Answer: False. Acne is not a disease of hygiene and does not mean that you are a dirty person. Patients should not try to wash or scrub lesions away as excessive scrubbing can worsen the condition.
Acne is typically associated with chocolate, greasy or spicy foods. (T/F)
Answer: False. Studies have failed to show any association with acne and different foods.
Acne is not related to stress. (T/F)
Answer: True. Again the studies do not show any association between acne and stress.
Picking at acne lesions can make it worse. (T/F)
Answer: True. Although it is very tempting to pop or pick at acne lesions it can actually make the condition worse.
Acne can only be treated by a dermatologist. (T/F)
Answer: False. Acne is a very common condition treated by family physicians. Only if a person's acne is severe or non-responsive to initial treatment do they need to be referred to a specialist.
Patients with acne should wash their face twice daily with a mild soap. If patients use make-up, they should use the oil-free cosmetics.
Treatment of acne usually begins with over-the-counter benzoyl peroxide products. If this fails, usually a retinoid agent is added.
Initial treatment can be frustrating because it does take time to see results. Usually your physician will have you return in 4-6 weeks after daily initial treatment.
If inflammation is a problem, a topical antibiotic may be added. If the response still is not adequate an oral antibiotic like doxycycline may be added. For females, oral contraceptives may be a treatment option as well.
In conclusion, if you suffer from acne it does not mean that you are a dirty person or that you eat inappropriate foods. With all of the different treatments available ask your family physician for help.
Do not get discouraged at first if the results are minimal. Remember it takes time, but with perseverance the results will be worth the effort.
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