Severe acne treatment

Abstract

Acne vulgaris are one of the most common diseases of puberty and early adolescence. It is a dermatosis of polymorphic clinical manifestation. The course of the disease is chronic. In a small number of patients, the changes may persist throughout the third decade of life, and even - longer. A variety of changes can be observed in patients with acne. There are non-inflammatory and inflammatory forms of acne. Non-inflammatory forms are characterized by the presence of comedones (acne comedonica), while inflammatory papules, pustules, induced changes, nodules, cysts, abscesses, fistulas are observed. The finding of pustular, and especially nodular changes is prognostically less favorable because the evolution of changes in severe and moderate forms of the disease can end in form of scars. These scars can be hypertrophic (keloid) or atrophic. Also, as a consequence of inflammatory changes, there may be post-inflammatory pigmentation. The number and type of changes in the same patient may differ in different periods. Acne treatment is very complex and requires an individual approach to each patient. It is long-lasting and requires persistence and patience, especially by the patient. Treatment, depending on the severity of the changes, may involve the application of local, physical or systemic therapy. Acne vulgaris are a significant medical and aesthetic problem, and the role of dermatologists is an absolute priority.