Treatment :
Although a cure for acne is not normally possible, medical science can usually control the condition adequately. The steps to follow are :- Gently wash the face with a cloth and non-perfumed non-medicated soap twice a day. Use over the counter chemist preparations that work by drying out the oil in the skin, removing any excess skin flakes, and reducing inflammation. A variety of different prescription creams, lotions and pastes that prevent infection, dry up excess oil and reduce inflammation. Antibiotics (see Medication Table) prescribed by a general practitioner, either short or long term, are successful in controlling more severe acne. Some types of oral contraceptive pill (see Medication Table) and other hormones are very useful in controlling the condition, but only in women. In rare cases, the very potent Roaccutane tablets (see Medication Table) may be prescribed.
Diet :
There is no evidence that diet, vitamins or other herbs have any effect on pimples. A small number of sufferers may find that one particular food causes a fresh crop of spots, but these people usually quickly realise this and avoid the offending substance. There is no truth in the old wives tale that acne is worsened by chocolate.
Complications :
Picking acne spots can cause serious secondary infections. Occasionally secondary infections can develop in acne to cause deeper skin infections that require immediate medical attention with antibiotics.
Outcome :
Usually settles with age and medication, but may cause both skin and psychological scarring.
Medical curiosity :
A century ago, doctors believed that constipation was a cause of acne.
