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Anais Brasileiros de Dermatologia 2017Acne fulminans is a rare and severe variant of acne. In Brazilian medical journals, cases are infrequently reported, confirming its rarity. We followed five young male...
Acne fulminans is a rare and severe variant of acne. In Brazilian medical journals, cases are infrequently reported, confirming its rarity. We followed five young male patients with this severe variant of cutaneous lesions, accompanied by also severe systemic symptoms: fever, anorexia, weight loss, and arthralgia. All had a good response to corticosteroids (prednisone), but had significant scarring.
Topics: Acne Vulgaris; Adolescent; Arthralgia; Disease Progression; Fever; Glucocorticoids; Humans; Male; Necrosis; Prednisone; Propionibacterium acnes; Severity of Illness Index; Superantigens; Young Adult
PubMed: 29267432
DOI: 10.1590/abd1806-4841.20176546 -
The Western Journal of Medicine Dec 1979
Topics: Acne Vulgaris; Aged; Humans; Vitamin A
PubMed: 161829
DOI: No ID Found -
The Western Journal of Medicine Dec 1979The cause of acne is still obscure, but genetic predisposition, sebaceous overactivity, overgrowth of bacterial flora and exposure to comedogenic substances are all...
The cause of acne is still obscure, but genetic predisposition, sebaceous overactivity, overgrowth of bacterial flora and exposure to comedogenic substances are all significant factors. Acne lesions occur mainly in sebaceous follicles, which are characterized by deep follicular canals and large sebaceous glands. The associated seborrhea is not due to a circulatory excess of androgens but may be caused by a local amplification of androgenic activity. This, in turn, may be due to large numbers of androgen receptors and a high concentration of enzymes such as 17beta-hydroxysteroid dehydrogenase, within the sebaceous gland itself. Hyperkeratosis of the retention type in the pilary infrainfundibulum obstructs the outflow of sebum and keratin flakes. This favors the proliferation of Propionibacterium acnes which may initiate inflammation in microcomedos and lead to formation of pustules, papules or nodules. Topical therapy with tretinoin, benzoyl peroxide and antibiotics such as clindamycin is widely used today. Oral tetracyclines and other chemotherapeutic agents remain necessary in severe cases.
Topics: Acne Vulgaris; Adolescent; Adult; Female; Humans; Male; Vitamin A
PubMed: 161830
DOI: No ID Found -
Archives of Dermatological Research Dec 2023Microencapsulation has received extensive attention because of its various applications. Since its inception in the 1940s, this technology has been used across several... (Review)
Review
Microencapsulation has received extensive attention because of its various applications. Since its inception in the 1940s, this technology has been used across several areas, including the chemical, food, and pharmaceutical industries. Over-the-counter skin products often contain ingredients that readily and unevenly degrade upon contact with the skin. Enclosing these substances within a silica shell can enhance their stability and better regulate their delivery onto and into the skin. Silica microencapsulation uses silica as the matrix material into which ingredients can be embedded to form microcapsules. The FDA recognizes amorphous silica as a safe inorganic excipient and recently approved two new topical therapies for the treatment of rosacea and acne. The first approved formulation uses a novel silica-based controlled vehicle delivery technology to improve the stability of two active ingredients that are normally not able to be used in the same formulation due to potential instability and drug degradation. The formulation contains 3.0% benzoyl peroxide (BPO) and 0.1% tretinoin topical cream to treat acne vulgaris in adults and pediatric patients. The second formulation contains silica microencapsulated 5.0% BPO topical cream to treat inflammatory rosacea lesions in adults. Both formulations use the same amorphous silica sol-gel microencapsulation technology to improve formulation stability and skin compatibility parameters.
Topics: Adult; Humans; Child; Dermatologic Agents; Benzoyl Peroxide; Acne Vulgaris; Tretinoin; Pharmaceutical Vehicles; Rosacea; Nonprescription Drugs; Gels; Treatment Outcome; Drug Combinations
PubMed: 37792034
DOI: 10.1007/s00403-023-02725-z -
Journal of Microbiology and... Nov 2022Acne is a chronic inflammatory disease of the sebaceous gland attached to the hair follicles. is a major cause of inflammation caused by acne. It is well known that...
Acne is a chronic inflammatory disease of the sebaceous gland attached to the hair follicles. is a major cause of inflammation caused by acne. It is well known that secretes a lipolytic enzyme to break down lipids in sebum, and free fatty acids produced at this time accelerate the inflammatory reaction. There are several drugs used to treat acne; however, each one has various side effects. According to previous studies, sulforaphene (SFEN) has several functions associated with lipid metabolism, brain function, and antibacterial and anti-inflammatory activities. In this study, we examined the effects of SFEN on bacterial growth and inflammatory cytokine production induced by . The results revealed that SFEN reduced the growth of and inhibited proinflammatory cytokines in -treated HaCaT keratinocytes through inhibiting NF-κB-related pathways. In addition, SFEN regulated the expression level of IL-1α, a representative pro-inflammatory cytokine expressed in co-cultured HaCaT keratinocytes and THP-1 monocytes induced by . In conclusion, SFEN showed antibacterial activity against and controlled the inflammatory response on keratinocytes and monocytes. This finding means that SFEN has potential as both a cosmetic material for acne prevention and a pharmaceutical material for acne treatment.
Topics: Humans; Propionibacterium acnes; Inflammation; Acne Vulgaris; Anti-Bacterial Agents
PubMed: 36437519
DOI: 10.4014/jmb.2209.09051 -
Biomedicine & Pharmacotherapy =... Aug 2023Acne vulgaris is a highly prevalent skin condition caused by androgen-induced elevated sebum secretion, abnormal keratinization, bacterial colonization, and... (Review)
Review
Acne vulgaris is a highly prevalent skin condition caused by androgen-induced elevated sebum secretion, abnormal keratinization, bacterial colonization, and inflammation. Current research indicates a link between acne vulgaris and the metabolic syndrome, a group of disorders that includes obesity, insulin resistance, hypertension, and dyslipidemia. This link is thought to be modulated by excessive concentrations of oxidative stress markers and chronic inflammation, which are included in the pathophysiological mechanisms shared by both conditions. Excessive generation of reactive oxygen species damages cellular components and initiates an inflammatory response, hence promoting the development of both disorders. The current narrative review focuses on the molecular implications of inflammatory, hormonal, and environmental factors in the acne-metabolic syndrome correlation. Furthermore, it outlines the current state of knowledge related to the phyto-therapeutic approach to these conditions as an adjuvant strategy to allopathic treatment, but future multicenter and larger-scale research studies are needed establish new algorithms to be included in the future management of patients with these conditions.
Topics: Humans; Metabolic Syndrome; Acne Vulgaris; Oxidative Stress; Inflammation; Dietary Supplements; Phytochemicals; Multicenter Studies as Topic
PubMed: 37315434
DOI: 10.1016/j.biopha.2023.115003 -
Sensors (Basel, Switzerland) Sep 2022Acne detection, utilizing prior knowledge to diagnose acne severity, number or position through facial images, plays a very important role in medical diagnoses and...
Acne detection, utilizing prior knowledge to diagnose acne severity, number or position through facial images, plays a very important role in medical diagnoses and treatment for patients with skin problems. Recently, deep learning algorithms were introduced in acne detection to improve detection precision. However, it remains challenging to diagnose acne based on the facial images of patients due to the complex context and special application scenarios. Here, we provide an ensemble neural network composed of two modules: (1) a classification module aiming to calculate the acne severity and number; (2) a localization module aiming to calculate the detection boxes. This ensemble model could precisely predict the acne severity, number, and position simultaneously, and could be an effective tool to help the patient self-test and assist the doctor in the diagnosis.
Topics: Acne Vulgaris; Algorithms; Face; Humans; Neural Networks, Computer
PubMed: 36146177
DOI: 10.3390/s22186828 -
Acta Dermato-venereologica Sep 2023Body dysmorphic disorder is a mental health disorder characterized by a preoccupation with a perceived flaw, which is commonly seen among dermatology patients. The...
Body dysmorphic disorder is a mental health disorder characterized by a preoccupation with a perceived flaw, which is commonly seen among dermatology patients. The objective of this study was to determine the frequency of body dysmorphic disorder and assess self-esteem among a clinical sample of adolescents and young adults being managed for acne vulgaris. A total of 105 patients, age range 13-24 years, receiving acne treatment at 1 of 2 dermatology outpatient clinic were included. A self-report questionnaire was used, which included a body dysmorphic disorder screening tool (based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria) and the Rosenberg Self-Esteem Scale (RSES). Acne was graded with the Cook's acne grading scale. Out of 105 adolescents and young adults visiting a dermatologist due to acne, 13 (12.4%) screened positive for body dysmorphic disorder (95% confidence interval (95% CI) 6.8-20.2%). Patients with body dysmorphic disorder were more likely to have female gender (p = 0.020) and had lower self-esteem (RSES 15.8 vs 20.5, respectively, p = 0.013) compared with patients without body dysmorphic disorder. No differences were found in the frequency of body dysmorphic disorder with DSM-IV or DSM-5 criteria. This is the first study to report on the frequency of body dysmorphic disorder and self-esteem in adolescents and young adults with acne. Ultimately, more awareness of body dysmorphic disorder among adolescents and young adults presenting with dermatological disorders could lead to more rapid recognition and referral to psychiatric units.
Topics: Humans; Adolescent; Female; Young Adult; Adult; Body Dysmorphic Disorders; Acne Vulgaris; Referral and Consultation; Self Concept; Self Report
PubMed: 37707293
DOI: 10.2340/actadv.v103.6232 -
Deutsches Arzteblatt International Apr 2014Acne is the most common skin disease in adolescence, with a prevalence of nearly 100%. About 60% of affected adolescents have mild acne for which they use... (Review)
Review
BACKGROUND
Acne is the most common skin disease in adolescence, with a prevalence of nearly 100%. About 60% of affected adolescents have mild acne for which they use non-prescription preparations without consulting a physician. The remaining 40% constitute the population of acne patients seen in medical practice. The course of acne can be either acute or chronic; its manifestations can appear in waves, sometimes with dramatically severe inflammation leading rapidly to scarring. Acne often has adverse emotional consequences. Its treatment is markedly better than in the past because of new pharmacological and physicochemical approaches and because evidence-based guidelines are now available.
METHOD
This article is based on a selective review of the literature and also incorporates the authors' own clinical and scientific experience.
RESULTS
Acne vulgaris of grade I or II in an adolescent is generally not hard to treat. In contrast, the more severe grades III and IV and conglobate acne often present a therapeutic challenge, as they are associated with varying constellations of acute lesions, scarring, inflammation, and emotional disturbances. These conditions often require systemic treatment with tetracyclines, which are especially useful because of their para-antibiotic antiinflammatory effect. Severe cases must be treated with isotretinoin. Women can benefit from anti-androgenic contraceptive drugs. Retinoids or azelaic acid are used in maintenance therapy to suppress the formation of microcomedones, the precursor stage of acne lesions.
CONCLUSION
A variety of effective treatments for acne are available, depending on the severity of the condition.
Topics: Acne Vulgaris; Anti-Bacterial Agents; Anti-Inflammatory Agents; Dermatologic Agents; Female; Humans; Isotretinoin; Male; Tetracyclines
PubMed: 24828100
DOI: 10.3238/arztebl.2014.0301 -
Boletin Medico Del Hospital Infantil de... 2021Neonatal acne (NA) is a transitory dermatosis that occurs between the second and fourth weeks of life in 20% of children. This condition is more frequent in males, with...
Neonatal acne (NA) is a transitory dermatosis that occurs between the second and fourth weeks of life in 20% of children. This condition is more frequent in males, with a male-female ratio of 4.5:1. Present primary skin lesions are open and closed comedones which can evolve into papules, erythematous pustules and, in rare cases, nodules and cysts. NA topography includes the forehead, cheeks, chin, and eyelids, but occasionally it spreads to the scalp, neck, and trunk. NA occurs due to an elevated production of placental and neonatal androgens (of adrenal origin in both sexes and of testicular origin in males) which cause enlargement of the sebaceous glands and increases the production of sebum. Most cases are mild and transient, but if NA is severe and long-lasting, clinical and paraclinical examination will be necessary to find congenital adrenal hyperplasia or a virilizing tumor of adrenal or gonadal origin. The diagnosis of NA is clinical; its main differential -diagnoses are neonatal cephalic pustulosis, other neonatal vesiculopustular dermatoses, infectious diseases, and acneiform reactions. The resolution of NA is spontaneous. In most cases, the use of a mild dermal cleanser and water will be sufficient. For comedogenic lesions (open and closed comedones), topical retinoids or 20% azelaic acid may be used, as well as some topical antibiotics for inflammatory lesions.
Topics: Acne Vulgaris; Anti-Bacterial Agents; Child; Diagnosis, Differential; Female; Humans; Infant, Newborn; Male; Placenta; Pregnancy; Skin Diseases
PubMed: 34571513
DOI: 10.24875/BMHIM.20000327