This is a disease
of sebaceous gland which occurs only during a particular age period. It starts
after adolescence and by the age of 25 years most patients stop having acne.
Patients having acne have an associated increased secretion of the sebaceous
gland leading to increased oiliness of their skin.
The normal flora
of the skin produce lipases to break down the oil in the sebaceous secretion
and produce large quantities of free fatty acids. These fatty acids along with
other component of sebaceous secretion and the bacteria, are responsible for
producing the acne lesions. The lesions appear most frequently on the cheeks
but also involve the forehead, the nose, the chin and occasionally the back and
upper central part of chest. The lesions keep healing and recurring and leave
behind scars. Acne is made worse if the patient applies oil or other greasy
application to the face or hair.
The patient is
advised to wash the face with soap and shampoo the hair as frequently as
possible and avoid greasy cosmetics and hair oils. Along with this proper
homoeopathic treatment must be taken. Acne patients need not observe any
dietary precautions because sebaceous gland is a secretary gland and blood
levels of the lipids or their dietary intake has no effect on the secretion of
the lipids by the sebaceous glands. The patient should be informed that the
tendency to develop acne is likely to continue for a few years and thus it is
preferable to have a preventive treatment and continue the same till the
tendency to develop acne disappears completely.