Treatment of Mild Acne........................................................................................................82

1. Benzoyl peroxide...............................................................................................................................................82

Possible problems with benzoyl peroxide products: .........................................................................................82

2. Azelaic acid........................................................................................................................................................83

3. Topical Retinoids ..............................................................................................................................................83

42. Treatment of Moderate Acne ...............................................................................................84

43. Treatment of Severe Acne.....................................................................................................87

1. Isotretinoin ........................................................................................................................................................87

Properties of isotretinoin ..................................................................................................................................88

Side Effects and Precautions ............................................................................................................................88

Monitoring the Patients........................................................................................................................................89

2. Accutane ............................................................................................................................................................89

3. Corticosteroids ..................................................................................................................................................90

4. Surgery ..............................................................................................................................................................90

44. The Powerful Effects of Accutane -The Risky Miracle Drug............................................92

What is Accutane? ................................................................................................................................................92

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1. Risks during Pregnancy and Lactation...........................................................................................................92

2. Psychiatric Distress...........................................................................................................................................93

3. Abdominal Problems ........................................................................................................................................94

4. Effects on the Bones and Muscles....................................................................................................................95

5. Brain Problems .................................................................................................................................................95

6. Problems with Vision........................................................................................................................................96

7. Effects on Hearing ............................................................................................................................................96

8. Effects on Lipid Levels .....................................................................................................................................96

9. Allergies .............................................................................................................................................................96

10. Blood Sugar Problems....................................................................................................................................97

Symptoms of other Serious Problems .................................................................................................................97

Some less Serious Side-Effects .........................................................................................................................98

Precautions for Patients .......................................................................................................................................99

The Treatment Procedure....................................................................................................................................99

45. Budget Friendly Home Remedies for Acne.......................................................................101

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