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Unclogged Pores: What's
New in the Treatment of Acne
(press release from AAD)
article sponsored by:
NEW YORK (November 2, 2005) Ė Acne affects nearly 85 percent of all people, making
it the most common skin disorder in the United States. Acne is a well-known rite
of passage for adolescents and young adults, though some people in their 30s and
40s continue to suffer from this skin problem. While there is no cure for acne,
new treatments are targeting the cause of acne and helping patients keep their skin
healthy and clear.
Speaking today at the American Academy of Dermatologyís (Academy) skin academy 2005,
dermatologist Wendy E. Roberts, M.D., assistant clinical professor of dermatology
at Loma Linda University Medical Center in Loma Linda, Calif., discussed the latest
in the treatment of acne.
"Today patients have more choices than ever before to treat acne," said Dr. Roberts.
"Since what works for one person may not work for another, itís important for patients
to work with a dermatologist who can create an effective individualized treatment
A recent poll conducted by the Academy shows that while people are starting to learn
the truth about what causes acne, there are still some areas of confusion. Although
53 percent understand that acne is not caused by poor hygiene, myths still exist
about the role of diet and stress. Sixty-two percent of respondents still believe
that acne is caused by stress while half the respondents continue to believe acne
is caused by diet. In fact, acne is caused by three major factors: the overproduction
of oil by enlarged oil glands in the skin; blockage of the hair follicles that release
the oil; and a growth of bacteria called P. acnes within the hair follicles. Scientific
research has led to many new acne therapies and changes in existing treatment options.
Topical and Systemic Therapy
Depending on the type and severity of the acne, it can be treated with oral or topical
antibiotics or topical retinoids. There are a number of ingredients that help unblock
the pores and reduce bacteria, including topical retinoids, hydroxy acids, benzoyl
peroxide and antibiotics. "These treatments are a cornerstone of therapy and are
helpful both initially and in long-term maintenance of acne," said Dr. Roberts.
"These ingredients may cause some drying and peeling, but they can achieve good
results in patients, even those with moderate to severe inflammatory acne." Since
some topical ingredients can stain or bleach, Dr. Roberts recommends applying the
treatment before going to bed and using white towels when washing to avoid staining
clothes or colored towels.
In some patients, the effectiveness of topical retinoids can be enhanced when combined
with oral treatments. These combination therapies allow all of the factors causing
acne to be targeted, making the treatment plan more successful. "Combination therapies
should be discussed with a dermatologist who can recommend the most effective treatment
after evaluating important factors such as the type and degree of acne, the patientís
skin characteristics and environmental factors," noted Dr. Roberts.
Combination therapies using oral and topical antibiotics or topical retinoids in
conjunction with a chemical peel also have been found effective in managing acne.
Chemical peel solutions with glycolic acid or salicylic acid are applied to the
skin to exfoliate and help to unblock the pores, open the blackheads and whiteheads
and stimulate new skin growth. This promotes the penetration of topical medications
and also may treat blemishes which result from breakouts.
Similar to chemical peeling, microdermabrasion results in superficial exfoliation
of the skin and can improve irregularities in the skinís surface to help enhance
the penetration of topical treatments. "Chemical peels and microdermabrasion are
minimally invasive, produce almost no discomfort and involve almost no recovery
or down-time for the patient," stated Dr. Roberts.
These procedures are best used in combination with other acne treatments. And because
these procedures help smooth the skinís surface, they can help diminish scars created
Laser and Light-based Therapies
New laser and light treatments can specifically target two of the factors that cause
acne. Lasers use heat to damage the oil glands. Photodynamic therapy, a light-based
treatment, uses the combination of a photosensitizing medication on the skin that
is then treated with a light to target the oil glands and P. acnes bacteria. Both
of these therapies reduce the overproduction of oil which helps diminish, and in
some cases completely remove, acne.
"These therapies are non-invasive and cause minimal pain and discomfort to the patient,"
said Dr. Roberts. "Lasers also promote collagen formation and renewal which regenerates
new skin and also can be used to treat acne scarring."
"To help prevent acne scars, do not pop, squeeze or pick at acne and seek treatment
early for acne that doesnít respond to over-the-counter medications," advised Dr.
Roberts. "There are many treatments available today and a dermatologist can guide
a patient to the most effective treatment for his or her type of acne."
The consumer poll on skin-related health behaviors and attitudes was a Web-based
poll fielded in September 2005 by Segmentation Company, a Division of Yankelovich,
Inc., in collaboration with the Academy. A total of 1,112 respondents age 18 and
over responded to the poll.
Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy),
founded in 1938, is the largest, most influential, and most representative of all
dermatologic associations. With a membership of more than 14,000 physicians worldwide,
the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic
treatment of the skin, hair and nails; advocating high standards in clinical practice,
education, and research in dermatology; and supporting and enhancing patient care
for a lifetime of healthier skin, hair and nails. For more information, contact
the Academy at 1-888-462-DERM (3376) or www.aad.org.
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