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L Bui has been a member since April 5th 2010, and has created 18 posts from scratch.

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Other Causes of Acne

In some patients only one particular food will make their acne worse. This has nothing to do with whether the food is a starch, sweet or fat. For example, they can­not eat chocolate without noticing a sizable increase in the number of papules and pustules the next day. It does not make any difference whether the chocolate is in ice cream, sauces, cake, soda, pudding, candy or cocoa; they get worse. In fact, since candy is so often chocolate fla­vored, it may be that “sweets” have been falsely blamed for making acne worse.

 

There are other foods which will flare up acne in some patients, such as pork, which includes ham and bacon, shellfish, nuts, sharp cheese, eggs, milk and malt. Some of these foods are important for you to have. You should not eliminate foods at the risk of depriving yourself of a well-balanced diet, unless you have been convinced be­yond any doubt that they make your acne worse.

 

In the region of the Great Lakes and in the states of the Northwest there is a deficiency of the important mineral iodine in the water and soil. We know that a lack of iodine in the body causes a disturbance of the thyroid gland. The thyroid is another one of the hor­mone-secreting glands. It regulates the speed or rate of our metabolism. If the thyroid isn’t going full force, it affects all the other internal glands.

 

To replace this lack of iodine in water and food, salt companies have added iodine to some table salt. You may have noticed the words “Iodized Salt” on the label. Using iodized salt in areas which are lacking in natural iodine is desirable. In the localities where ample natural iodine exists the use of iodized salt is not good. In people who are unusually sensitive to even small amounts of iodine it may aggravate acne. Incidentally, iodine is present in some cough medicines, asthma remedies and also in some vitamin mixtures.

 

Iodine is chemically related to a group of drugs called bromides. Some sedatives and other so-called “nerve med­icines” contain bromides. They are also in preparations which claim to give relief from headache, indigestion and “acid conditions.” Soda fountains and restaurants serve them. The use of bromides is so common today that many people are taking these drugs regularly without realizing that bromides have the same effect on acne as iodine.

 

The importance of infected teeth, tonsils and sinuses in the cause of acne has been exaggerated. Some derma­tologists, however, do feel strongly that such a source or “focus” of infection in the body makes acne worse, or at least keeps it going. Certainly it is not good to have the pus from infected tonsils draining into your system all the time. Your body has to keep fighting off these bac­teria and cannot rally enough resistance to the infection which accompanies acne.

 

There are some working conditions which have been found to make acne worse. On some jobs there are dust, heat and humidity to contend with and personal hygiene is poor. Some types of work require rough or woolen clothing, which can irritate the skin or rub bacteria into the follicle openings. Occupations which expose the skin to oil, wax and grease are not desirable for young men with acne. These chemicals affect the lining of the oil-gland ducts and cause pustules even in people who do not have acne. The same thing occurs to the duct openings in many women when they use cosmetics with a greasy base.

 

The question arises — what does your general health have to do with acne? Are you likely to have more colds or other infections than a person free from acne? Are your pep and energy below average? Dermatologists and many acne patients have noticed that their acne is worse in the winter and better in the summer. Perhaps this is because in the winter our resistance is lower than in the summer. In the winter we have more colds or flu and our vitality is lower. During the summer everyone seems to feel better. There is less sickness and we have more en­ergy.

 

The explanation of these observations may have some­thing to do with the greater amount of sunshine we are exposed to in the summer months. We do know that sun­light helps manufacture Vitamin D in our bodies and that this vitamin is very important to good health, Often the foods we eat in the summer are richer in vitamins and other essentials to good nutrition. It is suspected that during the winter many of us become slightly ane­mic, not enough to be serious, but just enough to make us always more or less fatigued. We feel, as the saying goes, “a little under par.” This may be due to the ab­sence from our diet of fresh fruits and some vegetables which are rich in iron and other minerals.

It is true that acne occurs mainly in active young people who are not suffering from any disease. Yet, what about the general level of health of most young people today? Do they receive adequate sleep and rest? Is the food they eat well balanced and nourishing? Does it con­tain enough energy value to make up for the energy spent during a day’s work and play? For most growing young men and women all too often the answers are “No.” In fact, it even makes me tired just to think of the daily routine of some young people. It is a mystery to me how one patient I knew kept going. Up early on a school day, he would run out the door tucking his shirt under his belt with one hand and clasping his books to his body with the other. If he thought he had an extra minute, he might stop in the kitchen for a piece of toast. This was not likely, unless he heard his mother’s voice pleading with him to please have some breakfast. Somehow, despite all the rushing, he barely managed to get to class just as it began. A busy morning of studies was interrupted by a feverishly gulped lunch consisting of foods which would go down with the greatest of ease. He would return to class until midafternoon and then go out to the football field. After two or three hours of strenuous scrimmage the rush would be on again to get home in time for dinner. This was eaten slightly more slowly under the critical eye of his father. Then he would try to do his homework just as the day’s strain began to affect his weary body. All this was a little too much for his brain, which soon lost the struggle with sleep. Despite pangs of conscience, the homework was usually put off until the next night with the hope that there would be more time then. This story must be so familiar to you that I am sure I do not have to tell you that the next night was not any different.

 

 

Causes of Acne

Each year doctors learn more about diseases, their causes and their cure. When your parents were children, scarlet fever was a serious sickness for a child to have and its cause was unknown. Today, the bacteria that cause it are known and a few pills will generally cure it. The same could be said about a great number of other diseases. However, there is still much to learn about medicine and acne is one of the conditions which con­tinues to challenge us even though more is known about it than ever before.

 

We usually think of a disease as being due to one cause. For example, it is general knowledge that mumps is due to a virus infection. In acne there is no such single cause. Rather there are several different factors at work, all of which combined produce the eruption which we call acne. Now let us see what is known about the cause of acne today.

 

Puberty was a point in your life which marked the end of childhood and the beginning of adolescence. It occurred when you were between the ages of twelve and fourteen. At this time a change occurred in the activity and function of your sexual glands. As a result, during the years that have followed, your body has gradually assumed a more mature appearance. These changes will continue slowly until you have reached adulthood. Dur­ing this period of growth in boys the prospect of a first shave appears near. The voice cannot make up its mind whether it is soprano or a manly baritone and hair ap­pears on the body. In girls a monthly period of men­struation starts and the old dresses, which were straight up and down, no longer fit because of the widening of the hips and the development of the breasts.

 

Every part of the body in some way feels the influ­ence of this glandular activity and the oil glands of the skin are no exception. To judge from the way they fever­ishly start manufacturing and pumping oil, it would seem as though they were trying to make up for then-years of sluggishness! There is nothing the body can do with this large amount of oil except carry it to the sur­face of the skin. This produces the oily appearance so typical of acne. It has already been explained that ex­cessive oil-gland activity plays an important part in the formation of acne lesions.

Medical science is trying to find out just what it is about the function of the sexual glands that causes this surge of oil. So far, there is not too much that is certain. We do know that it has something to do with the bal­ance between the different hormones that the sex glands produce in the body. This in turn is related to the func­tion of all the other glands in the body which produce hormones. All these glands are interdependent upon each other for the normal function and growth of the body. One cannot work without the other. When one is tem­porarily acting strangely, all the others may be affected. Medical knowledge is progressing rapidly and some day we will know the solution to this mystery.

There are other activities going on in the body which affect your acne. The way your tissues, including the skin, grow and maintain their health depends upon a complex series of reactions within the body. These vital reactions are called the metabolism of the body. The food you eat plays an important role in these reactions.

 

Over the years, many foods have been studied to de­termine how they affect acne in relation to your body metabolism. Some studies have seemed to show that starchy foods, such as potatoes and bread, have an un­favorable influence on acne. In the process of digestion starches are changed into sugar by the body. This sugar, like other foods after they have been broken down in the body, eventually ends up in the blood stream. It is trans­ported by the blood to every organ of the body as nour­ishment and fuel for the tissues. The skin gets its share of sugar in this manner. When the skin receives larger amounts than it can use, it has been claimed that the excess sugar interferes with the health of the skin. Con­sequently, starchy foods and sweets are considered by some to be one factor in at least the aggravation of acne lesions.

 

From this point of view, it would be understandable why “sweets,” which of course are mainly straight sugar, seem to aggravate some cases of acne. Such foods as pastries, syrups and jellies contain large amounts of sugar. Candies are almost pure sugar. The sugar from these foods has the same effect on the skin as the starchy foods. Perhaps you have observed that your eruption is worse after eating lots of sweets and starches.

Another group of foods which have been suspected of playing a part in causing acne are the fatty foods. Just why they seem to make some acne eruptions worse is not clearly understood. Some scientists who have studied this problem feel that when large amounts of fatty foods are eaten, the secretion of the oil glands is increased or slightly changed in nature. It has been observed by a few dermatologists that acne flares up in some patients when they eat large helpings of foods such as cream, butter, mayonnaise and fatty cuts of meat. Cooking food in large amounts of oil and grease will do the same thing. This is particularly true of fried foods such as fried po­tatoes and pork chops.

The unfavorable effect that starches and fats have on some patients with acne is primarily a matter of medical observation. It has by no means been proven beyond all doubt in the laboratory. However, sometimes physicians are slow to find the exact explanation for conditions which are common knowledge.

 

 

Misconseptions About The Causes of Acne Part 1

If you are willing to believe what people tell you, acne is caused by everything from an “acid condition” to “bad blood,” whatever they may be! There seems to be no limit to the bizarre reasons given as the cause of this con­dition. Statements attributing acne to “poisoning in the system,” “too much rich food,” and even “it’s the mean­ness in you coming out,” are heard all too often.

These false and meaningless claims arose in ignorance and superstition. It is to be expected that a condition as commonplace as acne would have its share of folklore and old wives’ tales. It is also high time that these myths be dispelled and replaced with modern scientific knowl­edge.

 

There is another group of misconceptions about the cause of acne which do contain an element of truth. Some of these may have originated from medical books or articles that young people have read hoping to find a solution to their acne. Others probably got started from the instructions acne patients received from their doc­tors. Unfortunately, by the time such information is passed from mouth to mouth, much of the original meaning has been distorted. Therefore, these ideas are criticized here because they are half-truths, and not whole-truths as you are led to believe. The quotation “A little learning is a dangerous thing” is particularly true where acne is concerned.

 

One of the most common examples of these half-truths is the notion that eating certain foods is the only cause of acne. Such expressions as “too many sweets” or “too many starches” are heard all the time. Fatty foods and greasy cooking are reputedly a cause. It may be true that excessive helpings of pastries or too many fried potatoes may aggravate your particular eruption, but this does not mean that all acne is affected in the same way, nor does it mean that these foods are the only cause of your eruption. At one time, very likely, your acne has been blamed on everything edible from milk to straw­berries. If you were to heed all the advice that is offered, it would soon become very difficult to know what to eat. It might almost seem safer to eat nothing at all.

 

Undoubtedly many of you have heard of the all-important role that chocolate is supposed to play in acne. This is probably the most commonly reputed cause. One mother who had brought her young daughter to see me could hardly restrain herself long enough for me to ex­amine the patient before she said, “Every time Joan eats chocolate her face breaks out. She is always eating candy and can’t seem to get enough of it. I’ve told her that her pimples are caused by sweets and yet she continues to eat them. I don’t know how a doctor can help her if she keeps on this way.” The young girl agreed with what her mother said.

 

She had become convinced that her mother was right, but there was something about candy which she could not resist. The more she tried to control herself, the stronger became this uncontrollable urge for candy. The whole situation made her miserable. Actually, it is more likely that the struggle she was having with herself did more harm to her acne than the sweets. As much as I would like to say so, this does not mean that chocolate or sweets are good for acne! But in moderation and in most instances they do not cause as much trouble as one would suppose. We are certain of one fact and that is that sweets are not by any means the sole or main cause of acne.

 

The presence of acne is so disturbing to some young people that they will follow so-called advice even when it is obviously unreasonable. Despite the pleading of par­ents, or the reasoning of friends, they will persist in hot pursuit of the latest “cure.” After a time, when the re­sults have not been as expected, they will try a new ap­proach with equal determination until, alas, that too has failed.

 

I remember a young girl rather on the plump side and very self-conscious about it who somehow got the idea that all she had to do to cure her acne was to lose ten pounds. She started out to do this by simply not eating, except for a snack now and then when she could no longer stand her hunger. Naturally her parents were very disturbed, but she continued with a vengeance until even she could see that, if anything, her acne was worse.

There is so much talk about allergy these days, it is no wonder that people ask if acne is an allergy. The answer is no. When the science of allergy was new, many acne patients were tested to see if it could be shown that they were allergic to some food or pollen. It was found that acne patients were no more nor less allergic than people who did not have acne.

Another misconception of the cause of acne is that it is due solely to some kind of infection in the body. Bad tonsils and decayed teeth have been removed with the mistaken hope that this alone would cure acne. It is true that any such source of infection should be corrected for the benefit of the body as a whole. It may even help some types of acne. However, this does not mean that most cases of acne can be cured by any such procedure by itself.
You may have heard that acne comes from an infec­tion of the skin or even believe that it is catching! At one time, skin specialists felt that infection played an impor­tant role in acne. Some even thought that a special organ­ism was the cause. Today, most dermatologists have abandoned this idea. They do admit that bacteria are present in the lesions of acne, sometimes in large num­bers, as in pustules and infected cysts. But they feel that these organisms are only of secondary importance, just as bacteria will infect any cut or bruise. This concept is borne out by the fact that acne cannot be treated like a true infection, as, for example, one might treat a boil. At least it does not respond to such treatment alone. 

 

Patients sometimes ask, “How about a shot of penicil­lin, Doctor, won’t that help?” The answer is, “Not very much.” When penicillin was discovered, the theory that acne was caused by bacterial infection was further ex­ploded. The opportunity arose to study this problem during World War II through a research project estab­lished by the Army Medical Department. Penicillin was being found to have such valuable healing powers on so many types of infections, it was important to prove as quickly as possible just which infections it would cure and which ones it would not. The sooner this was known, the more lives would be saved.

 

While this work was under way, it was decided to see if penicillin was effective against acne. To find out what it would do, many patients with severe acne were treated with large amounts of penicillin, but it was soon shown that acne is one of the conditions which is not helped by penicillin. To be sure, the badly infected cysts con­taining pus showed some improvement, but the under­lying acne eruption was unaffected. So we can conclude from this that the evidence is against acne being caused by a simple infection. There is another reason for not using penicillin on everyone with acne. Some people be­come allergic to penicillin and if they should ever need it for a serious infection, they might not be able to toler­ate it. This risk is not worth taking, as a rule.

 

Since penicillin was discovered newer drugs have been found which kill bacteria. They have at least two advan­tages over penicillin. One is that they can be taken in pill form, which is very comforting for those who are “allergic” to needles. Secondly, they are effective in kill­ing a wider variety of bacteria. But while these new antibiotics may be lifesavers under certain conditions, they too are no cure for acne, though sometimes helpful.

 

Misconceptions of Acne Causes Part 2

Another mistaken concept or half-truth is that acne is caused solely by poor skin hygiene. Parents especially seem to have the idea that if you use plenty of soap and water on your skin, you will have no acne problem. “Have you washed your face?” may be a very common and tiresome question heard about your home. Fre­quently a patient, when first consulting a skin specialist, will remark that he cannot understand why he should have acne since he washes his face so carefully four or five times a day. Examination of such a patient’s skin is likely to reveal not only acne, but evidence of irritation from scrubbing and perhaps from strong soaps. While it is true that a great deal can be done to improve your appearance by sensible attention to the cleanliness of the skin, this alone is not the solution to acne. First of all, you must learn how to take proper care of your skin. Secondly, the correct care for your skin must be com­bined with other treatment.

The general public is becoming more and more in­formed about how the body functions and the treat­ment of disease. Perhaps you have heard or read some­where that we have certain glands vital to the normal function of our body which swing into action at the beginning of adolescence. Since acne usually starts at about this same time, you may have heard people say, “There’s something wrong with your glands.” The real medical basis for this statement will be explained later. Here, I only wish to say that nothing but disappointment and perhaps harm will result if you attempt to apply this kind of knowledge to your own problem.

It is regrettable that some young people who have become desperate over their complexion problem still go to so-called “gland specialists” (who are not even physicians) to take costly and, at the very best, questionable treat­ments. Or they buy “complexion remedies” which sup­posedly contain some sort of glandular substance. If you believe the claims made for these products, they will put an end to acne promptly, painlessly and permanently. Such claims are only attempts to take advantage of un­wary victims of acne.

In a manner which is misleading and grossly misrepre­sented, “sex” has been connected with acne in the minds of some people. It is easy to understand why. Acne is most common in that age group in which sexual curiosity and experience are on the ascent. It is not surprising, therefore, that a relationship between sex and acne would be suspected by some. One of the mistaken ideas you may have heard is that acne is due to the lack of sexual activity and experience. On the other hand, there are equally strong claims that it is due to sexual overindul­gence and dissipation, perhaps in the form of mastur­bation.

Have you ever heard anyone say, “When you grow up and get married your acne will go away”? Let’s talk about this for a moment. While it is true that marriage makes our lives more complete sexually as well as in other ways, it is not by any means the solution to acne.

 

What I mean is illustrated by one young lady who was twenty years old when I first saw her. She had suffered since she was thirteen years old with very severe acne over the face, chest and back. Despite the scarring it had left, she was a pretty girl. I have always had a great deal of admiration for this young lady because despite the damage that acne had caused to her skin, she was an at­tractive person with a cheerful disposition. If she felt bitter about the misfortune to her complexion, she did not show it. At the age of twenty-two she married a fine young man. I felt that I knew both of them well and this seemed like a good marriage because there was mu­tual respect and love. Despite this, her acne was very stubborn in responding to treatment. So as you can see, it is not right to assume that just as soon as you find a mate, your acne will clear up by itself.

 

While it is true that starting with adolescence you are increasingly aware of mature sexual impulses, acne is not related to sex in the sense of too much or too little sexual activity. These old-fashioned ideas only further confuse young men and women who are trying to understand the sensations which they feel within themselves.

 

In our schools and homes sexual matters are all too frequently cloaked in secrecy and mystery. The mere mention of this subject is to some a source of embarrass­ment. Therefore, if you have heard that acne is due to some aspect of your sexual life, you may have feelings of shame about your eruption, especially if it is on your face where everyone can see it. It is not any wonder that you find yourself in a dilemma. Where can you turn for guidance? What are you doing or not doing that is caus-ing the eruption? It seems that the more you try to sup­press these deep feelings, the more intense they become. Your sexual impulses become a thing of worry and fear, instead of a normal, accepted part of maturing. As we go along, this subject will come up again because a good understanding of the sexual part of your life is vital to your happiness. For the time being, be reassured that your sexual conduct is not causing your eruption.

 

And finally, there is one last myth to be dispelled about the cause of acne. Acne occurs with such great frequency in the teens and twenties that most everyone has had some sign of it, no matter how small. This has usually led some wise old relative who has watched sev­eral generations of children become adults to comment, “It’s just a part of growing up,” or “Leave it alone, you’ll grow out of it.” As with many observations by our elders there is a lot of truth in this. Acne is, in a sense, a part of growing up. However, just because acne occurs with such frequency that it is considered almost normal, one cannot conclude that it should be ignored. Measles is also an experience almost everyone has had; neverthe­less, it is an unpleasant experience and occasionally a serious one. Similarly, if severe acne is left to be out­grown, you can go through a miserable period while waiting, to say nothing of always regretting the after­effects.

 

Misinformation of this sort, while sometimes well meant, unfortunately is of no real help to you who have acne. If anything, it only confuses you as you try one remedy after another. The mirage of a clear skin is always before you. The hope never dies that this time you have found the answer to your complexion problem. The only thing that ever does happen is that your medi­cine cabinet becomes filled to overflowing and many a harmless sweet tooth goes unsatisfied for fear of awaken­ing the next morning with a brand-new “pimple.”

 

More Reasons Why Acne Appears!

Perhaps you belong to this class and, like others, burn the candle at both ends. You work hard all day and fre­quently are busy for long hours at night. Your ability to keep going is due as much to your enthusiasm for what you’re doing as to the strength in your body. One might say that you are tired but do not know it. The amount of energy you burn up through such intense activity and continuous excitement is a drain on your general level of health. Living under such a physical strain may well contribute to the cause of your acne.

 

Eating on the run without taking the time to sit down and have a well-balanced meal of a variety of foods is certain to make your diet low in building materials. Be­sides that you would not be getting the essentials which supply the fuel for all the energy you use up. Among other things you would not be getting your vitamins. You have probably heard about vitamins and their im­portance to growth and health. They are necessary in order for the body to get the full value out of the foods you eat. Acne is not actually due to a deficiency of vita­mins, yet it is not at all uncommon to see improvement in the appearance of the skin when large doses of certain vitamins are added to the diet.

 

Vitamins are not only essential to one’s general health, they are also important to the health of the skin. When they are absent from a diet, the skin is affected in vari­ous ways. Dryness and roughening of the skin occur when Vitamin A is deficient. Vitamin B really consists of a whole subgroup of vitamins within itself. But since they are all found in the same foods, they are lumped together and called Vitamin B Complex. When one or all are missing from the diet, many changes in the skin may appear, such as cracking and crusting at the corners of the mouth. The tongue can become smooth, red and tender. The exposed parts of the skin, such as the back of the hand, may become darkened and scaly or the face and scalp may become oily and reddened. A good quan­tity of Vitamin B Complex in one’s diet is especially important to the skin. When Vitamin C is not a daily part of the diet, the gums become soft. Brushing your teeth is enough to make them bleed. You will learn about the foods which you should eat to get these vita­mins when we discuss what you can do to help your com­plexion.

 

The expression “athlete’s acne” is used by dermatolo­gists because acne is sometimes very severe in young men who are extremely active in sports. Physical condition­ing and training is an accepted part of an athlete’s life. You assume that athletes are perfect physical specimens who would never have acne. However, a well-trained athlete is like a race horse in the sense that every effort has been made to bring to perfection all his special capa­bilities. In doing this, great stress is put on the body as a whole, causing excessive fatigue, and this may explain the frequency of acne in athletes. I have noticed the same thing in women who are professional dancers. Hours of rehearsal topped by performances are as stren­uous physically as any basketball or football game.

Besides the physical strain on your body which has just been mentioned you are under another type of strain or, to use another word, tension. The development taking place in your growing body has already been discussed. But so far, no mention has been made of another type of change which is occurring. This is the change in your at­titude towards yourself and those about you. These changes are the ones which affect your emotional life.

 

Acne starts during a period in your life which is filled with new experiences. High school is one of the first of these. The longer hours of classes and attention to your studies require more effort and concentration than any­thing you have known before. Early business ventures with a long day’s work and greater responsibility are quite different from any former experience. Besides these adjustments which must be made there are changes tak­ing place in your relationships with your parents. No longer can you be completely dependent on your par­ents. You have to make your own decisions and solve many of your own problems. Or perhaps you feel that your parents cannot get used to the idea that you are no longer a child. Another new aspect of your life is the feelings you have towards members of the opposite sex. This is a big change, indeed, about which revolve many emotional problems.

 

It may well be that the emotional stress and strain which result from these new needs for adjustment are partly to blame for the overactivity of your oil glands. This should not be so hard to understand since there are many examples in everyday life which illustrate how your emotions cause various skin reactions. Everyone knows that after a bad fright one may blanch, break out in a cold sweat or get “goose pimples.” Certainly you have seen blushing occur after an embarrassing incident. You may have noticed even that your face becomes very oily towards the end of a busy day at work or during a period of emotional excitement. These commonplace observations show beyond doubt that emotions do affect the skin and they suggest that emotions may be one of the forces at work in causing acne.

 

Very often those who have acne observe that during periods of tension they are worse. Perhaps emotional ex­citement increases the blood supply to the skin and oil glands, causing them to become overactive. Perhaps the hormone balance is affected, tipping it even more out of balance. So far, we do not know the exact explana­tion.

Some acne eruptions should be called “after vacation” acne because of the way they break out when the sum­mer is over. Just recently a young high school girl told me that her skin was fine all summer. She returned to school in September and in two weeks her acne reap­peared. Perhaps there is some other explanation for what happened, but it is likely that the tensions of school life were responsible.

Recently a group of doctors made an interesting study on some acne patients which seems to throw some light on the connection between acne and emotional tension. First they learned as much as possible about the patient’s childhood and background. Then they made the patient angry by saying something to him that the doctors knew used to make him angry as a child. Before and right after this the oil on the skin was measured. It was found that the amount of oil on the skin was always greater after than before the patient had been made angry. This experiment suggests what many have observed and thought, namely that at least one emotion, anger, makes the oil glands overactive.

Always remember that acne is not the result of one single cause.