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Acne is a chronic inflammatory disease typically involving the face, neck, upper torso and shoulders and characterized by comedones (blackheads and whiteheads), oily skin, and inflammatory papules, pustules, cysts, or nodules.
Affecting 40 to 50 million people in the United States, acne is the most common skin condition. Acne often begins with open and closed comedones (whiteheads and blackheads) followed by inflammatory papules and pustules on the face, neck, chest, back, and shoulders (Fig. Acne conglobata is a severe form of truncal acne characterized by deep inflammatory cysts and nodules, often with interconnecting sinuses and fistulas (Fig.
Inflammatory and traumatized disease often yields hyperpigmentation and scarring, most commonly on the cheeks with an ice-pick or atrophic appearance. The differential diagnosis of acne includes rosacea, acneiform drug reactions, folliculitis, gram-negative folliculitis, and pseudofolliculitis (ingrown hairs). Topical retinoids are a mainstay of treatment, reducing follicular obstruction in comedonal and inflammatory acne. Benzoyl peroxide is an important acne therapy with its bactericidal, anti-inflammatory, and comedolytic properties. Topical antibiotics, such as clindamycin 1% or erythromycin 2%, are helpful in inflammatory disease.
For some women, hormonal therapy with low-progestin oral contraceptives or antiandrogenic agents can enhance treatment. Adjunctive therapeutic measures include intralesional corticosteroids for inflammatory cysts and nodules, chemical peels (glycolic and salicylic acids), comedo extraction, photodynamic therapy (PDT), and diode (smooth beam) or pulsed-dye laser therapy. Acneiform eruptions from the use of occlusive products, mechanical forces, corticosteroid application, or a medication reaction often respond to simply discontinuing the offending agent.
Despite the lack of a cure, acne can be minimized with early and thoughtful treatment, and most patients ultimately do well.
Treatment should be minimized or avoided during pregnancy and is often limited to topical or oral erythromycin and azelaic acid. Rosacea is a chronic inflammatory disease characterized by easy flushing, persistent erythema on the central face with telangiectasias, and occasional flares of inflammatory papules and pustules. Rosacea affects approximately 14 million Americans and primarily occurs in middle-aged, fair-skinned adults of northern European heritage. Besides a genetic predisposition, disease-aggravating factors include spicy foods, alcohol, caffeine, especially hot coffee or tea, exercise, stress, and extremes of temperature. The pathophysiology of rosacea remains unclear, although genetic predisposition and vascular reactivity are likely factors involved.
Rosacea is a polymorphic disease often divided into four subtypes that commonly overlap (Table 1 and Figs. Rosacea is a polymorphic disease characterized by facial erythema with telangiectasias, papules, and pustules. Rosacea is often exacerbated by alcohol, caffeine, spicy foods, exercise, stress, and extremes of temperature. The treatment of rosacea depends on the disease subtype (see Table 1).9 Erythematotelangiectatic rosacea responds well to vascular laser therapy. Metronidazole, sodium sulfacetamide and sulfur combinations, azelaic acid, or oral antibiotics are used for the inflammatory papules and pustules. Rosacea can be minimized by avoiding its known triggers: alcohol, caffeine, and spicy foods. Strauss JS, Krowchuk DP, Leyden JJ, et al: Guidelines of care for acne vulgaris management. Pustular psoriasis or pustule psoriasis which has been treated by numerous steroid cream, lotion, ointment, and spray can now be cured with our Monk herbal medicine, including herbal cream, spray, shampoo, ointment and lotion. Pustular psoriasis or pustule psoriasis is not that difficult to treat and cure if you try our Monk herbal cream and lotion for a few months. Treatments for Erythrodermic psoriasis include steroid treatment, UVB remedy, ultraviolet remedy. Monk herbal cream, shampoo, spray, oil, lotion and ointment are the best treatment for people who want to treat and cure their erythrodermic psoriasis in a natural approach.


Once these symptoms subside, a large, slightly elevated, scaly patch arises on the back of the affected person. The actual Pityriasis Rosea blisters arise a few days or weeks after the first appearance of Herald Patches. Pityriasis Rosea medication consists of skin creams containing zinc oxide and lotions containing steroid and calamine that can reduce itching in the rashes. Moderate exposure to Ultraviolet Rays can make Pityriasis Rosea rashes disappear more quickly. Pityriasis Rosea rashes are often seen to arise in people who suffer from a deficiency of Vitamin D in their diet. In people with Pityriasis Rosea long term complications re mainly seen in dark-skinned people.
If you are having Pityriasis Rosea in infants or adults in your home or suffering from the condition yourself, fix up an appointment with your physician. Defective keratinization produces a hyperkeratotic plug that blocks the opening of the pilosebaceous unit, forming a comedo. Evaluation should include inquiry about current and previous treatments, cosmetics, and systemic medications.
However, signs of androgen excess deserve further evaluation for elevated serum DHEAS and free testosterone.
Several formulations are available as creams and gels: tazarotene (Tazorac), tretinoin (Retin-A, Avita, Retin-A Micro), and retinoid-like adapalene (Differin). However, given the increasing rates of bacterial resistance they should not be used as monotherapy. For mild to moderate acne, benzoyl peroxide and a topical retinoid with or without a topical antibiotic are often used. Potential side effects include skin dryness, bone and muscle pain, ocular dryness, headaches, pseudotumor cerebri, mood instability including depression, hyperlipidema, transaminitis, and teratogenicity.
If postinflammatory hyperpigmentation is present the patient should avoid sun exposure and liberally use sunscreen to prevent further darkening. Epileptic and bipolar patients can develop severe acneiform eruptions secondary to their medications. Persistent disease often leads to sebaceous hyperplasia and soft tissue hypertrophy (phymatous rosacea). The patient with rosacea deserves inquiry regarding frequency of flushing, possible triggers, and eye symptoms including dryness, irritation, and redness. Submicrobial doses of doxycycline, (Oracea) 40 mg daily, have also shown promising results from the anti-inflammatory properties of the drug while minimizing the potential for antibacterial resistance. Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris. Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status -- Booth et al.
If you have numerous failed attempts to treat your erythrodermic psoriasis, our Monk herbal medications is the best treatment solution for you.
If you have Pityriasis Rosea, it is better to take a bath with water that has a lukewarm temperature.
It is better if you can add foods rich in Vitamin D, such as fatty fish, meat and eggs into your diet.
But in case of Pityriasis Rosea getting worse, there may be problems like an increase in itchiness. In pregnant women with Pityriasis Rosea miscarriage can also occur, particularly if they develop the condition within the first 15 weeks of their maternity. Even after complete recovery from the disease, there may be brown blotches in the spots where there were rashes earlier. Seborrhea (increased sebum production) dilates the follicle and leads to subsequent bacterial overgrowth. Acne conglobata with systemic involvement, including fever, arthralgias, and leukocytosis, is referred to as acne fulminans.


In female patients, hirsutism, menstrual irregularities, androgenic alopecia, perimenstrual flares, and recalcitrant or late-onset acne should suggest the possibility of androgen excess. Nightly application of a thin film of medication is preferred but can lead to dryness and irritation.
Benzoyl peroxide is available in varying concentrations from 2.5% to 10% and as washes, gels, and cleansing pads. Combined use with a benzoyl peroxide prevents bacterial resistance, and a benzoyl peroxide or topical retinoid makes them more effective.3 Other topical agents, such as azelaic acid and products containing salicylic acid, sulfur, or sodium sulfacetamide, have minimal efficacy.
Doxycycline is a photosensitizer, and minocycline can induce pigmentation, dizziness, and a systemic lupus erythematosus (SLE)–like syndrome. Highly regulated by the FDA, isotretinoin requires enrollment in a national registry, close follow-up including pregnancy testing, and sexual abstinence or two forms of birth control.
Laboratory tests are usually not necessary unless lupus erythematosus, another connective tissue disease, or carcinoid syndrome enters the differential diagnosis. For inflammatory disease, with papules or pustules, metronidazole 0.75% or 1% gel or cream, sodium sulfacetamide and sulfur agents, and azelaic acid are effective therapies. For phymatous rosacea, especially rhinophyma, surgical treatment with ablative laser, dermabrasion, or heated scalpel excision can help to restore the normal skin contours.
Go on and know all about Pityriasis Rosea disease, its causes, symptoms, diagnosis, treatment and more.
The reason of this unique name can be ascribed to the fact that they herald or announce the onset of Pityriasis Rosea skin disease. Pityriasis Rosea treatment, however, is necessary if the symptoms are very discomforting for the person. Antihistamine pills, which are administered as oral medicines, are also seen as quite effective in reducing itchiness. If you find the pityriasis rosea wont go away you may just need to get in touch with a dermatologist. These Pityriasis Rosea photos will give you an idea how this particular type of eruption appears to view.
Adult acne occurs less often and is more common in women.1 Mechanical or frictional forces (frequent washing, headgear, hats) and occlusion (cosmetics, hair products) can aggravate or induce acne.
Propionibacterium acnes, a colonizer of the follicle, proliferates, leading to leukocyte invasion and rupture of the follicle. Implementing the medication three or four times weekly and increasing to nightly as tolerated enhances compliance. These antibiotics should be avoided in children younger than 9 years, because dental or skeletal abnormalities can develop. Physiologic flushing can mimic erythematotelangiectatic rosacea and can actually precede rosacea.
Numerous medications can produce acneiform eruptions (corticosteroids, anabolic steroids, anticonvulsants, lithium, potassium iodide, bromides, and isoniazid). The follicular contents and bacterial metabolites produce an inflammatory response, forming papules and pustules. Typically prescribed for rosaeia, submicrobial doxycycline (Oracea) 40 mg daily has anti-inflammatory properties and minimizes the potential for bacterial resistance. An infection by Mycoplasma, a member of a group of small parasitic bacteria, is also thought to result in Pityriasis Rosea. The rashes are itchy, particularly when the body is warm after jogging, running or a hot bath.
Androgens, mainly dehydroepiandrosterone sulfate (DHEAS), stimulate sebaceous gland enlargement and secretion, which exacerbate the cycle.2 Postinflammatory hyperpigmentation and scarring are common residua. Sustained-release weight based minocycline (Solodyn) has exhibited good efficacy with minimal put Solodyn prior to oracea side effects.



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