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Acne vulgaris

1.Derm+AcSB (Seborrhea)

-Clearing away lung-heat and stomach heat


2.Derm+AcPS (Pustule/papule)

-Promoting blood circulation to dissipate blood stasis, Resolving expelling phlegm to remove hard masses

Acne vulgaris (or acne) is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring. Acne affects mostly skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. Severe acne is inflammatory, but acne can also manifest in noninflammatory forms. The lesions are caused by changes in pilosebaceous units, skin structures consisting of a hair follicle and its associated sebaceous gland, changes that require androgen stimulation. Acne occurs most commonly during adolescence, and often continues into adulthood. In adolescence, acne is usually caused by an increase in testosterone, which people of both genders accrue during puberty

Acne of a 14-year-old male during puberty

                                                                                                     A.Cystic acne of face. B.Subsiding

tropical acne C.Extensive acne of chest and shoulders

Signs and symptoms

Typical features of acne include: seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and, possibly scarring. It presents somewhat differently in people with dark skin.

Scars- Acne scars are the result of inflammation within the dermis brought on by acne. The scar is created by the wound trying to heal itself resulting in too much collagen in one spot

Pigmentation- Pigmented scars is a slightly misleading term, as it suggests a change in the skin's pigmentation and that they are true scars; however, neither is true. Pigmented scars are usually the result of nodular or cystic acne (the painful 'bumps' lying under the skin).

Cause

Acne develops as a result of blockages in follicles. Hyperkeratinization and formation of a plug of keratin and sebum (a microcomedo) is the earliest change. Enlargement of sebaceous glands and an increase in sebum production occur with increased androgen (DHEA-S) production at adrenarche.

Hormanal/ Genetic/ Psychological/ Infectious/ Diet-A high glycemic load diet and cow's milk have been associated with worsening acne. Other associations such as chocolate and salt are not supported by the evidence

Acne vulgaris(acne)–From Wikipedia,