Acne 

Introduction 

Acne

A nurse describes how acne develops, who is most affected by it and how it's treated.

Acne myths

Despite being one of the most widespread skin conditions, acne is also one of the most poorly understood and there are a wide range of myths and misconceptions about it. These are explained below.

  • 'Acne is caused by a poor diet.' There is no evidence that diet plays a role in acne. Eating a healthy, balanced diet is recommended because it is good for your heart and your health in general. However, it will not help your acne.
  • 'Acne is caused by having dirty skin and poor hygiene.' Most of the biological reactions that trigger acne occur beneath the skin, not on the surface of the skin. Therefore, how clean your skin is will have little to no effect on your acne. You should wash on a daily basis (and your face twice a day). More frequent washing will make no difference to your acne and could actually make your symptoms worse by aggravating your skin.
  • 'Squeezing blackheads, whiteheads, and spots is the best way to get rid of acne.' Squeezing or picking your acne could make your symptoms worse and may leave you with permanent scarring.
  • 'Sunbathing, sunbeds and sunlamps help improve the symptoms of acne.' There is no conclusive evidence that prolonged exposure to sunlight, or using sunbeds or sunlamps can improve acne. However, there is evidence to show that prolonged exposure to sunlight can increase your risk of getting skin cancer. Also, many of the medications that are used to treat acne can make your skin more sensitive to light, so prolonged exposure could cause painful damage to your skin.
  • ‘Acne is infectious.’ You cannot pass acne on to other people and the condition is not infectious.

Acne is a chronic skin condition that affects most people at some point during their life. It causes spots to develop on the skin, usually on the face, back and chest. The symptoms of acne can be mild, moderate or severe.

Acne is thought to be caused by changes in hormones that are triggered during puberty.

Acne can cause great distress and have an adverse effect on a person’s quality of life and self-esteem.

Therefore, healthcare professionals recognise that the condition requires effective and sometimes aggressive treatment.

How common is it?

Acne is the most common type of skin condition. It is most widespread among older children, teenagers and young adults. 

Around 80% of 11 to 30-year-olds are affected by acne. Most acne cases in girls occur between the ages of 14 to 17, and in boys the condition is most common in 16 to 19- year-olds.

Most people will experience repeated episodes, or flare-ups, of acne for several years before finding that their symptoms gradually start to improve as they get older. The symptoms of acne usually disappear when a person is in their twenties.

However, in some cases, acne can continue into adult life, with approximately 5% of women and 1% of men over 25 continuing to experience symptoms.

Outlook

With treatment, the outlook for acne is generally good. Treatments can take between two to three months to work but, once they do, the results are usually effective.

Approximately 90% of people who seek treatment for acne will show at least a 50% improvement in their symptoms after three months. Once the symptoms are under control, additional treatments can be used to prevent the acne from recurring. This is known as maintenance therapy.

In cases of severe acne, scarring can occur. However, this can usually be prevented by seeking prompt treatment.




  • show glossary terms

Glossary

Nodules
A nodule is a small growth or lump of tissue.
Onset
The onset is the beginning or early stages of a condition or disease.

Last reviewed: 20/10/2009

Next review due: 20/10/2011

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Comments are personal views. Any information they give has not been checked and may not be accurate.

GBloom said on 11 November 2011

I have to agree with ols post. I have been using Aknicare for years and it works brilliantly for my skin. It keeps the oiliness at a minimum and I get so few breakouts. I definitely recommend you give it a go.

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ols said on 25 May 2011

Hi I was recommended Aknicare by a Dermatologist in London. I have tried lots of treatments including Rocaccutane which worked for a short time but then the spots came back. I was so frustrated I went back to the Dermatologist. After using Aknicare for 2 weeks I started to notice my spots were drying up and I was getting fewer new ones. My skin was also a lot less oily. I have been using it for around 2 months now and my skin has continued to improve. I would definitely recommend Aknicare.

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livewell said on 21 March 2011

PS, Benzoyl Peroxide cost me £3 for a tube which, I imagine, will last a while. You're only supposed to apply a thin layer to the affected area (not just the spots!) once a day.

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livewell said on 21 March 2011

Hi Everyone. I'm not sure if this is going to help. I'm 30, suffer from acne on my face, always around my chin area and bottom of my cheeks. I've always had spots on these areas since early 20s. When some of my spots disappear, others always follow. I have just started using Benzoyl Peroxide which is an over the counter gel/cream. I've done my research on this and can explain how it works. The bacteria that often causes acne cannot survive in an oxygen-rich environment. Benzoyl Peroxide works by producing oxygen to the pores, thereby killing the bacteria.
It comes in a variety of strengths...I'm on 2.5% strength which is recommended for beginners. If there is no change in a few weeks, my pharmasist had advised me I can increase the strength.
I can't give you a personal experience of this yet as I've only just started using it. However, I do like the feeling of it on my skin and my spots feel a little drier and there is no excess oil on my skin.
Of course, always check with your Dr or pharmasist for advice and info into the side effects. I am not a Doctor or have any medical qualifications at all. Might be worth a try though, hey?

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mizz3 said on 04 March 2010

If you have tried several medications from your GP and have had the problem for years, make sure you are referrred to a dermatologist. This is a skin specialist at the hospital who will be able to supply stronger treatments that are much more likely to cure it (will depend on individuals circumstances).

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Luci05 said on 11 February 2010

I am 18 years old and have suffered from acne ever since i started puberty. It started on my face and then spread to my back and chest. A few years later it appeared on my inner thighs and on my vagina. Just recently it has flared up under my breasts and in my armpits. I end up having to wear plasters to cover them as they leak pus and sometimes blood and are very sore. The acne in my armpits sometimes smells, no matter how ofter i wash. I was put on Roaccutane (isotretinoin) 30mg for 5months and while my face and and back cleared, everything else has got worse not better. Please help me as it is very embarrassing and effects my social life. Please!

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SeanGauld said on 02 February 2010

Imogen,
Its hard to tell with you as you are only 16, If you are on any income support or any thing like that from the Job Centre then take it with you to your Chemist along with your Prescription and they will advise you.
I am currently on Oxytetracycline but trouble is, my body is getting immune to them. Tried another sorce of Antibiotics but they were Crap.
Seek advice from Dr though.
I know what you are going through and do feel for you.
Wish you all the best.
Sean

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Imogen-1993 said on 14 June 2009

If i'm 16, do i have to pay for acne creams and medicines from the GP?

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