Guest guest Posted January 7, 2003 Report Share Posted January 7, 2003 Acne is an inflammation of the oil glands of the skin and of the follicles of the fuzz-like hairs attached to the oil-glands. It manifests as small and large pimples, often containing pus, which detract greatly from the appearance of the sufferer. I am not sure that I am right, but it seems to me that there is far more acne now than there was twenty-five years ago. Sure I am that it is very common today and that it is the source of much anxiety and mental discomfort in those who have this affection. More than one otherwise beautiful young girl has consulted us who was on the verge of suicide, so much were they concerned over their appearance and over the persistent failure of their efforts to remedy their skin trouble. Various qualifying terms have been added to the term acne to distinguish its most important features. Thus we have: Acne Simplex, or simple acne, which is the most common form, hence the term Acne vulgaris. Acne Indurata, which differs from the simple form chiefly in the degree and extent of its Symptoms and the hardening (induration) which is resent. Malnutritional Acne, called, also scrofulous acne, or, acne scrofulosum, and acne cachecitcorum, occurs in undernourished or scrofulous or emaciated individuals. It develops chiefly on the trunk and lower limbs, though, occasionally the arms and face are affected. Artificial Acne, or acne artificialis, is papules produced by the internal use of such drugs as the bromides and the iodides, and the external application of tar, chrysarobin, etc. Atrophic Acne, or acne atrophica, is simple acne in which the lesions are followed by scars or small pits. Popular Acne, or acne papulosa, is simple acne in which papular eruptions (solid raised spots on or in, the skin) predominate. Pustular Acne, or acne pustulosa, is acute acne simplex with papules developing into pustules. Overgrowth acne, or hypertrophic acne, is Yap lied to acne followed by thickening of the n from an overgrowth of connective tissue. Scurvy Acne, or acne scorbutis, is a papular acne with hemorrhages into the skin. Acne Rosacea is acne plus rosacea, or a chronic congestion of the nose and parts of the face. Acne Vartoliformis is a form of acne the pustules of which resemble those of variola (smallpox). It develops chiefly on the fore head, along the hair margin, also the scalp, face and neck and, sometimes, the shoulders and breastbone. No effort will be made to describe each of these forms of acne. Suffice is to say that, except artificial acne, these forms are all the out growth of toxins. Since they are merely variations of simple acne and all yield to the same care let us confine our remarks chiefly to this form. This form is seen more often in women and girls than in men and boys. It develops chiefly on the forehead, cheeks, lower jaw and chin and sometimes on the chest, shoulders, upper arms and even down the back and thighs. It develops chiefly during the adolescent years and tends to disappear upon the attainment of maturity, although it may persist long after thirty is passed. It is often aggravated before and during menstruation. Blackheads usually constitute the center or nucleus for the beginning of the inflammation. A papule develops around this miter, and later becomes a pustule. However, acne may develop without blackheads, and blackheads may exist without acne developing. A crust-forms on the pustule then falls off, leaving a redness which lasts a few days, or a depression or scar may be left. In many cases no pustules develop, the condition remaining in the papule stage, in which cases, the papules are absorbed after a few days. On the same face, or other portion of the body, and without any semblance of regularity, there may be seen all stages - blackheads, papules, pustules, crusts, redness, pittings and scars. I frequently see faces that have been so badly pitted their owners look like they have had smallpox. Few things can so completely spoil the beauty of the face as acne. The scars may be permanent, or they may gradually smooth out. In some cases no scars are left. The stain that often remains tends to fade out eventually. If the papule of acne is opened or squeezed, blood, pus and fatty substance and, if present at the beginning of the papule, the blackhead, are found. Healing is usually rapid after evacuation of the contents, though squeezing usually' tends to aggravate the local lesion. If the pustule is not molested spontaneous evacuation takes place. In acne indurata the areas of hardening vary from the size of a pea to as large as a hazel nut. They begin deep below the epidermis, are usually deep red or purplish, often involve several adjacent glands, thus giving the appearance of boils and may contain much pus. The lesions often fail to rupture spontaneously. When opened and evacuated artificially, they tend to refill rather than to heal. Scar formation is often very pronounced especially where there has been much squeezing or direct pressure. Fibroid changes in the scars may cause them to resemble fibroid tumors. There are no general symptoms of acne and the sufferer is inclined to regard himself or herself as otherwise healthy. Observing that their friends who do not have acne (but who often have much worse troubles) eat and drink as they do, they are not easily convinced that their mode of living is in any way responsible for their trouble. The skin is the largest organ of the body, but because it is on the outside we tend to forget that it is helped or hurt by the same internal conditions that help or hurt the other organs of the body. We do not sufficiently recognize its dependence upon the blood. " Diseases " of the skin occur as the direct or indirect result of a large number of constitutional and visceral failures. Functional weakness and actual pathology of the stomach, intestine, liver, kidneys, nervous system, etc., frequently lead to eliminative efforts through the skin. These are also seen in rheumatism, gout, diabetes, etc. Carbuncles, furuncles and other skin eruptions seen in diabetic cases are explained by the saturation of the skin with sugar and, even if we grant the claim of bacteriologists, that these things represent staphylococcal infection, the sugar saturation is necessary to provide a favorable nidus for the growth of the microbes. Pruritis and eczema occurring in a patient suffering from chronic interstitial nephritis is due to the failure of elimination through the defective kidneys. There is also an intimate relationship between gastro-intestinal disorders and skin " diseases " - eczema, pruritis,, urticaria, acne, etc., an frequently observed in association with and to be influenced by digestive disturbances which involve decomposition of food and partial digestion. Pruritis is often observed in connection with pathology of the liver, especially when jaundice exists; xanthoma and chronic jaundice an often associated. Eczema and gout are so common together that they have both been classed as belonging to the " gouty diathesis, " while there is also a close connection between psoriasis and chronic arthritis. It is often difficult to trace the relationship between eruptions and other skin symptoms and the internal failings and " pathologies " with which they are associated; but we may be sure that faulty digestion, incomplete metabolism, and deficient excretion, these growing out of faulty dietary habits and other evil practices, are the underlying causes for these skin troubles. Acne in particular is definitely related to toxemic states and nutritional impairments. The large amounts of sweets consumed during adolescence tends to saturate the skin with sugar and lay the foundation for this and other troubles. The first principle in the care of skin diseases is to deal with the internal conditions with which they are associated, by removing or correcting the causes of these. Locally, the only care necessary is cleanliness. Functional impairments, - faulty elimination, digestive derangements, glandular defects, etc. - growing out of enervation and toxemia, must be overcome by removing or correcting the causes of enervation and toxemia. For parents to permit their sons and daughters to suffer with acne until their faces are a mass of scars is inexcusable. In all cases the condition may be quickly remedied by fasting, improved diet and general hygiene. The local application of salves, ointments, lotions, etc., is of no value. Some of these preparations will suppress the condition for a time, but the minute their use is discontinued the acne reappears. Often the acne reappears while their use is continued. The only time they appear to produce a lasting " cure " is when they are used coincident with spontaneous disappearance of the trouble. It should be remembered that in most cases the acne disappears without any treatment or change in the mode of living, after adolescence. It is never wise to wait upon the spontaneous termination of acne at the end of the adolescent period; for, by that time, the face may have become a mass of scars and its owner the victim of an inferiority complex that makes life miserable. Quote Link to comment Share on other sites More sharing options...
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