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Adult Acne
  Acne, Adult
 Conditions that suggest it
 Contributing risk factors
 Treatment recommendations
 


Acne is the most common of all skin problems. Adult acne can be a condition with many contributing factors and as such may require an integrated approach. Acne is not caused by poor hygiene or oily skin, but both can make the problem much harder to control. Treatment & Prevention


People often try to treat acne by "de-oiling" and "drying" the skin with products that include harsh soaps, strong scrubs and mass-market medicated (drying) cosmetics. This approach to acne can cause intense drying of the skin, and provides only short-term benefits. While drying out blemishes can make skin appear satisfactory for a few weeks, over-drying can cause oil glands to compensate by working harder, resulting in clogged pores and more "breakouts" 3 to 4 weeks later. This often causes the user to resort back to drying products, which are causing the problem. In addition, treating adult acne harshly can create problems such as redness or broken capillaries.

Optimal nutrient status should be maintained. Information on conventional treatments is widely available, but be advised that prolonged use of antibiotics has the potential for causing candida overgrowth and for disturbing normal colonic flora. Probiotic replacement at the end of an antibiotic cycle is recommended.





Conditions that suggest Adult Acne:
Symptoms - Skin - Conditions  Adult acne (confirmed)

Risk factors for Adult Acne:
Diet  Consequences of Poor Diet

Digestion

  Constipation
 Bowel toxins from poor digestion or a prolonged transit time may contribute to acne.

Environment / Toxicity

  General Detoxification Requirement

Infections

  Bacterial Dysbiosis

Uro-Genital

  Polycystic Ovary Syndrome (PCOS)
 Among women with resistant acne (acne not responding to conventional treatments), PCOS is very common.

Recommendations and treatments for Adult Acne:
Botanical  Glycolic Acid
 Many over-the-counter products contain high levels of glycolic acid, which is a member of the alpha-hydroxy acid family. Glycolic acid used topically can effectively promote skin cells to shed more quickly and has been proven to be very effective in the treatment of acne.

  Tea Tree oil
 124 patients with mild to moderate acne in a single-blind randomized trial were given either a 5% gel of tea-tree oil or 5% benzoyl peroxide lotion. Both treatments resulted in significant improvement of noninflamed and inflamed lesions after three months, with tea tree oil causing more severe facial redness and benzoyl peroxide being more effective in noninflamed lesions. There were fewer unwanted side-effects in the tea tree oil group - 44% versus 79%. It was concluded that tea tree oil may be a valuable alternative to some traditional treatments of acne. [Lancet, December 8, 1990; p.1438, Medical Journal of Australia, 1990;153: pp.455-458]

We believe that this 5% solution is probably not strong enough for moderate to severe acne. Stronger solutions (up to 15%) should provide even better results.


Not recommended:
  Bladderwrack
 Iodine in any form - including from bladderwrack and other seaweeds - can cause or aggravate acne in some people.

Detoxification

  Bentonite Clay
 Bentonite masks may be helpful in drawing out toxins. These masks are usually left in place for 10 to 15 minutes, removed by rinsing or gentle rubbing with a soft wash cloth and applied three times per week.

Diet

  Sugars Avoidance / Reduction
 Sugar and refined carbohydrates should be avoided.

  Processed Foods Avoidance
  Dairy Products Avoidance
 Dr. Jerome K. Fisher conducted a clinical study of 1,088 teenage patients over 10 years and reported to the American Dermatological Association that milk was a principal contributor to some patients' acne. Dr. Fisher found that their acne tapered off as their milk consumption was reduced.

Dr. Fisher noted that dairy products often contain large amounts of butterfat and milk sugar, both of which, he believed, aggravate acne. He also suspected that the hormones produced naturally in the milk of pregnant cows may break down into androgen when consumed, which stimulates the production of sebum, the waxy substance secreted by the sebaceous glands that clogs pores and creates acne when the pores become infected.

Milk may also contain excessive amounts of iodine, which can irritate pores, bringing on acne flare-ups. Iodine gets into the milk through the use of contaminated milking equipment and medication given to the cows.

  Therapeutic Fasting
 Fasting clears the skin and whitens the eyes. It is a common experience to see skin eruptions clear while fasting.

Extract

  Nutritional Yeast
 High-chromium yeast is known to improve glucose tolerance and enhance insulin sensitivity [Diabetes 1980:29, pp.919-25.]. Although there is no difference in blood glucose tolerance tests between patients with and without acne, skin biopsies revealed that the acne patients' skin glucose tolerance is significantly impaired. Based on this it would be appropriate to describe acne as "skin diabetes" [Can Med Assoc J 1959:80, pp.629-32]. High-chromium yeast has been reported in an uncontrolled study to induce rapid improvement in patients with acne [Med Hypoth 1984:14, pp.307-10].

Hormone

Not recommended:
  Testosterone
 Adverse effects of testosterone supplementation include minor side-effects such as acne and oily skin.

Mineral

  Zinc
 Zinc is important in the treatment of acne. It is involved in local hormone activation, retinol binding protein formation, wound healing, immune system activity, and tissue regeneration. There have been inconsistencies in the results from studies using zinc as a treatment, but this may have been due to different forms of zinc having been used. If zinc insufficiency is suspected, use the more absorbable forms. Treatment may require up to 3 months of supplementation before good results are seen. Success or failure of zinc treatment of acne depends on whether a zinc deficiency is present. [Z Hautkr 1987:62(14): pp.1064, 1069-71, 1075]

  Selenium
 See the link between Adult Acne and Vitamin E.

  Colloidal Silver

Not recommended:
  Iodine
 According to James E. Fulton Jr., M.D., head of the Acne Research Institute in Newport Beach, California, "In some who are acne-prone, ... one milligram of iodine a day could be a problem." Foods high in iodine should be eliminated on a trial basis.

Nutrient

  Meyer's Cocktail

Oxygen / Oxidative Therapies

  Ozone / Oxidative Therapy
 Ozonated olive oil used topically has a reputation for fighting acne.

Physical Medicine

  Colon Cleansing
 Keep the colon clean by a series of colonics or enemas. Bowel toxins from poor digestion or a prolonged transit time may contribute to acne.

Psychological

  Stress Management

Vitamins

  Vitamin E
 Vitamin E regulates retinol levels in humans. Male acne patients have significantly decreased levels of erythrocyte glutathione peroxidase, which normalizes with vitamin E and selenium treatment. The acne of both men and women improves with these treatments, probably by reducing the development of lipid peroxides.

  Vitamin Niacinamide
 Though harder to find, a topically-applied 4% solution of niacinamide compared very favorably to Clindamycin in one trial. Oral niacinamide is unlikely to be of benefit.

  Vitamin A
 Vitamin A has been shown to be effective in treating acne when used at very high doses (300,000 to 400,000IU per day) for many months, but caution must be advised because vitamin A toxicity can result. The toxicity potential means that this therapy must be monitored closely, conducted with a water-soluble form of vitamin A and probably be used in lower doses (100,000 to 200,000IU) along with other therapies, not as a single treatment.

  Vitamin B6 (Pyridoxine)
 Women with premenstrual aggravation of acne are often responsive to vitamin B6 supplementation, reflecting its role in the normal metabolism of steroid hormones. Vitamin B6 can be used during the flair or continuously at 50 to 200mg per day.


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
May do some good
Likely to help
Highly recommended
Reasonably likely to cause problems


GLOSSARY

Acne
A chronic skin disorder due to inflammation of hair follicles and sebaceous glands (secretion glands in the skin).

Androgen
Any steroid hormone that increases male characteristics.

Candidiasis (Candida)
Infection of the skin or mucous membrane with any species of candida, usually Candida albicans. The infection is usually localized to the skin, nails, mouth, vagina, bronchi, or lungs, but may invade the bloodstream. It is a common inhabitant of the GI tract, only becoming a problem when it multiplies excessively and invades local tissues. Growth is encouraged by a weakened immune system, as in AIDS, or with the prolonged administration of antibiotics. Vaginal symptoms include itching in the genital area, pain when urinating, and a thick odorless vaginal discharge. Candidiasis is also known as: Candida; Candida albicans; Candida Related Complex; Chronic Candida Syndrome; (Chronic) Systemic Candidiasis; Monilia; Candidiasis Hypersensitivity Syndrome; Candidosis; (Chronic) Mucocutaneous Candidosis; Thrush (oral or vaginal); Moniliasis; Polysystematic Candidiasis.

Carbohydrates (Carbohydrate)
The sugars and starches in food. Sugars are called simple carbohydrates and found in such foods as fruit and table sugar. Complex carbohydrates are composed of large numbers of sugar molecules joined together, and are found in grains, legumes, and vegetables like potatoes, squash, and corn.

Colon (Colonic)
The part of the large intestine that extends to the rectum. The colon takes the contents of the small intestine, moving them to the rectum by contracting.

Diabetes Mellitus (Diabetes, Diabetic, Diabetics)
A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.

Gland (Glands)
The glandular system is one of the most important and complicated systems of the body. Gland tissue can be either an organ or general tissue that secretes chemicals and there are two types of gland: exocrine and endocrine. Those glands which secrete chemicals through tubules or ducts are called exocrine and include sweat, tear and salivary glands. Ductless glands - part of the endocrine system - secrete special chemicals (hormones) directly into the blood.

Glucose
A sugar that is the simplest form of carbohydrate. It is commonly referred to as blood sugar. The body breaks down carbohydrates in foods into glucose, which serves as the primary fuel for the muscles and the brain.

Glutathione Peroxidase
A family of antioxidant enzymes containing selenium which are important in the reduction of different hydroperoxides, including hydrogen peroxide which is involved in the irritation of the gastrointestinal tract and increase in perspiration.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Immune System (Immune Response, Immunity)
A complex that protects the body from disease organisms and other foreign bodies. The system includes the humoral immune response and the cell-mediated response. The immune system also protects the body from invasion by making local barriers and inflammation. The process may involve acquired immunity (the ability to learn and remember a specific infectious agent), or innate immunity (the genetically programmed system of responses that attack, digest, remove, and initiate inflammation and tissue healing).

Insulin
A hormone secreted by the pancreas in response to elevated blood glucose levels. Insulin stimulates the liver, muscles, and fat cells to remove glucose from the blood for use or storage.

Iodine
A essential mineral that is an integral part of the thyroid hormones, thyroxin and triiodothyronine which have important metabolic roles and govern basal metabolism. The best known iodine deficiency symptom is goiter. Other iodine deficiency problems are reduced vitality, hypothyroidism, inability to think clearly, low resistance to infection, loss of control of the muscles of the mouth resulting in mouth contortion and drooling, defective teeth, tendency to obesity and cretinism which is a congenital abnormal condition marked by physical stunting and mental deficiency.

IU (mIU, uIU)
International Unit: An arbitrarily defined but agreed upon unit that depends on what is being measured.
mIU: 0.001 or one thousandth of an IU.
uIU: 0.000001 or one millionth of an IU.

Lesion (Lesions)
Any damage to tissue structure or function; an abnormal change in body tissue caused by disease or injury. A scar is a lesion, as is cancer, a stomach ulcer or a pimple.

Lipid (Lipids)
Fat-soluble substances derived from animal or vegetable cells by nonpolar solvents (e.g. ether); the term can include the following types of materials: fatty acids, glycerides, phospholipids, alcohols and waxes.

Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing)
The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Niacin (B3, B-3, Niacinamide, Vitamin B3)
A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.

Over-The-Counter (OTC, Over The Counter)
A drug or medication that can legally be bought without a doctor's prescription being required.

Peroxides (Peroxide)
Free radicals that are by-products formed in our bodies when molecules of fat react with oxygen.

Probiotic (Probiotics)
Derived from the Greek word for "life." Probiotic refers to organisms and substances which contribute to intestinal microbial balance. They are beneficial or "friendly" intestinal bacteria.

Protein (Proteins)
Compounds composed of hydrogen, oxygen, and nitrogen present in the body and in foods that form complex combinations of amino acids. Protein is essential for life and is used for growth and repair. Foods that supply the body with protein include animal products, grains, legumes, and vegetables. Proteins from animal sources contain the essential amino acids. Proteins are changed to amino acids in the body.

Red Blood Cell (Erythrocyte, Erythrocytes, RBC, Red Blood Cells)
Any of the hemoglobin-containing cells that carry oxygen to the tissues and are responsible for the red color of blood.

Sebaceous (Sebaceous Cyst)
Sebaceous Gland: Oil secreting glands, mostly clustered around hair follicles. The oil (sebum) is released into the oil glands from the disintegrated cytoplasm of shedding holocrine cells that line the alveolar surfaces. The nature of the secretion is often a direct reflection of the state of the body's lipid metabolism.

Sebum
The oily liquid covering the skin surface.

Selenium
An essential element involved primarily in enzymes that are antioxidants. Three selenium- containing enzymes are antioxidant peroxidases and a fourth selenium-containing enzyme is involved in thyroid hormone production. The prostate contains a selenium-containing protein and semen contains relatively large amounts of selenium. Clinical studies show that selenium is important in lowering the risk of several types of cancers. In combination with Vitamin E, selenium aids the production of antibodies and helps maintain a healthy heart. It also aids in the function of the pancreas, provides elasticity to tissues and helps cells defend themselves against damage from oxidation.

Steroid (Steroids)
Any of a large number of hormonal substances with a similar basic chemical structure containing a 17-carbon 14-ring system and including the sterols and various hormones and glycosides.

Testosterone
The principal male sex hormone that induces and maintains the changes that take place in males at puberty. In men, the testicles continue to produce testosterone throughout life, though there is some decline with age. A naturally occurring androgenic hormone.

Vitamin A
A fat-soluble vitamin essential to one's health. Plays an important part in the growth and repair of body tissue, protects epithelial tissue, helps maintain the skin and is necessary for night vision. It is also necessary for normal growth and formation of bones and teeth. For Vitamin A only, 1mg translates to 833 IU.

Vitamin B6 (B6, B-6)
Influences many body functions including regulating blood glucose levels, manufacturing hemoglobin and aiding the utilization of protein, carbohydrates and fats. It also aids in the function of the nervous system.

Vitamin E
An essential fat-soluble vitamin. As an antioxidant, helps protect cell membranes, lipoproteins, fats and vitamin A from destructive oxidation. It helps protect red blood cells and is important for the proper function of nerves and muscles. For Vitamin E only, 1mg translates to 1 IU.

Yeast
A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.

Zinc
An essential trace mineral. The functions of zinc are enzymatic. There are over 70 metalloenzymes known to require zinc for their functions. The main biochemicals in which zinc has been found to be necessary include: enzymes and enzymatic function, protein synthesis and carbohydrate metabolism. Zinc is a constituent of insulin and male reproductive fluid. Zinc is necessary for the proper metabolism of alcohol, to get rid of the lactic acid that builds up in working muscles and to transfer it to the lungs. Zinc is involved in the health of the immune system, assists vitamin A utilization and is involved in the formation of bone and teeth.




Last updated: Jun 28, 2009


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