Friends today i am discussing about the very common problem faced

Blackheads and pimples don't only appear on the face. There are plenty of other places those breakouts can pop up. The chest, neck, shoulders and upper arms, and even the butt are all common places to get pimples. Back acne is so common it even has its own name: bacne. If you're dealing with back and body acne, know that it's completely normal and you've got plenty of company. Body acne can happen to anyone, both teens and adults (but it's a shade more common in males than females). Body acne is caused by the same factors that trigger facial acne, namely overactive oil glands, excess dead skin cells, and a proliferation of acne-causing bacteria. Here's how acne pimples develop: When oil and dead skin cells become trapped within the follicle, or what we commonly call the pore, it can create a blockage. This blockage becomes a blackhead and can progress to an inflamed pimple if bacteria invade. Body acne is generally confined to the back and upper half of the body, as opposed to your legs. Like the face, the upper half of the body has more sebaceous glands per square inch than other areas of the body, so the follicles are more likely to become plugged with excess sebum and dead skin cells. Dealing with acne can be frustrating. Our free guide provides expert tips to help you take control. Sign up and get yours today. Acne Mechanica From Heat, Friction, and Sweat Certain articles of clothing, sports equipment, and other gear may be triggering your body breakouts. Rubbing or pressure on the skin, combined with heat and/or sweat, can irritate and inflame follicles and cause a specific type of acne called acne mechanica. If at all possible, try to avoid sources of friction while you're trying to heal body acne. These include tight-fitting clothing, too-snug collars, backpacks, purse straps, and athletic pads or gear. Students may want to carry their books in a handheld bag instead of wearing a heavy backpack. Sweat can also irritate body acne. To minimize irritation, shower as soon as possible after exercising. Don't aggressively scrub the skin, though. Remember, you want to avoid friction. A thorough, but gentle cleansing—preferably with a salicylic acid or benzoyl peroxide wash—is better than a vigorous scrubbing. You may choose clothing that reveals as little of the breakouts as possible, avoiding tank tops or sleeveless shirts and deep necklines. You might even consider quitting recreational sports or not participate in certain activities because of breakout embarrassment. It's hard to enjoy yourself at the pool if you're feeling self-conscious about baring your skin in a swimsuit. Body acne can be especially hard if you're a teen. Undressing in locker rooms or choosing a prom dress can be frustrating and can affect your self-confidence. But all of these feelings are completely normal. You're not being vain. Acknowledge these feelings; don't feel like you have to justify them or talk yourself out of them. Then, start on a treatment for body acne to get those breakouts under control. How Acne Affects Your Self Esteem and Image Body breakouts can be frustrating. Finding a treatment that works can seem even more frustrating, especially after you've tried several with little improvement. But here's something to put your mind at ease: Nearly every case of acne can be successfully cleared, given time, patience, and the right treatment. Good daily care for the skin on your body is a good backbone for your acne treatment routine. Unless your breakouts are very mild, you'll need a prescription treatment to get good clearing. While a trip to your doctor or dermatologist may seem like a hassle, in the long run, Below are just a few of the many possible remedies that homoeopaths consider for treating acne: Hepar sulph: pimples that are very painful; they may feel like a splinter in the skin. Lesions are very sensitive to touch and possibly cold. They may cluster in crops on the forehead and tend to form pustules and whiteheads easily. Discharge may smell like old cheese. In general, the person may be very chilly and oversensitive to pain, touch, cold, and slight causes. Calcarea sulph: severe cystic acne. Lesions persist in one place for weeks and do not heal quickly. Yellow, creamy pus drains for a long time. Unhealthy-looking skin with yellowish scabs. Pimples on the face and near ears and hairline. The tendency to infections of the sinuses, ears, and tonsils that persist a long time. Person may be warm-blooded and feel worse in warm rooms. Kali bromatum: acne begins in the teen years and continues relentlessly into adulthood. Bluish, red pustules on the face, chest, and shoulders that leave scars, purple spots, or a depression in the skin. Pimples may have a depressed center or be painful, large red cysts with a white or yellow center. In females, the acne may be worse near the menstrual period. The person may have fidgety hands and feed, unpleasant dreams, restless sleep, and teeth grinding. They may be worse from warmth. Pulsatilla: acne in young girls that is associated with the onset of puberty. Acne that is associated with the menstrual period (especially when the period is irregular or absent) or with pregnancy. The person tends to have little thirst; to be weepy and like comfort and consolation; and to be chilly but like open, cool air and gentle motion. Silica: deep, hard cystic acne, like boils on the face, especially the cheeks; pimples often to do not come to a head or show pus. Pimples are very slow to heal and leave pitting scars. The person tends to get infections easily and frequently. They may be chilly with sweaty hands and feet. They may be fatigued and lacking in strength and confidence, while also being obstinate with fixed ideas. Sulphur: acne with very oily skin. Blackheads are plentiful. Pimples and whiteheads are very large but not that deep. The face, especially the nose, is generally affected and tends to become reddened. Pimples may be painless but itchy. The skin may be rough and worse from washing. The acne may also be worse from heat, before the menstrual period, and from eating fatty foods. (This remedy is especially indicated for rosacea, a reddening of the face that causes acne-like eruptions. Acne in puberty:- puls, kali brom, bacillinum. Acne rosasea:- carbo veg , calc silicata, psorinum,lachesis ,kreosote,mezerium,petrolium,sepia.radium brom. Other Medicines: LACHESIS:- Bluish purplish boils carbuncles- Black edges, blue-black swellings- Senile erysipelas- Cellulitis, varicose veins BACILLINUM:- Ringworm, pityriasis, eczema of eyelids- Glands of neck enlarged- Skin complaints about asthma. CARBO VEG:- Gangrene boils carbuncles, putrid ulcers- Blueness, ecchymoses- Burning pain, putrid discharges PSORINUM:- Dirty greasy breaks in folds- Scaly eruptions over the scalp.- Unhealthy skin- Intolerable itching during the night.- Offensive discharges from eruptions, eruptions around nails. SEPIA:- Ringworms , tinea, warts. herpes circinatus.- Rough, cracked skin in flexures- Ulcers on small joints- Itching not relieved by scratching. NAT MUR:- Crusty eruption margins of hair, behind ears, the eruption in bends of limbs.- Eczema raw red inflamed eruption in hair margins.- Herpes about lips.

Friends today I am discussing about Acne (Pimples). What is acne? Acne (acne vulgaris, common acne) is a disease of the hair follicles of the face, chest, and back that affects almost all teenagers during puberty -- the only exception being members of a few primitive Neolithic tribes living in isolation. It is not caused by bacteria, although bacteria play a role in its development. It is not unusual for some women to develop acne in their mid- to late-20s. Acne appears on the skin as occluded pores ("comedones"), also known as blackheads or whiteheads, tender red bumps also known as pimples or zits, pustules (bumps containing pus), and occasionally as cysts (the deep pimples and boils of cystic acne). One can do a lot to treat acne using products available at a drugstore or cosmetic counter that do not require a prescription. However, for tougher cases of acne, one should consult a physician for treatment options. No one factor causes acne. Acne occurs when sebaceous (oil) glands attached to the hair follicles are stimulated at the time of puberty or due to other hormonal changes. Sebum (oil) is a natural substance that lubricates and protects the skin. Associated with increased oil production is a change in the manner in which the skin cells mature, predisposing them to plug the follicular pore. The plug can appear as a whitehead if it is covered by a thin layer of skin, or if exposed to the air, the darker exposed portion of the plug is called a "blackhead." The plugged hair follicle gradually enlarges, producing a bump. As the follicle enlarges, the wall may rupture, allowing irritating substances and normal skin bacteria access into the deeper layers of the skin, ultimately producing inflammation. Inflammation near the skin's surface produces a pustule; deeper inflammation results in a papule (pimple); if the inflammation is deeper still, it forms a cyst. Here are some factors that don't usually play a role in acne: Food: Parents often tell teens to avoid pizza, greasy and fried foods, and junk food. While these foods may not be good for overall health, they don't play an important causal role in acne. Although some recent studies have implicated a high-carbohydrate diet, milk, and pure chocolate in aggravating acne, these findings are far from established. Dirt: Blackheads are oxidized oil, not dirt. Sweat does not cause acne and is produced by entirely separate glands in the skin. On the other hand, excessive washing can dry and irritate the skin. Stress: Some people get so upset by their pimples that they pick at them and make them last longer. Stress, however, does not play much of a direct role in causing acne. In occasional patients, the following may be contributing factors: Heredity: If one of your parents had severe acne, it is likely that your acne will be more difficult to control. Pressure: In some patients, pressure from helmets, chin straps, collars, suspenders, and the like can aggravate acne. Drugs: Some medications may cause or worsen acne, such as those containing iodides, bromides, or oral or injected steroids (either the medically prescribed prednisone [Deltasone, Orasone, Prednicen-M, Liquid Pred] or the steroids that bodybuilders or athletes sometimes take). Other drugs that can cause or aggravate acne are anticonvulsant medications and lithium (Eskalith, Lithobid). Most cases of acne, however, are not drug related. Occupations: In some jobs, exposure to industrial products like cutting oils may produce acne. Cosmetics: Some cosmetics and skin care products are pore clogging ("comedogenic"). Of the many available brands of skin care products, it is important to read the list of ingredients and choose those which have water listed first or second if one is concerned about acne. These "water-based" products are usually best for those with acne. Rosacea: This condition is characterized by pimples but not comedones and occurs in the middle third of the face, along with redness, flushing, and superficial blood vessels. It generally affects people in their 30s and 40s and older. Pseudofolliculitis: This is sometimes called "razor bumps" or "razor rash." When cut too close to the skin, growing hairs twist into the skin and produce tender bumps. This is a mechanical problem, and treatment involves shaving less (growing a beard, laser hair removal). Pseudofolliculitis can, of course, occur in patients who have acne, too. Folliculitis: Pimples can occur on other parts of the body, such as the abdomen, buttocks, or legs. These represent not acne but inflamed follicles. If these don't go away on their own, doctors can prescribe oral or external antibiotics, generally not the same ones used for acne. Gram-negative folliculitis: Some patients who have been treated with oral antibiotics for long periods of time develop pustules filled with bacteria that are resistant to the antibiotics that were previously used. Bacterial culture tests can identify these germs, leading the doctor to prescribe different antibiotics or other forms of treatment. Acne (Pimples) See more pictures of acne, scars, treatment and other bacterial skin infections Since everyone gets acne at some time, the right time to treat it is when it becomes bothersome or when the potential for scarring develops. This can be when severe acne flares suddenly, for mild acne that just won't go away, or even when a single pimple decides to show up the week before one's prom or wedding. Moderation and regularity are good things, but not everyone can sleep eight hours, eat three healthy meals per day, and drink plenty of water a day. Probably the most useful lifestyle changes one can make is to never to pick or squeeze pimples. Playing with or popping pimples, no matter how careful and clean one is, nearly always makes bumps stay redder and bumpier longer. People often refer to redness as "scarring," but fortunately, it usually isn't permanent. It's just a mark that takes months to fade if left entirely alone. Open the pores Occasional visits to an esthetician who is an expert at safely removing blackheads during a facial can be beneficial. Cleansing and skin care Despite what one might read in popular style and fashion magazines, there is no magic product or regimen that is right for every person and situation. Mild cleansers: Washing once or twice a day with a mild cleansing bar or liquid (for example, Dove, Neutrogena, Basis, Purpose, and Cetaphil are all inexpensive and popular) will keep the skin clean and minimize sensitivity and irritation. Exfoliating cleansers and masks: A variety of mild scrubs, exfoliants, and masks can be used. These products may contain salicylic acid in a concentration that makes it a very mild peeling agent. These products remove the outer layer of the skin and thus open pores. Products containing glycolic or alpha hydroxy acids are also gentle skin exfoliants. Retinol: Not to be confused with the prescription medication Retin-A, this derivative of vitamin A can help promote skin peeling. Reducing bacteria Antibacterial cleansers: The most popular ingredient in over-the-counter antibacterial cleansers is benzoyl peroxide. Topical (external) applications: Antibacterial cleansers come in the form of gels, creams, and lotions that are applied to the affected area. The active ingredients that kill surface bacteria include benzoyl peroxide, sulfur, and resorcinol. Some brands promoted on the Internet and cable TV (such as ProActiv) are much more costly than identical and sometimes more potent products one can buy in the drugstore. Benzoyl peroxide causes red and scaly skin irritation in a small number of people, which goes away as soon as one stops using the product. Keep in mind that benzoyl peroxide is a bleach, so do not let products containing benzoyl peroxide come into contact with fabrics, leaving unsightly white spots on colored clothes, shirts, towels, and carpets. Reduce the oil One cannot stop oil glands from producing oil. Even isotretinoin (Accutane, see below) only slows down oil glands for a while; they resume normal activity later. It is possible to get rid of oil on the surface of the skin and reduce the appearance of shine. Use a gentle astringent/toner to wipe away oil. (There are many brands available in pharmacies, as well as from manufacturers of cosmetic lines.) Products containing glycolic acid or one of the other alpha hydroxy acids are also helpful in clearing the skin by causing the superficial layer of the skin to peel (exfoliate). Masks containing sulfur and other ingredients draw out facial oil. Antibacterial pads containing benzoyl peroxide have the additional benefit of helping to wipe away oil. Cosmetics: Don't be afraid to hide blemishes with flesh-tinted cover-ups or even foundation, as long as it is water-based (which makes it noncomedogenic). There are many quality products available. Facials: While not absolutely essential, steaming and "deep-cleaning" pores is useful, both alone and in addition to medical treatment, especially for people with "whiteheads" or "blackheads." Having these pores unclogged by a professional also reduces the temptation to do it oneself. Pore strips: Pharmacies now carry, under a variety of brand names, strips which one applies to the nose, forehead, chin, etc., to "pull out" oil from pores. These are, in effect, a do-it-yourself facial. They are inexpensive, safe, and work reasonably well if used properly. Toothpaste: One popular home remedy is to put toothpaste on zits. There is no medical basis for this. The same applies to vinegar. It's best to consult a primary care physician or dermatologist if an individual is unable to adequately control his or her acne. The goal of treatment should be the prevention of scarring (not a flawless complexion) so that after the condition spontaneously resolves there is no lasting sign of the affliction. Here are some of the options available: Topical (externally applied) antibiotics and antibacterials: These include erythromycin (E-Mycin, Eryc, Ery-Tab, PCE, Pediazole, Ilosone), clindamycin (BenzaClin, Duac), sulfacetamide (Klaron), azelaic acid (Azelex or Finacea), and dapsone (Aczone). Retinoids: Retin-A (tretinoin) has been in use for years, and preparations have become milder and gentler while still maintaining its effectiveness. Newer retinoids include adapalene (Differin) and tazarotene (Tazorac). These medications are especially helpful for unclogging pores. Side effects may include irritation and a mild increase in sensitivity to the sun. Adapalene 0.1% is now available without a prescription. With proper sun protection, however, they can be used even during sunny periods. The combination medication known as Epiduo gel -- which contains the retinoid, adapalene, along with the antibacterial, benzoyl peroxide -- is applied once a day. Oral antibiotics: Doctors may start treatment with tetracycline (Sumycin) or one of the related "cyclines," such as doxycycline (Vibramycin, Oracea, Adoxa, Atridox, and others) and minocycline (Dynacin, Minocin). Other oral antibiotics that are useful for treating acne are cefadroxil (Duricef), amoxicillin (Amoxil, DisperMox, Trimox), and the sulfa drugs. Problems with these drugs can include allergic reactions (especially sulfa), gastrointestinal upset, and increased sun sensitivity. Doxycycline, in particular, is generally safe but can sometime cause esophagitis (irritation of the esophagus, producing discomfort when swallowing) and an increased tendency to sunburn. Despite the concern that the long-term use of tetracycline antibiotics for acne might "weaken the immune system" or induce bacterial resistance, these concerns seem to be unwarranted. Oral contraceptives: Oral contraceptives (birth control pills), which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been shown to have modest effectiveness in treating acne. Those that have been U.S. FDA approved for treating acne are Estrostep, Ortho Tri-Cyclen, and Yaz. Most dermatologists work together with primary care physicians or gynecologists when recommending these medications. Spironolactone (Aldactone): This drug blocks androgen (hormone) receptors. It can cause breast tenderness, menstrual irregularities, and increased potassium levels in the bloodstream. It can help some women with resistant acne, however, and is generally well-tolerated in the young women who need it. Cortisone injections: To make large pimples and cysts flatten out fast, doctors inject them with a form of cortisone. Light treatments: Recent years have brought reports of success in treating acne using special lights and similar devices, alone or in conjunction with photosensitizing dyes. It appears that these treatments are safe and can be effective, but it is not clear that their success is lasting. At this point, laser treatment of acne is best thought of as an adjunct to conventional therapy, rather than as a substitute. Chemical peels: Whether the superficial peels (like glycolic acid) performed by estheticians or deeper ones performed in the doctor's office, chemical peels are of modest, supportive benefit only, and in general, they do not substitute for regular therapy. Treatment of acne scars: For those patients whose acne has gone away but left them with permanent scarring, several options are available. These include surgical procedures to elevate deep, depressed acne scars and laser resurfacing to smooth out shallow acne scars. Newer forms of laser resurfacing ("fractional resurfacing") are less invasive and heal faster than older methods, although results are less complete and the procedures may need to be repeated three or more times. These treatments can help, but they are never completely successful at eliminating acne scars. Homoeopathy and Acne Homeopathy for acne is different from conventional treatment in that a homoeopathic remedy is individualized to the person. Because every person is different, no single homoeopathic remedy will work for everyone. A remedy is selected based on a person’s unique set of symptoms, including (but not limited to) their acne symptoms. Therefore, seeking care with a homoeopathic healthcare provider will likely result in the greatest success when treating acne. Below are just a few of the many possible remedies that homoeopaths consider for treating acne: Hepar sulph: pimples that are very painful; they may feel like a splinter in the skin. Lesions are very sensitive to touch and possibly cold. They may cluster in crops on the forehead and tend to form pustules and whiteheads easily. Discharge may smell like old cheese. In general, the person may be very chilly and oversensitive to pain, touch, cold, and slight causes. Calcarea sulph: severe cystic acne. Lesions persist in one place for weeks and do not heal quickly. Yellow, creamy pus drains for a long time. Unhealthy-looking skin with yellowish scabs. Pimples on the face and near ears and hairline. The tendency to infections of the sinuses, ears, and tonsils that persist a long time. Person may be warm-blooded and feel worse in warm rooms. Kali bromatum: acne begins in the teen years and continues relentlessly into adulthood. Bluish, red pustules on the face, chest, and shoulders that leave scars, purple spots, or a depression in the skin. Pimples may have a depressed center or be painful, large red cysts with a white or yellow center. In females, the acne may be worse near the menstrual period. The person may have fidgety hands and feed, unpleasant dreams, restless sleep, and teeth grinding. They may be worse from warmth. Pulsatilla: acne in young girls that is associated with the onset of puberty. Acne that is associated with the menstrual period (especially when the period is irregular or absent) or with pregnancy. The person tends to have little thirst; to be weepy and like comfort and consolation; and to be chilly but like open, cool air and gentle motion. Silica: deep, hard cystic acne, like boils on the face, especially the cheeks; pimples often to do not come to a head or show pus. Pimples are very slow to heal and leave pitting scars. The person tends to get infections easily and frequently. They may be chilly with sweaty hands and feet. They may be fatigued and lacking in strength and confidence, while also being obstinate with fixed ideas. Sulphur: acne with very oily skin. Blackheads are plentiful. Pimples and whiteheads are very large but not that deep. The face, especially the nose, is generally affected and tends to become reddened. Pimples may be painless but itchy. The skin may be rough and worse from washing. The acne may also be worse from heat, before the menstrual period, and from eating fatty foods. (This remedy is especially indicated for rosacea, a reddening of the face that causes acne-like eruptions. Acne in puberty:- puls, kali brom, bacillinum. Acne rosasea:- carbo veg , calc silicata, psorinum,lachesis ,kreosote,mezerium,petrolium,sepia.radium brom. Other Medicines: LACHESIS:- Bluish purplish boils carbuncles- Black edges, blue-black swellings- Senile erysipelas- Cellulitis, varicose veins BACILLINUM:- Ringworm, pityriasis, eczema of eyelids- Glands of neck enlarged- Skin complaints about asthma. CARBO VEG:- Gangrene boils carbuncles, putrid ulcers- Blueness, ecchymoses- Burning pain, putrid discharges PSORINUM:- Dirty greasy breaks in folds- Scaly eruptions over the scalp.- Unhealthy skin- Intolerable itching during the night.- Offensive discharges from eruptions, eruptions around nails. SEPIA:- Ringworms , tinea, warts. herpes circinatus.- Rough, cracked skin in flexures- Ulcers on small joints- Itching not relieved by scratching. NAT MUR:- Crusty eruption margins of hair, behind ears, the eruption in bends of limbs.- Eczema raw red inflamed eruption in hair margins.- Herpes about lips.

Friends today I am discussing a very common problem faced by most of of the peoples at the age of puberty. Young guys and gals have any problem. Acne is a chronic, inflammatory skin condition that causes spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms. Whiteheads, blackheads, pimples, cysts, and nodules are all types of acne. It commonly occurs during puberty, when the sebaceous glands activate, but it can occur at any age. It is not dangerous, but it can leave skin scars. The glands produce oil and are stimulated by male hormones produced by the adrenal glands in both males and females. Here are some facts about acne Acne is a skin disease involving the oil glands at the base of hair follicles. It affects 3 in every 4 people aged 11 to 30 years. It is not dangerous, but it can leave skin scars. Treatment depends on how severe and persistent it is. Risk factors include genetics, the menstrual cycle, anxiety and stress, hot and humid climates, using oil-based makeup, and squeezing pimples. Home rem Acne Acne is a common skin problem. There are many suggested home remedies for acne, but not all of them are supported by research. Diet: It is unclear what role diet plays in worsening acne. Scientists have found that people who consume a diet that offers a good supply of vitamins A and E and of zinc may have a lower risk of severe acne. Tea-tree oil: Results of a study of 60 patients published in the Indian Journal of Dermatology, Venereology, and Leprology suggested that 5-percent tea-tree oil may help treat mild to moderate acne. Tea: There is some evidence that polyphenols from tea, including green tea, applied in a topical preparation, may be beneficial in reducing sebum production and treating acne. However, the compounds in this case were extracted from tea, rather than using tea directly. Moisturizers: These can soothe the skin, especially in people who are using acne treatment such as isotretinoin, say researchers. Moisturizers containing aloe vera at a concentration of at least 10 percent or witch hazel can have a soothing and possibly anti-inflammatory effect. Causes Human skin has pores that connect to oil glands under the skin. Follicles connect the glands to the pores. Follicles are small sacs that produce and secrete liquid. The glands produce an oily liquid called sebum. Sebum carries dead skin cells through the follicles to the surface of the skin. A small hair grows through the follicle out of the skin. Pimples grow when these follicles get blocked, and oil builds up under the skin. Skin cells, sebum, and hair can clump together into a plug. This plug gets infected with bacteria, and swelling results. A pimple starts to develop when the plug begins to break down. Propionibacterium acnes (P. acnes) is the name of the bacteria that live on the skin and contributes to the infection of pimples. Hormonal factors A range of factors triggers acne, but the main cause is thought to be a rise in androgen levels. Androgen is a type of hormone, the levels of which rise when adolescence begins. In women, it gets converted into estrogen. Rising androgen levels cause the oil glands under the skin to grow. The enlarged gland produces more sebum. Excessive sebum can break down cellular walls in the pores, causing bacteria to grow. Other possible triggers Some studies suggest that genetic factors may increase the risk. Other causes include: some medications that contain androgen and lithium greasy cosmetics hormonal changes emotional stress menstruation Treatment Treatment depends on how severe and persistent the acne is. Mild acne Acne gel A variety of steroidal and non-steroidal creams and gels are available to treat acne, and many are effective. Mild acne can be treated with over-the-counter (OTC) medications, such as gels, soaps, pads, creams, and lotions, that are applied to the skin. Creams and lotions are best for sensitive skin. Alcohol-based gels dry the skin and are better for oily skin. OTC acne remedies may contain the following active ingredients: Resorcinol: helps break down blackheads and whiteheads Benzoyl peroxide: kills bacteria, accelerates the replacement of skin, and slows the production of sebum Salicylic acid: assists the breakdown of blackheads and whiteheads and helps reduce inflammation and swelling Sulfur: exactly how this works is unknown Retin-A: helps unblock pores through cell turnover Azelaic acid: strengthens cells that line the follicles, stops sebum eruptions, and reduces bacterial growth. There is cream for acne, but other forms are used for rosacea. It is advisable to start with the lowest strengths, as some preparations can cause skin irritation, redness, or burning on first use. These side effects normally subside after continued use. If not, see a doctor. Oral antibiotics Oral antibiotics may be prescribed for up to 6 months for patients with moderate to severe acne. These aim to lower the population of P. Acnes. The dosage will start high and reduce as the acne clears. P. acnes can become resistant to the antibiotic in time, and another antibiotic is needed. Acne is more likely to become resistant to topical rather than oral antibiotics. Antibiotics can combat the growth of bacteria and reduce inflammation. Erythromycin and tetracycline are commonly prescribed for acne. Topical antimicrobials Topical antimicrobials also aim to reduce P. acnes in patients with moderate to severe acne. Examples are clindamycin and sodium sulfacetamide. The dermatologist may prescribe a topical retinoid. Topical retinoids are a derivative of vitamin A. They unclog the pores and prevent whiteheads and blackheads from developing. Isotretinoin This is a strong, oral retinoid, used for the treatment of severe cystic acne and severe acne that has not responded to other medications and treatments. It is a strictly controlled medication with potentially serious side effects. The patient must sign a consent form to say that they understand the risks. Homoeopathic medicines for Acne.. Psorinum: It is considered to be the best homeopathic drug for acne. Acne indurata, acne simplex and acne pustular are all treatable with Psorinum. In oily skin with over worked sebaceous glands, the skin is left greasy, making it more prone to acne. Psorinum can help reduce secretion of oil and in effect, treat the underlying cause of a pimple outbreak. It is also used in treating acne that gets worse with consuming chocolates, meats, sweets and fat. Itchy winter acne may be treated with this as well. Calcarea Sulphurica and Hepar Sulph: Calcarea Sulphurica and Hepar Sulph are homeopathic remedies that are very effective for treating pustular acne. Pustular acne means pus filled acne. Often, there is blood staining the pus. Hepar Sulph is effective if the pimples ooze out pus or blood mixed with pus. These pimples may be extremely painful. It is especially useful to treat pimples in teenagers. Kali Bromatum: Kali Bromatum is a wonder medicine that treats chest, shoulders and facial acne. It is generally marked by a persistent itch. The acne might be indurated, pustular or simplex. The scar forming acne is also generally treated with Kali Bromatum. Purple tinged acne is best treated with Kali Bromatum. Natrum Mur and Antimonium Crudum: They are very effective in the treatment of facial acne, especially those affecting the cheeks. Cheeks which turn hot due to acne are best treated with Antimonium Crudum. It may be pustular or papular in nature. Another complaint in such cases is a burning sensation. Natrum Mur is a homeopathic medicine that shows maximum efficacy in case of itchy pimples on cheeks. Anemic girls are also benefitted by Natrum Mur. Sulfur: It is used in extremely itchy acne. People with unhealthy looking and dirty skin are benefitted from the use of this homeopathic wonder drug. The itch generally gets much worse at night or with the application of warmth. For acne that hasn’t responded to previously applied topical medicines and ointments, sulfur has shown marked improvement and has even obliterated all signs of acne. Silicea: Acne affecting the forehead heals fast with the application of silicea. Even pustular acne has shown drastic healing with this homeopathic medicine.

63 y/o female with no significant past medical history except discoid lupus complaining of new firm skin spots on left cheek for a few months (progressing). Non-tender. Non-pruritic. No pus or discharge noted. No new use of skin products or skin procedures. Has decent daily sun exposure but uses sunscreen. Patient is wondering if likely nothing or worth a biopsy? Could this be discoid lupus flare developing? (prior lesions on scalp and behind the ear). Denies fevers, chills, nausea, vomiting, or diarrhea.

28 yrs old female pregnant female came with above mentioned lesion itching DX Rx?