Acne in Adolescents: Causes and Solutions - Dermatology

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Acne vulgaris in the brain?


Hello Dr.
Huang: My daughter started her menstruation around the 4th or 5th grade (I’m not sure if that’s too early, but her menstrual cycle seems normal).
Since the 4th grade, she has been experiencing acne, and now in the 2nd year of junior high, she still has a lot of it, with small, bumpy spots all over her face that feel prickly to the touch.
Some of them have pus, but not much (they are not like the large, red, inflamed ones that some people have).
She saw a doctor once who prescribed topical medication and oral medication, but there hasn’t been any improvement.
I’m not sure if this is an issue related to hormonal imbalance or if there is another problem.
It’s quite concerning, and I’m unsure if we should see a doctor again.
(The last doctor we saw was from a well-known hospital, but their attitude was somewhat indifferent.
Since then, we haven’t seen another doctor.) Dr.
Huang, I am the child's mother, and I would greatly appreciate your guidance on this matter.
Thank you very much!

Chun Xia Qiu Dong, 10~19 year old female. Ask Date: 2010/12/07

Dr. Huang Ruiyun reply Dermatology


Hello: There is no definitive cure for acne; fighting acne is essentially a long-term battle, typically lasting at least three months.
If you are truly concerned about your acne, you should continue to follow up with that physician to find the most suitable treatment for you.
For example, topical retinoids are the first choice for treating comedonal acne, but they may take one to two months to show results.
Additionally, it is recommended that patients maintain a regular sleep schedule, avoid staying up late, reduce milk consumption, limit dairy products, minimize sugary drinks, and decrease the intake of sweets.
Wishing you success.

Reply Date: 2010/12/07

More Info


Acne is a common skin condition that affects many adolescents, and it can be particularly distressing for both the affected individuals and their parents. Understanding the causes of acne and exploring potential solutions is essential for managing this condition effectively.


Causes of Acne in Adolescents
1. Hormonal Changes: One of the primary causes of acne in adolescents is hormonal fluctuations, particularly during puberty. The increase in androgens (male hormones present in both males and females) stimulates the sebaceous (oil) glands in the skin, leading to increased oil production. This excess oil can clog pores, resulting in acne.

2. Genetics: Family history plays a significant role in the likelihood of developing acne. If parents or siblings have experienced acne, there is a higher chance that an adolescent will also develop it.

3. Diet: Some studies suggest that certain dietary factors may contribute to acne. High glycemic index foods (like white bread and sugary snacks) and dairy products have been implicated in exacerbating acne in some individuals.

4. Stress: Psychological stress can worsen acne. Stress triggers the release of hormones that may increase oil production and inflammation in the skin.

5. Skin Care Products: The use of comedogenic (pore-clogging) skin care products can also contribute to acne. It is essential to choose non-comedogenic products, especially for those with oily or acne-prone skin.

6. Environmental Factors: Pollution and humidity can exacerbate acne by contributing to clogged pores and skin irritation.


Solutions for Managing Acne
1. Consult a Dermatologist: Since your daughter has already seen a doctor but did not experience improvement, it may be beneficial to seek a second opinion from a different dermatologist. A fresh perspective might lead to a more effective treatment plan. Look for a dermatologist who specializes in adolescent skin issues and has a compassionate approach.

2. Topical Treatments: Over-the-counter topical treatments containing ingredients like benzoyl peroxide, salicylic acid, or retinoids can be effective for mild to moderate acne. These treatments help reduce oil production, unclog pores, and promote skin cell turnover.

3. Oral Medications: If topical treatments are insufficient, a dermatologist may prescribe oral medications. Antibiotics can help reduce inflammation and bacteria on the skin, while hormonal treatments (like birth control pills) can regulate hormones that contribute to acne in females.

4. Skincare Routine: Establishing a consistent skincare routine is crucial. This includes gentle cleansing twice a day, using non-comedogenic moisturizers, and avoiding harsh scrubs that can irritate the skin.

5. Dietary Adjustments: Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing the intake of high-glycemic foods and dairy may help some individuals manage their acne.

6. Stress Management: Since stress can exacerbate acne, incorporating stress-reducing activities such as exercise, meditation, or hobbies can be beneficial for overall well-being and skin health.

7. Patience and Consistency: Acne treatment can take time to show results. It is essential to be patient and consistent with the chosen treatment plan, as improvements may take several weeks to become noticeable.


Conclusion
Acne can be a challenging condition for adolescents, but with the right approach and support, it can be managed effectively. It is essential to maintain open communication with your daughter about her feelings regarding her skin and to encourage her to be proactive in seeking treatment. If the current treatment plan is not yielding results, do not hesitate to seek further medical advice. Remember, the goal is not only to improve her skin condition but also to support her emotional well-being during this critical developmental stage.

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