Acne Vulgaris | Causes, Pathogenesis, Influencing Factors, Diagnosis, Treatment and Complications

Acne Vulgaris: What is it, Risk Factors, pathogenesis, Types (Acne Fulminans, Conglobata & Excoriee), Diagnosis, Treatment, and Complications. Acne is a very common, often chronic, skin condition that leads to non-inflammatory and inflammatory skin lesions. There are 4 pathogenic causes of acne, including infection with the bacteria propionibacterium acnes (also known as cutibacterium acnes). There are also several medications that can cause and/or worsen Acne as well, including phenytoin among others. We discuss influencing factors that can worsen acne as well, including elevated androgen levels. We also discuss the different presentations of acne including acne fulminans, acne conglobata, and acne excoriee. Finally, we discuss the severity, diagnosis and treatment of acne.
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JJ
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**MEDICAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal.
Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
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Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.
I am always looking for ways to improve my lessons! Please don't hesitate to leave me feedback and comments - all of your feedback is greatly appreciated! :) And please don't hesitate to send me any messages if you need any help - I will try my best to be here to help you guys :)
Thanks for watching! If you found this video helpful, please like and subscribe!
JJ

[@DoomyGloomy]

I'm so thankful I never had this problem. My heart goes out to anyone and everyone suffering from this.

[@ranijohn7819]

I watched many of your videos. It makes a lot sense because I am an auditory learner and your slides are making good ideas.

[@victoriaparsons4378]

Very pleasant speaking voice! Thank you for your informative videos!

[@vanirampersad794]

great lecture thank u!

[@SnakeC666]

excellent explanation!

[@jwhite5396]

Milk causes my cystic acne. I wish I would’ve figured this out when I was in my teens eating milk with cereal every morning.

[@jamie_kaykirio]

The milk most likely only excecerbates the acne not cause it

[@miranmuslem]

Thank you a lot!

[@lynneb1189]

Per Cunnliffe and Layton - scarring may occur with mild, moderate as well as severe acne. Therefore early aggressive treatment is recommended. If clearing is not achieved within 3 months treatment needs to be stepped up. The only treatment demonstrated to produce long term remission is oral isotretinoin. However many patients treated with a full course of oral isotretinoin will need to use topical retinoids, benzoyl peroxide, or combo topical product to maintain clear skin afterwards.

[@agrata7058]

Oh my god mam can you please respond to this I NEED HELP so my dermatologist prescribed me 20 isotretinoin tablets and some other creams like azleic acid and a moisturizer I used it religiously and my skin got clear and beautiful in just 3 months(that was the prescribed course) so I stopped using it afterwards however I kept using the moisturizer furthermore cos I liked it. After a year now my skin had started redeveloping these pimples and some are even larger than before.... I am really really confused please help me find a permanent solution for this torcher

[@samgaming5215]

Many thanks for this excellent resource. I'd like to add that acne fulminans is a rare variant seen in teenage boys, and its treatment is different. This is because it is an immune reaction to P acnes. The lesions become necrotic, with haemorrhagic crusts surrounding the lesions, and systemic features eg malaise, fever, arthritis are also associated with acne fulminans. You can even get bone lesions from osteolysis. The treatment is systemic steroids (not surprising giving it is an immune reaction) following by oral isotretinoin.

[@mohammedelkahtani1196]

excellent presentation dude

[@ammaralhashedi4266]

U are amazing , thanks a lot

[@gaukharkoylibaeva]

Thank you😊!

[@Monica-hr1qx]

Great video

[@princessofethsiraqi4834]

شكرا ❤❤❤

[@danakhattab3004]

Various studies link the impact of the Western diet and acne vulgaris due to the overstimulation of the mtorc1 signaling pathway. I hope medicine and dermatologists are able to shed more light on the importance of diet in management !!

[@fadiaazar603]

very helpful for me

[@mohsinfareed1797]

Great as usual. Thanks. I wish other medical personnel see your videos.

[@ankiechen5578]

This is a fast and informative study. I`m suggesting this acne guide *AcneCureOnline. Com* to my friend who`ll begin their acne remedies to obtain a clearer skin. I had a nice time reading this and have learned that my skin will be affected with my personal problems. .

[@sanashaikh1442]

Thnku so much

[@sakibislam7158]

Hi! Your video was really informative. I am acne scars like you added a picture in the Complication part. Could you please tell us any way to get rid of these scars?

[@thwethwe2663]

Thanks from Myanmar 🎉🎉🎉🎉

[@arogyanikethanamayurveda105]

Great👍🏼🙏🏼

[@md.rakibulislam2763]

Congratulations...

[@rayy8468]

Explain about nodules more please

[@Maliha_tasnin]

Can i use reticap?

[@angiea8022]

At 55 years old, I never had acne until recently. I found that 1. squeezing lemon in my water/tea and 2. Staying away from sweets, sugar, carbs helps. Also,, I use a silver gel that helps dry it help!

[@aishaalmas6565]

There are several factors in reducing acne naturally . One place I discovered that succeeds in merging these is the Pats Remedy Plan (check it out on google) it's the most helpful guide i've heard of. Check out the awesome information.

[@tommyharris5817]

It might not be acne at your age

[@anjanakhatri820]

If acne vulgaris is seen then will it go to it's final stage even if it is tried to be cure with tretinoin.

[@sonalkumar3485]

U r awesome ❤️

[@ayanoomohamed5946]

Thank you 👍

[@Vunami]

Love it.

[@jjmedicine]

Glad you liked it :)

[@Punkini]

Doxycycline made me really sick. Will isotretinoin make me sick too? Or do they affect the body differently?

[@pavithrapavi57470]

Better don't take it regularly

[@makeupbymeli]

What if you’ve tried the oral medication and the trentinoid (only a month into this so far) and it doesn’t work? Is there other ways to get rid of this?

[@xDomglmao]

what I learned: last resort P.o. isotret

[@jamie_kaykirio]

You can also opt for combined oral contraceptives

[@farwajaved6814]

Retinols are taken for about 6 months..one month doesn't work

[@ytmld]

I have severe acne on my arms, face, neck, back and chest i went to the doctor and they only recommended me accutane and my parents are refusing to let me take isotretinoin, any other treatments i could use?

[@sir.bendover3299]

Benzoyl Peroxide, salicylic acid, as well as others. Make sure to use moisturizer as well as using sunscreen.

[@TebbyTebZz]

my acne sounds just like yours. Doxycycline has been very effective and inexpensive for me (would have to cut out dairy for most effective results) but you need it prescribed. The only issue is that it's usually not a permanent fix. I also use PanOxyl wash for my face and body which is the only wash that's made a difference on my skin. I haven't cured my acne but i want to say i have controlled it for the most part. Good luck brodie you're not alone.

[@dpunktspunkt]

Deepsea 1 Creme von Schutzengelein kann ich da sehr empfehlen.

[@eddieowiti9076]

how long should you give the treatment ?

[@ahsankabir7384]

I had cystic acne, was treated with Isotretinoin for 1.5 years before it came under control. It also had severe side effects.

[@imeshagamage700]

Sir.. Can you do a video about keratosis pilaris..

[@giftandpolitenicolas7107]

infection of propionibacterium aches is wrong, because this kind of bacteria is a symbiosis with human

[@11keksi]

Acne has a LOT to do with nutrition!

[@jjmedicine]

Hi Dieter Schweiger! Thanks for the comment! Looking back at this lesson, I realize that I should have said that statement "No significant evidence on dietary influence" somewhat differently. There is some evidence showing some association between dietary choices and increased acne. These dietary choices seem to include dairy milk and high glycemic foods. There are still some questions as to how much reducing intake of high-glycemic foods directly reduces acne or if it is the reduction in BMI (that accompanies the decrease in these foods) that is more of a direct link to decreased acne. There are some questionnaire-based retrospective studies that showed some mild association between dairy milk consumption and worsening acne; however, other studies did not show an association. So, if dairy consumption is associated, it's probably a high amount of diary consumption that is the associated cause. At this point, I think we are still in early stages of research for finding associations between diet and worsening acne - if diet is associated, it's probably related to changes in BMI. Hope all of that helps!

[@victoriamydlarz7394]

I agree with you, Dieter, I know when I changed my diet and stopped eating so much sugar and milk products I didn't have a problem with breakouts anymore. I'm surprised there isn't more evidence for this besides personal or anecdotal examples. I'm convinced that changes in diet can help some people's acne.

[@charliemarkson1776]

This is a fast and informative study. I`m suggesting this acne guide *AcneCureOnline. Com* to my friend who`ll begin their acne remedies to obtain a clearer skin. I had a nice time reading this and have learned that my skin will be affected with my personal problems. .

[@MA7-6585]

Dieter shcwaryzie...(or whatever your name is). Actually NO, it does NOT. If only it were that simple. U R A know-nothing.

[@MA7-6585]

@@jjmedicine No legitimate association with diet. Just say it.

[@mariamnadeem2283]

What is a comedone?

[@hloniphasibabalwengubo2405]

Google it👉

[@user-gg1vm2cj1y]

Amazing amazing amazing 😍 and thnx a lot

[@charliemarkson1776]

the *AcneCureOnline. Com* system REALLY helped me keep my skin under control on a LONG TERM basis without the side effects of drugs and most over the counters.

[@midwestpa769]

Does Acne vulgaris have telangiectasia as a symptom or is that only seen in acne rosacea?

[@ankiechen5578]

This is a fast and informative study. I`m suggesting this acne guide *AcneCureOnline. Com* to my friend who`ll begin their acne remedies to obtain a clearer skin. I had a nice time reading this and have learned that my skin will be affected with my personal problems. .

[@kimberlyscott7960]

I discovered the details in this acne guide *AcneCureOnline. Com* very helpful. I`m enduring moderate adult acne every so often and with this book, I learned the natural and other several acne remedies. I favor the natural way of treating them and I found out on this guide the solutions that work successfully.

[@cynnabar]

I have this. I'm not joking, I do

[@kimberlyscott7960]

This acne guide *AcneCureOnline. Com* was very informative and helpful. I often go through gentle adult acne and this guide discusses all the possible solutions for mild to severe acne whether natural procedures or otherwise. I prefer the natural way of treating them and I found out on this guide the treatments that work efficiently.

[@Gottty7]

Solution?

[@WasimAkram-rg9dt]

When i was taking accutane 10mg in 1st month i get somehow good result but when when doctor recommend me to take 20mg in this month my acne is further increasing? Need your help should i continue my treatment or should i stop?

[@MA7-6585]

What about tetracycline? It worked for me and I had it and. Still have the scars, unfortunately....

[@Junior-zf7yy]

@@MA7-6585 did your acne come back after completing your tetracycline antibiotic?

[@sir.bendover3299]

Ask your doc lol. But it usually gets worse before it gets better, so stick to that regimen!

[@omarhoward3157]

What exactly is Fopobiacne Secrets? How does this thing really work? I notice a lot of people keep on speaking about this popular acne remedy.

[@kc0369]

I used face razor and this happened.

[@hafsasheranii131]

Same 😂 and i still have the issue 3 years later.

[@yogayantra]

great video. I did have 3 considered autoimmune diseases: acne, asthma and severe arthritis. then i read the book by Dr Jean Seignalet and quit cereals (wheat and corn more particularly) plus milk and all dairy products. Miracle! one month later, no more acne, no more asthma, no more arthritis. It was in April 2003. Not a single pimple since then---except when i take wheat. Not a single fit of asthma or arthritis agains except when i have wheat for 2 or 3 consecutive days. I'd like to mention the case of a French football player, quite famous but I know nothing about these guys (I think it's Mossi). Anyway, his face was covered with acne... he got a liver-transplant that was successful. Right after the operation, all pimples disappeared and never came back again.

[@biosphere7762]

What the title of book

[@yogayantra]

@@biosphere7762 Nutrition, the 3rd Medicine, Dr Jean Seignalet.

[@biosphere7762]

@@yogayantra [e-mail] Send me it I will be grateful

[@KinA-zd4sm]

i quit dairy for like a month now my acne still getting worse im going outside for a montj because i dont want to people to see this face filled with pimples

[@yogayantra]

@@KinA-zd4sm getting worse! This could simply mean that, eventually, you are detoxifying. It is frequent to see symptoms increase for a while, then slowly decrease and stop

[@timucintarakc2281]

i get pipmle like things in diffrent areas of my body. when i crape them they bleed. but the blood stays under the skin. i mean my fingers don't get wet.

[@sir.bendover3299]

Don't pick your pimples, it creates acne scars

[@mutjny]

don’t pick it all it makes everything worse

[@aannkushh]

Mm

[@vnchezor]

Fatty liver too

[@eyreland]

Too much drugs. Not enough diet treatment.

[@mahfuzaislam661]

You speak very fast,,i can't understand properly