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undermining acne scars
Predisposition for non-facial acne Teens and people in their 20s who have a predisposition for developing acne on the shoulders, back and buttocks have an increased risk for developing acne mechanica when factors, such as constant friction, are present
As the understanding of the factors that initiate and exacerbate acne vulgaris continues to increase, so does the diversity of therapeutic options Rational use of available treatment options based on the type and severity of acne lesions is a key component of successful acne therapy and allows the physician who treats adolescents with acne to provide optimum care
Propionibacterium acnes (P acnes): A normal resident on the skin,
Acne, a chronic inflammatory disease of the pilosebaceous units of the face, neck, chest, and back, is the most common skin disorder occurring universally, with an estimated prevalence of 70-87%(1) It is a pleomorphic disorder characterized by both inflammatory (papules, pustules, nodules) and noninflammatory (comedones, open and closed) lesions Grading of acne is mandatory to determine the appropriate therapeutic strategy Mild acne can be purely comedonal or mild papulopustular, with a few papulopustules present as well(2) Moderate acne is characterized by numerous comedones, few to many pustules, and few small nodules, with no residual scarring(2) In severe acne papulopustules are numerous, many nodules can be detected, inflammation is marked, and scarring is present(2) Very severe acne can be recognized by sinus tracts, grouped comedones, many deeply located nodules, and severe inflammation and scarring(2) Although acne does not affect health overall, its impact on emotional well-being and function can be
Nodulocystic acne: A severe form of acne that is characterized by numerous deep, inflamed bumps (nodules) and large, pus-filled lesions that resemble boils (cysts) The nodules tend to be tender when touched and feel firm The severe inflammation can cause the acne to become very red or even purple Scarring often results when the acne heals
Although all patients can potentially benefit from psychocutaneous interventions, those with severe psychopathology and poor pretreatment functional status are likely to be more difficult to treat and to achieve less optimal outcomesdata shows that out of 50 acne patients 19 (38%) were suffering from Depression, with a female predominance The control group (seborrhic) presented lower prevalence of Depression ie 57% in females Similarly Anxiety problem in particular social anxiety were overall more in acne group (34%) as compared to seborrhea group (10%) A statistically significant difference was observed between the two groups indicating that depression and social anxiety was more in the acne group A consistent finding in the study over six months depicted the difference between gender ie more females presenting with depression Total Depressed Patients were 19, while total with suicidal Thoughts were 4 (21%) CONCLUSION: The importance of this study is to highlight depression among such patients.
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