Tag Archives: pimples

What are Different Types of Acne?

 

Skin Care Tips From Dermatologist
Different Types of Acne
Acne Types

Acne treatment depends upon the clinical type and severity of the pimples. There are many different types of acne classifications available, depending upon the morphology, severity and pathophysiology of the acne.

Why Learn about Different Types of Acne?

 Most people think that all types of acne require same treatment. Nothing can be far from the truth. Each type of acne has to be managed according to its own merit. Most acne natural or home remedies are not effective because they do not pay attention to this important factor.

Your dermatologist will take into account a number of factors while deciding on the best pimple treatment suitable for you; like the type and severity of acne, your age, gender, profession, and; if you are a female, whether you are expecting or breast feeding or have chances of getting pregnant.

Knowing your acne type will also help you decide when to get expert help so as to avoid complications like acne scars and acne skin blemishes.

The most useful and common classifications of acne are as follows:

Morphological Types of Acne

Morphological Types of Acne include

  1. Acne Comedones: Primary lesions during the development of acne; non inflammatory type of acne. Two types: Closed comedone (whitehead) and open comedone (blackhead).
  2. Acne Papules: Papular acne shows minimal inflammation with skin colored or red bumps.
  3. Acne Pustules: Moderate to severe inflammation and pus filled bumps are seen in pustular acne.
  4. Acne Nodules: Deep seated, red, severely inflamed nodules characterise nodular acne. Acne nodules are the result of repeated inflammatory rupture and encapsulation of the hair follicle and sebaceous gland with abscess formation and foreign body reaction.
  5. Acne Cysts: Fluctuant cystic acne lesions are abscesses formed by the breakdown and necrosis of the nodules and contain the debris from infected sebaceous gland, hair duct, inflammatory cells and surrounding dermal tissue.
  6. Acne Conglobata: In very severe acne, the nodules and cysts connect together to form deep, painful sinus like tracts. These are prone for deep scars.

Types of Acne Depending Upon the Severity

The following classification, a very useful one for the patients as well as the treating dermatologist, is modified from “Acne therapy: A methodological review” by Lehmann HP et al. in the August 2002 issue of the Journal of American Academy of Dermatology.

  1. Mild Acne: Up to 20 comedones and less than 15 papules, total acne lesions less than 30 in number.
  2. Moderate Acne: 20-100 comedones and/or 15-50 inflamed papules or pustules, total count of 30-125 acne bumps.
  3. Severe Acne: More than 5 cysts/nodules, more than 100 comedones or inflammatory acne lesions more than 50 with a total acne bumps’ count more than 125
  4. Very Severe Acne: Disfiguring severe nodulocystic acne, covering the major portion of the face, chest and back.

Acne Types Based on the Pathophysiology of Pimples

  1. Inflammatory Acne: Includes acne with papules, pustules, nodules and cysts.
  2. Non-inflammatory acne: Includes comedonal acne.

Acne Grading System

 This grading of acne includes a combination of above classifications.

  1. Grade 1. Mild, comedonal acne; non inflammatory type.
  2. Grade 2: Moderate, papular acne; inflammation is minimal
  3. Grade 3: Severe, pustular acne with moderate to severe inflammation. Chances of acne scar formation present.
  4. Grade 4: Very severe, nodulocystic acne. Deep acne scars possible if not treated promptly.

These different classifications of acne are useful not only in choosing the appropriate treatment modalities for the pimples, but also for conducting acne clinical research and disease surveys. The mild acne is the only type of acne where OTC products and acne home remedy may be tried without much risk of acne complications.

Published by Dr Hanish Babu, MD on 25th May, 2018

Disclaimer
The information given in this article is for educational purpose only so that patients are aware of the options available. No diagnosis should be made or treatment undertaken without first consulting your doctor. If you do so, the author or the website will not be responsible for any consequences. The images provided are for illustration purpose only and are copyrighted.

Copyright 2018 © Dr Hanish Babu, MD

Acne 101: The Acne Basics

 

Acne 101 will discuss the acne basics in general. A basic knowledge of acne is important to learn how to effectively treat acne in its varied clinical presentations and avoid complications like acne scars.

The course of acne is punctuated with frequent flare-ups in the affected and hence acne is to be approached as a chronic disease which requires active treatment intervention and a maintenance program for optimal control of the inflammatory pimples. During the adolescent years acne can cause untold heartbreaks and psychosocial impacts, which makes it a disease to be handled with proper care and knowledge.

Is Acne a Disease or a Normal Physiological Problem of the Adolescence?

Acne is a disease of the pilo-sebaceous unit which includes the hair follicle and the associated sebaceous gland. It is not just a normal age related phenomenon, as hormone related pathological changes assisted by the bacteria propionibacterium acnes occur in acne and result in long lasting effects on the skin, like pigmentation and scars. The Global Alliance to Improve Outcomes in Acne in their report presented as a supplement to the May issue of Journal of American Academy of Dermatology advocates approaching acne as a chronic disease requiring initial aggressive therapy followed by maintenance therapy to avoid the complications and minimized the social and psychological fallouts of the acne.

When it is very mild and limited to a few numbers of comedones, acne can be considered physiological. The presence of inflamed papules, pustules or presence of nodules and acne cysts calls for active treatment of the acne.

How Common is Acne?

Acne is the commonest skin disease. It affects approximately 85% of young people. Previously thought to be a disease of the adolescents, acne is also common in adults from 20 to 35 years of age. The common acne is called acne vulgaris. There are many variants of acne like neonatal acne, drug induced acne, chloracne, acne excoriee, keloidal acne etc.

How Does Acne Occur?

Many factors play a role in the causation of acne, including a hereditary predisposition, effect of androgenic hormones and many other external and internal factors. After puberty, androgen hormones stimulate the sebaceous glands to increase their size and produce more sebum, an oily liquid intended to keep the skin smooth and supple. The sebum is a good growth media for certain bacteria, which in turn produces inflammation within the hair follicle and the surrounding dermal structures. Depending upon the severity of the inflammation, the types of acne also vary in different individuals and at different times in the same individual.

What is the Age Incidence of Acne?

Contrary to popular belief, acne can occur at any age, from neonates to old age. Mostly acne is seen in early puberty to early adulthood, i.e., the ages of 12 to 25 years. About 50% of teenage acne can continue to adulthood. Some people, especially females, tend to have an occasional flare ups into their 30s. At the age of 40, 1% of males and 5% of females still have active lesions of acne.

Does Acne Differ in Males and Females?

Males and females are affected equally in acne, though the severity of acne is more in males. Almost all boys and 90% of girls will have had an attack of acne during their teen age. Acne conglobata or nodulocystic acne is more common among males.

Moderate Acne: Type 3
Moderate Acne


What are the Common Areas of the Body Affected by Acne?

Acne can develop on any hair bearing area, though it is most common on face, as this is the area with the maximum density of sebaceous glands. In the face, the cheeks, nose, chin and forehead are mostly affected, in that order most of the time. Acne on face is most commonly known as the pimples or zits. Acne also occurs on the chest, shoulders, upper back, buttocks and thighs.

Is it True that Excess Dandruff is the Cause of Acne, especially on the Forehead?

Dandruff and acne has got some common features as their causes, like increased seborrhea, oily skin and the effect of the androgenic hormones. Hence both are complimentary; one is not cause of the other.

What are the Common Signs and Symptoms of Acne?

Whiteheads and blackheads are the earliest skin lesions in acne. Depending upon the severity acne is divided into different types of acne, the comedonal, papular, pustular and nodulocystic.

In presence of inflammation, in the pusutlar and nodulocyctic variety, the acne eruptions can be red, painful and hot and tender on touch.

The skin of acne sufferers is usually greasy and oily and most of them suffer from concomitant dandruff during the acne attack or later in their life.

Oiliness and sudden eruptions can sometimes cause an itchy feeling on the acne affected area.

Though the commonest skin disease affecting more than 85% of world’s population at least once in their life time, there are many misconceptions and myths regarding acne vulgaris.

Published by Dr Hanish Babu, MD on 23rd May, 2018

Disclaimer
The information given in this article is for educational purpose only so that patients are aware of the options available. No diagnosis

should be made or treatment undertaken without first consulting your doctor. If you do so, the author or the website will not be responsible for any consequences. The images provided are for illustration purpose only and are copyrighted.

Copyright 2018 © Dr Hanish Babu, MD

What is Acne?

 

What is Acne?

Acne, or pimples, is the commonest skin disease affecting almost 85% of teens at least once in their lifetime. It is a disease of the hair unit of the skin involving the oil producing sebaceous glands situated beside the hair. The sebaceous glands discharge their oily secretions into the hair canal.

 

Grade 3 or Papulopustular Acne
Moderate Acne: Grade 3 or Papulopustular Acne

Androgen hormones act on the sebaceous glands at puberty and increase their size and sebum (oil) production. The normal function of sebum is to keep the skin smooth and supple by providing an oily environment. Increased sebum secretion and the action of certain bacteria inside the hair canal results in acne formation.

The following series of articles will discuss about different types of acne and modalities of treatment of acne and its complications.

The links will become active as new articles are being added. Please visit this page regularly.

All About Acne

  1. Acne 101: The Acne Basics
  2. Causes of Acne
  3. Pathogenesis of Acne or How Does Acne Develop?
  4. Acne Triggers
  5. Who is at Risk of Developing Acne?
  6. What are the Different Types of Acne?
  7. Acne: Best Treatment Practices: Why Acne Should be Treated
  8. Acne: General Advices from Dermatologist
  9. Mild Acne: Frequently Asked Questions
  10. How to Treat Mild Acne
  11. Moderate Acne: Frequently Asked Questions
  12. How to Treat Moderate Acne
  13. Severe Acne: Frequently Asked Questions
  14. How to Treat Severe Acne
  15. FAQ on Very Severe Nodulocystic Acne
  16. How to Treat Very Severe Nodulocystic  Acne
  17. Food and Acne: Are They Related?
  18. Acne in Teens
  19. Acne in Adults: What it is and how to treat.
  20. Body Acne
  21. Acne Butt
  22. Skin Types
  23. Acne Mimics
  24. Acne: Frequently Asked Questions
  25. Topical Treatment for Acne
  26. Complications of Acne
  27. Acne Scar : Causes
  28. Acne Scar: Treatment
  29. Acne Scar: FAQ
  30. Acne Scar Solution
  31. Stress and Acne: Is it Real?
  32. Acne: Home Remedies: Are they Useful or Just Grandma’s Tales?
  33. Acne: Alternative Treatments: Are they Effective?
  34. Acne Myths
  35. Acne Products
  36. Acne during Pregnancy
  37. Skincare during Acne
  38. Chronic Acne: How to Deal with it
  39. Acne and Depression
  40. Acne Glossary
  41. Acne: Disclaimer

Published by Dr Hanish Babu, MD on 23rd May, 2018

Disclaimer

The information given in this article is for educational purpose only so that patients are aware of the options available. No diagnosis should be made or treatment undertaken without first consulting your doctor. If you do so, the author or the website will not be responsible for any consequences. The images provided are for illustration purpose only and are copyrighted.