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acne

Acne or hickey illness|disease of the skin|skin disorder|skin problem|skin condition|inflammatory disease} valgaris is disease during which the glandulae sebaceae of skin becomes sensitive to traditional level of androgen} hormone and find  pluged ensuing imflamation ,pustule,nodules and scarring of skin Etiological issues (a)androgens throughout time of life (b)follicular keratinisation (c)heredity (d)immunological issue (e)environmental factor square measure accountable exasperating factors (a)stress (b)premenstrual amount (c)occupational exposure toacnegenic agent (d)drugs like steroids, secretion medicine like steroid hormone and progestogen and antiepilectic medicine (e)spicy food intake Clasification in keeping with severity of illness|disease of the skin|skin disorder|skin problem|skin condition|inflammatory malady} it\'s devided in to 3 varieties (1)mild malady open and closed red comedones with spare inflammatory lesions  (2)modarate disease varied papules and pustules square measure devloped (3)severe disease in depth lesions and will embrace nodules and it ends up in scarring Managment (1)tropical medical aid (a)cream benzoxyle peroxide has medicament and keretolytic properties (b)cream clindamycin or antibiotic creams utilized in inflammatory lesions  (c)topical retinoids square measure perticularly helpful in non- inflamed lesion  (2)systemic medical aid (a)systemic antibiotics scale back inflammatory mediators and have to be compelled to be used long-standing for higher results (b)systemic isotretinoin orally is dear however price effective compared to future antibiotis,and turn out wonderful results (3)Hormonal medical aid it\'s helpful as a result of steroid hormone mediates secretion production .cyproterone acetate 2mg with ethinyloestradiol 35micro gram is effective (4)managment of scarring (à)punch excision and elevation in depressed  scars ,punch elevation followed by full thickness graft of traditional skin (b)intralesional adrenal cortical steroid for hypertropic or cicatrice scars (c)Dermabrasion during which skin is planed victimization deep wire brush (d)laser therapy-co2 ultrapluse and er:yag lasers are used with success.

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