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Background and Diagnosis for the Treatment of Acne


Portions of this material are based on information obtained from STEVEN FELDMAN, M.D., PH.D., RACHEL E. CARECCIA, M.D., KELLY L. BARHAM, M.D., and JOHN HANCOX, M.D., Wake Forest University School of Medicine, Winston-Salem, North Carolina

Acne can be the cause of significant humiliation and apprehension in individuals who suffer from this condition.  It is vital for certified physicians to inform these individuals that there is help in the form of treatment of acne.  Physicians should explain the risks and potential outcomes for the treatment of acne decided upon as the best course for the patient.  For individuals with mild or moderate acne, a topical treatment for acne may be the quickest and easiest method to use.  Thankfully, with the convenience of the Internet, it is possible to obtain an online acne prescription in order to treat this problem successfully.

Acne is a disease of pilosebaceous units in the skin. According to Wake Forest University School of Medicine in Winston-Salem, North Carolina, there appears to be four factors that cause acne as follows:

  • Excessive sebum production secondary to sebaceous gland hyperplasia is the first abnormality to occur.
  • Subsequent hyperkeratinization of the hair follicle prevents normal shedding of the follicular keratinocytes, which then obstruct the follicle and form an in apparent microcomedo.
  • Lipids and cellular debris soon accumulate within the blocked follicle. This microenvironment encourages colonization of Propionibacterium acnes, which provokes an immune response through the production of numerous inflammatory mediators.
  • Inflammation is further enhanced by follicular rupture and subsequent leakage of lipids, bacteria, and fatty acids into the dermis.

The diagnosis of acne and subsequent treatment of acne is typically based on the online doctor consultation, which includes obtaining the patient's symptom description and medical history. Areas with the greatest concentration of lesions include the face, neck, chest, upper arms, and back, but it is important to accurately describe where you are seeing problems when you engage in an online acne consultation.

Any disorder of the skin whose preliminary pathology is the microscopic microcomedo can be defined as Acne vulgaris.  The microcomedo may develop into noticeable open "blackheads" or "whiteheads". Next, inflammatory papules, pustules, and nodules may increase. Nodulocystic acne consists of pustular lesions larger than 0.5 cm. The presence of excoriations, post-inflammatory hyperpigmentation, and scars should be recorded and treatment of this acne should be administered by a certified doctor like those found here at KoolDocs.com. In fact, with the help of our doctors, you can obtain an online acne prescription that will make it far easier for you to address your acne condition.

External factors such as mechanical obstruction (i.e., helmets, shirt collars), occupational exposures, or medications may trigger or worsen Acne and subsequent treatment of acne. Medications that may affect acne can be found on the next page by clicking here acne medications.

Keep in mind that cosmetics and emollients may aggravate follicles and cause an acneiform flare-up. Topical corticosteroids may produce perioral dermatitis, a localized erythematous papular or pustular eruption.  Therefore, be certain to include information regarding your current medications and make-up during your online acne consultation.

Research shows that Cushing's disease or syndrome, polycystic ovary syndrome, and congenital adrenal hyperplasi may casueacne and require a prescribed treatment for acne.  Clinical clues to possible hyperandrogenism in women include dysmenorrhea, virilization (i.e., hirsutism, clitoromegaly, temporal balding), and severe acne.

For immediate relief of this humiliating condition, contact one of our physicians so you can obtain the online acne prescription you need to treat your condition. 

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Due to the limitations of online doctor consults, the doctors at KoolDocs.com will not, do not and cannot prescribe any and all Narcotics (for pain) and/or Controlled Substances nor do the doctors at KoolDocs.com treat, consult and/or prescribe medication for medical emergency conditionsthat require you to call 911.
The following is a List of Medications that KoolDocs.com DOES NOT prescribe.
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