Acne vulgaris is one of the most common skin problems affecting youth as a result of obstruction and inflammation of pilosebaceous units,and is thought to be caused by multiple factors. Excessive production of a normal oil on the skin, known as sebum. This, coupled with insufficient shedding of exfoliating dead skin cells, plugs hair follicles. The plugged follicles are inflamed and have an increase growth of bacteria, Propionibacterium acnes.
Acne affects 85% of people at one point in their lives, and usually starts with puberty. Acne may last in the thirties and beyond. In fact, 5% of people over 45 still have acne. People of all ethnic backgrounds get acne
Signs & Symptoms
Acne vulgaris is characterized by non-inflammatory, open or closed comedones and by inflammatory papules, pustules and tubers. Acne vulgaris usually affects the areas of the skin with the closest population of sebaceous follicles (eg, face, upper chest, back). Local symptoms of acne vulgaris vary and may include pain, tenderness or erythema.
Systemic symptoms are usually absent in acne vulgaris. Severe acne with associated systemic symptoms, such as fever, is referred to as acne fulminans. Serious acne characterized by multiple comedones, without the presence of systemic symptoms, is known as acne conglobata. This severe form of acne often cures with disinfective scars. In addition, acne vulgaris may have a negative psychological impact on any patient, regardless of the severity or degree of disease
Acne vulgaris is a clinical diagnosis. Examination in patients with acne vulgaris includes the following characteristics:
Comedonal acne: presence of open and closed comedones, but usually no inflammatory pills or tubers
Mild acne: Presence of comedones with a few papulopustules
Moderate acne: Presence of comedones, inflammatory papules and pustules; A larger number of lesions are present than with mild inflammatory acne
Nodulocystic Acne: Presence of comedones, inflammatory lesions and large nodules greater than 5 mm in diameter; Scars are often deep
It is important to treat acne to reduce the extent of illness, scars and psychological distress. Treatment of acne includes a variety of topical and systemic agents aimed at reducing sebum production, comedonation, inflammation and bacterial counts and in normalization of keratinization.
A lower glycemic diet and moderation of milk intake can be considered for treatment-resistant adolescent acne.
Unani Medicine Treament :
- Take a mix of gyrated apple (10 gm) and honey (1 tsp). Now make a paste of it and apply on the face for over 15 minutes, followed by washing it with clean water.
- Make a mix of oat meal (2 tsp), honey (1 tsp) and water. Now a make a paste of these ingredients and apply the same on the face and leave it for 10 minutes. Wash it with lukewarm water for better results.
- The massage of the mix of almond powder, and castor oil helps to control acne. The massage paste should be washed after 10-15 minutes.
Compound Preparations available in market
- Itrifal Shahatra, Majoon Ushba, Habb-e- Qooqaya, Safoof Barg-e- Neem, Habb-e- Musaffi, Sharbat-e- Musaffi and Sharbat-e- Unnab are common unani compound formulations for treating skin problems. These are beneficial compound formulations in the treatment of acne.
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