What is Type IV Acne?
It is the abnormal keratinization of epithelial cells within the sebaceous ducts with thickening of the keratin lining resulting in the obstruction of the outflow of sebum and inflammation. Acne is the most common disease of adolescence affecting 85% of individuals aged 15 to 24 years to variable degrees. Having cystic nodules or large pimples is considered a severe form of acne.
Cause
- Accelerated growth of Propionibacterium acne
- Increase in sebum production
- High sugar intake
- Stress
- Certain medications
Management
- Increase water intake
- Decrease sugar and oily based food intake
- Avoid scrubbing to reduce inflammation
- Avoid alcohol consumption
- Decrease dairy based food and drink intake
- Do not squeeze the spots
Treatment
Follow the steps for each time of day regimen.
6 Months Daytime Regimen:
- Wash face with salicylic acid based product
- Moisturize face with glycerin based product
- Apply sunscreen with SPF 50
- Apply chap stick lip care
6 Months Nighttime Regimen:
- Wash face with salicylic acid based product
- Moisturize face with glycerin based product
- Apply chap stick lip care
Consult a doctor for a prescription of Isotretinoin 1 mg/kg for 6 months