Acne is an inherited, inflammatory skin condition. Lithium and steroids can also cause acne in those without the inherited condition. Simply put, it’s a condition where the skin cells are too sticky and skin cells are shed way too quickly (about 5 times more than those who do no). Hormonal fluctuations increase the amount of oil produced, then when it gets trapped by the sticky cells, we get more breakouts. Keratosis Pilaris and many other skin issues can look very similar to acne, so it’s good to become familiar with a few to determine how to treat it.
Antibiotics do not work because acne is not a bacterial problem – it’s a dead skin cell problem. A good skin care regimen is so important to clear acne and keep it away.
There are many acne imposters, however. Some will clear up under an acne regimen and some will not.
Acne Roseacea – caused by an allergic reaction to the residue of the dermodex mite. Triggered by heat, spicy foods or alcohol. Responds well to Mandelic 5% and Acne Med 2.5% – most clear up in 4-6 weeks.
Perioral Dermatitis – itchy and rash-like around the mouth area – usually seen in young women. Avoid using acne products in that area. keep hydrated, avoid fluoride, citrus fruits and chemical sunscreens – treat as sensitive skin
Keratosis Pilaris – chicken skin found on the back of legs and arms – don’t itch or hurt, treated with strong exfoliants – Mandelic 11%
Staph Infection – resemble boils, no definition. Must be treated with antibiotics first, then responds well to acne first
Steatocystoma Multiplex – caused by too much oil in the skin. no visible pore. No known treatment or cure
Folliculitis – very common fungal condition, comes and goes. Worse in humidity or after sweating and can sometimes be itchy. Mandelic and zinc sunscreens works well also.
Roseacea Fullminans aka Pyroderma Faciale – usually comes after severe emotional trauma, sudden onset, women in 20s -30s, large painful lesions down the center of the face, extreme oiliness. Can be diagnosed with a blood test. Antibacterial products can help, but they don’t tend clear easily.
Not sure if you have acne? Feel free to send me a picture or set up an acne consultation and I will take a look and ask you questions to determine the best course of treatment.