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It is the most common skin disease in adolescence.

What is acne?

Acne; These are red pimples that are located on the pores of our skin on the face, neck, back and body, appear as puffy from the skin, and can be inflamed from time to time. Not every situation with a similar appearance is acne. Sometimes ingrown hairs and some microbial conditions can be confused with acne. In addition, acne can be a sign of many underlying health problems.

It is the most common skin disease in adolescence. It occurs in approximately 40% of individuals aged 12-18 years. During puberty, oil secretion increases with the effect of hormones. Oily skin pores are easier to clog. Therefore, it is often seen in adolescents. It occurs especially in the face, shoulders, back and chest areas and can have negative effects on the psychology of young people.

What causes acne to occur?

Many factors play a role in its formation. In genetically susceptible individuals, thickening of the hair-sebaceous gland channel, where the oil secretion is thrown out of the skin, and the tendency of the channel to become blocked due to the stickiness of the cells here is an important factor. Other factors are that the increased oil secretion (sebum) during puberty accumulates in this channel and forms black or white dots called comedones. Physical factors as well as genetic factors play a role in the clogging of pores. Physical factors include the use of oily creams, hot weather, increased sweating, make-up and not using suitable skin cleansers. Other causes of acne include; This is because bacteria settle in the sebum in these clogged pores and cause an inflammation, that is, inflammation. In acne that occurs in this way, redness and inflamed bumps can be seen on our skin.

Is there a genetic predisposition to acne?

In individuals with severe acne problems in their family, acne can be seen more intensely and acne may not be seen at all. However, there is still a genetic predisposition.

Is there a relationship between diet and acne?

In recent studies, it has been stated that acne is triggered by foods with a high glycemic index (foods with a high glycemic index cause blood sugar to rise rapidly, and as a result, the stored insulin from the pancreas is rapidly delivered to the blood and the amount of insulin in the blood increases rapidly). Therefore, it is not recommended to take such foods in excessive amounts and use them unilaterally. Foods with a high glycemic index include potatoes, white bread, white rice, white sugar, processed juices, bananas (ripe), watermelon, crackers, corn chips and cereal. Apart from this, some patients describe an increase in acne severity after foods with high caloric value such as seeds, deep fried, chocolate. It is beneficial for these patients to stay away from these types of foods that they think increase their acne complaints.

Is there a connection between menstrual irregularity and acne?

If a female patient has acne that starts at an advanced age, although she is not in adolescence, if one or more of the complaints of menstrual irregularity, difficulty in losing weight, excessive hair growth around the chin, abdomen, back and nipples are present, she should be evaluated in terms of hormone disorder. In these patients, ovarian cyst, that is, polycysticovary disease, is suspected. In this disease, the complaint of acne is quite resistant and its treatment is quite different from the acne treatment used in men. In general, it should not be forgotten that acne complaints may increase in most women during menstrual periods. This is a natural process caused by hormones and is not a sign of disease. In addition, acne can be exacerbated by the effect of hormones during pregnancy.

Is it recommended to squeeze acne?

No, it is definitely not recommended to squeeze and play with acne. In some types of acne, acne lesions can be drained only under the supervision of a doctor. Inflammation may spread in the tampered acne, redness may increase, and the risk of scarring increases.

How is acne treated?

The most important point in acne treatment is to determine the factors that cause acne and to correct these conditions. This can be a hormonal problem, a cream that clogs the pores that the person puts on his face, or it can be a wrong diet. There are many treatment alternatives for a very common disease such as acne. While only washing products and creams may be sufficient in mild acne, oral pills are required in moderate-severe acne and hormonal acne. Among these pills, the most commonly used are antibiotics, vitamin A derivatives and birth control drugs, but they should be administered under the supervision and control of a doctor. Apart from this, laser, chemical peeling, and injection of drugs into the skin are among the methods used. In addition, laser treatments and plasma energy treatment applications can be performed. It should not be forgotten that each patient is different from each other and the type of treatment that each patient will benefit from varies from patient to patient.

What would you say about isotretinoin treatment?

Isotretinoin (Roaccutane®, Zoretanin®, Aknetrent®), a vitamin A derivative drug, is a very effective treatment for all acne forms known in the market. Successful results are obtained in many patients after the treatment, and then the frequency of recurrence of the lesions decreases. Although this treatment is very effective, it also has various side effects, but most of these side effects disappear during or after the treatment. For this reason, while using this medicine, you should definitely consult your doctor in case of any complaint. The most common side effects are the effects of dryness on the skin. It can increase blood lipids and rarely adversely affect liver tests. For this reason, you will need to have blood tests at certain intervals, usually with the decision of your doctor. The most important point for women while using the drug is definitely not to get pregnant. It is recommended that women of childbearing age should be protected by effective contraception. It is possible to get pregnant 2 months after stopping the treatment.

Should acne be treated, what are the important points in acne treatment?

Acne is a disease that needs to be treated because it is chronic, causes psychological stress, and can leave permanent scars if left untreated. Patients who do not apply for treatment are generally those who have lost their belief that their disease will pass, or who do not see acne as a disease and think that it will pass without treatment. Acne, which is especially common in adolescents, can affect the psychosocial development of patients during adolescence when body and self-anxiety is high. This situation should be recognized and appropriate treatment options should be sought by applying to a Skin Diseases Specialist.

There may be different diseases and hormone problems accompanying acne. There are many skin diseases that create an appearance similar to acne. During the treatment process of some diseases, acne may occur or drugs may cause acne. Additional problems may occur in acne treatment and follow-up, and it is important to take care of the skin correctly during this period. Considering all these, it is very important to follow up and treat acne by a Skin Diseases Specialist. In addition, it should be waited for at least 2-3 weeks for the treatments given to take effect. Therefore, the most important points in treatment; to be patient, to be in harmony with the physician, to follow the recommendations given. Compliance with the patient will make it easier to achieve the desired result in this disease, which has many treatment options.


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0 324 331 02 03 Uzm. Dr. Ayşegül Güney Whatsapp 0 553 111 85 03 Güvenevler Mahallesi 1919 Sokak Medikal Plaza No: 3 Kat: 2 Yenişehir/Mersin [email protected] Get Directions Working hours Mid-week 09:00-18:00 Saturday 09:00-16:00



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Mersin Specialist Doctor Ayşegül Güney Dermatology Clinic

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