Acne | Symptoms & Causes
What are the symptoms of acne?
Acne can occur anywhere on the body but most often appears in areas where there is a high concentration of sebaceous glands, located in the middle layer of skin, including the following:
- face
- chest
- upper back
- shoulders
- neck
Although each adolescent may experience different acne symptoms, these are the most common signs:
- blackheads
- whiteheads
- papules (small, inflamed bumps)
- nodules (solid, deeper bumps)
- pustules (small pus-filled lesions)
- abscesses (large pus-filled lesions)
What causes acne?
Rising hormone levels during puberty may cause acne. In addition, acne is often inherited through genetics. Other causes of acne may include the following:
- hormone level changes during the menstrual cycle
- certain drugs (such as corticosteroids, lithium, and barbiturates)
- oil and grease from the scalp, mineral or cooking oil, and certain cosmetics
- friction or pressure from helmets, backpacks, or tight collars
- environmental conditions (such as pollution or humidity)
Contrary to popular belief, research has shown that chocolate, greasy foods, and dirty skin are not risk factors for acne.
Acne can be aggravated by squeezing pimples or scrubbing the skin too hard.
Acne | Diagnosis & Treatments
How is acne diagnosed?
A dermatologist will examine your child's skin to diagnose acne in an in-office visit to determine the severity of the acne.
How is acne treated?
There are many available options for acne treatment. Because everyone’s skin is different, patients may need to try multiple treatments until they find the one best for them.
If your child has mild acne, with only a few blemishes, whiteheads, blackheads, or pimples, their doctor may recommend over-the-counter products. These often contain benzoyl peroxide or salicylic acid. Remember, acne treatment does not work overnight. Generally, at-home treatments take four to eight weeks before producing a noticeable improvement.
If your child has more severe acne, with many pimples or with cysts or nodules, over-the-counter treatments may not be enough. The most severe cases are treated with the oral drug isotretinoin (brand names include Accutane and Absorica), which is extremely effective but may have unwanted side effects. The most severe side effects include psychiatric issues like depression and birth defects in patients who take the medication while pregnant. You may need to schedule an appointment with a dermatologist, who can offer several different forms of treatment:
- topical acne treatment
- oral antibiotics to kill bacteria and reduce inflammation
- birth control pills and medicines that affect hormone levels (in female patients)
- isotretinoin, which shrinks oil glands, prevents plugging of pores, and decreases bacteria
Your dermatologist may opt to treat your child's acne with a procedure, such as:
- lasers and other light therapies to reduce bacteria
- chemical peels to remove upper layers of skin
- drainage and/or steroid injections to treat large acne cysts/nodules
