Acne Treatments Take Care Of Mind, Body
Published by Contra Costa Times
Posted on Sat, Jan. 10, 2004
By Dr. Thomas Paige
Acne can scar the psyche as well as the face. A typical patient might be a 15-year-old named Allison who comes in early in the morning so she won't miss much school: looking down at her hands, her hair styled to cover much of her face, heavy pancake makeup to hide blemishes, a shy, somewhat fearful expression.
After a brief discussion, she might even cry when relating how last year's "peaches and cream" complexion had broken into red and purple eruptions on her forehead, cheeks and chin. After weeks of scrubbing, and many medicines from the drug store, she'd finally persuaded her parents to bring her to the doctor. For most teenagers, reassurance about "inner beauty" is little consolation.
Since acne tends to run in families, her parents had had pimples, but eventually outgrew them. They thought Allison just had to wait. The same teenage hormones that cause such dramatic emotional changes, and painful self-consciousness, also can cause acne. Allison wasn't really interested in my brief lecture that her hormones caused her skin oil glands to produce more oil and in some way cause the pores to plug up with dead skin cells. On the face, this appears as a blackhead or whitehead and is called a comedone. If comedones rupture, an inflammatory pimple results.
She had tried many diets; avoiding fats, chocolate, milk and fruits at different times. But diet usually doesn't play an important role in acne. Luckily, there are many treatments for acne that work:
The net effect of my lecture about acne to patients like Allison is that there is hope for their acne and the embarrassment it causes them. Consult your doctor. Don't wait until acne scars both your face and your self-image.
Dr. Paige is chief of dermatology at the Contra Costa Regional Medical Center. He practices at the Martinez, Pittsburg and Richmond Health Centers. Healthy Outlook is written by the professional staff of Contra Costa Health Services, the county health department. Send questions to series coordinator Dr. David Pepper at firstname.lastname@example.org. For more health information, go to www.cchealth.org.