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Dr Bryan Betty: Acne episode artwork

Jul 28, 2023 5 min

Dr Bryan Betty: Acne

from Saturday Morning with Jack Tame Hosted by Newstalk ZB

What is acne? Very common. Affects hair follicles. Follicles have glands which secrete oily fluid, they can become blocked and cause inflammation and pimples. Typically whiteheads, blackheads or pustules, face, neck, back and chest. Can cause scarring if not treated, pigmented skin, and can sometimes have severe psychological affects. Who gets it? 85% of 16 to 18 year olds are affected. However the reality is any age can in fact get acne. Younger children and adults of any age. I often see older patients with persistent acne. And what causes it? Combination of factors not fully understood can cause acne. Family, hormones around puberty, bacteria on the skin. Flares can be provoked: drugs such as steroids, occlusive cosmetics, high humidity, some foods; for instance diary. What’s the treatment? Depends on the severity Mild: Topical anti-acne agents from chemist, combined oral contraceptive, antiseptic washes Moderate: We look at antibiotics often up to 6 months. Something called Doxycycline or erythromycin. Relatively new – low dose isotretinoin vitamin A derivative. Effective but careful side-effects – can’t use in pregnancy, watch mood. Severe: extensive skin lesions, fever skin infection, may need specialist dermatologist LISTEN ABOVE

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Dr Bryan Betty: Acne

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