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Six Types of Acne Many people believe that acne is all the same, but there are actually a few different types of acne and they all require different treatment. Here is some information about the six different types of acne. 1.1.Acne Vulgaris Acne vulgaris is the most common form of acne. According to a study in The Journal of the American Academy of Dermatology, acne vulgaris usually begins during puberty, but often extends into the twenties, thirties, and beyond. It can appear all over the body, but is most common on the face, neck, chest, and back. Types of lesions that are common in acne vulgaris are; * Papules Red, inflamed bumps on the skin that feel tender and have no head are called papules. Squeezing a papule will not get rid of it faster and may cause scarring. * Whiteheads Whiteheads result from a pore that is blocked completely. The trapped oil, bacteria, and dead skin cells cause a white head to form on the skins surface. They are often treated with overthe-counter acne products. * Blackheads When a pore is partially blocked, blackheads often form. The trapped bacteria, oil, and dead skin slowly drains to the surface of the skin to form a blackhead. The dark color is caused by melanin in the skin reacting with oxygen. Blackheads typically take a longer time to clear than whiteheads. * Pustules Pustules are the most common type of acne lesion. They usually appear as an inflamed red circle with a center that is white or yellow. They can be popped at home, but acne sufferers shouldnt touch it with their bare hands and make sure that the material they are touching the skin with is sterile. Acne medications may be more effective after the pustule has been popped. * Nodules Severe acne often causes nodules. Acne nodules are hard bumps under the skin that may be large and last for months. Scarring is a common side effect of nodular acne, so its a good idea for anyone with nodular acne to visit a dermatologist for proper treatment. 1.2.Acne Conglobata Acne Conglobata is a very severe form of acne vulgaris. It usually presents itself as large lesions that may be interconnected. Blackheads may also be present in patients with acne conglobata. It is most common in males between 18 and 30 years old and can cause permanent damage to the skin. Acne Conglobata may be found on the face, back, chest, back, upper arms, and thighs. It is best treated with strong medication such as Accutane. Anyone with this condition should seek treatment from a dermatologist.

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Acne Fulminans

When acne conglobata starts suddenly, it is known as acne fulminans. This type of acne often becomes ulcerated and severe scarring is common. Acne fulminans may be accompanied by aching joints and a fever. It usually doesnt respond to standard acne treatments such as antibiotics, but may respond to oral steroids and/ or Accutane. 1.4.Gram-Negative Folliculitis Gram-Negative Folliculitis is a rare bacterial infection that is characterized by cysts and pustules. Some dermatologists believe that Gram-Negative Folliculitis is a complication of taking antibiotics long term to treat acne vulgaris. Little is known about this condition, but Accutane seems to be an effective treatment. 1.5.Acne Rosacea Acne Rosacea is often confused with acne vulgaris because they are similar in appearance. Rosacea is a skin condition that affects millions of people around the world. It is usually present as a red rash that is confined to the nose, cheeks, chin, and forehead and the rash may be accompanied by pimples, bumps, and blemishes. Blackheads arent usually present in acne rosacea. If acne rosacea is not properly treated it is known to cause facial swelling. People with rosacea should be treated by a dermatologist because many traditional acne treatments aggravate this condition.

1.6.

Pyoderma Faciale (Rosacea Fulminans)

Pyoderma Faciale is a severe form of acne that is only found in females. It usually presents itself as large nodules that may be painful, sores, and pustules. Pyoderma faciale may start suddenly and only presents itself on the face. It can affect women who have not had any previous acne issues. The treatment for pyoderma facial may include corticosteroid injections and Accutane. This condition may cause severe scarring, especially if left untreated. 2. Types of Acne Depending Upon the Severity The following classification, a very useful one for the patients as well as the treating dermatologist, is modified from Acne therapy: A methodologic review by Lehmann HP et al. in the August 2002 issue of the Journal of American Academy of Dermatology.

Mild Acne: Up to 20 comedones and less than 15 papules, total acne lesions less than 30 in number. Moderate Acne: 20-100 comedones and/or 15-50 inflamed papules or pustules, total count of 30-125 acne bumps.

Severe Acne: More than 5 cysts/nodules, more than 100 comedones or inflammatory acne lesions more than 50 with a total acne bumps count more than 125 Very Severe Acne: Disfiguring severe nodulocystic acne, covering the major portion of the face, chest and back.

3. Acne Types Based on the Pathophysiology of Pimples

Inflammatory Acne: Includes acne with papules, pustules, nodules and cysts. Non-inflammatory acne: Includes comedonal acne.

4. Acne Grading System This grading of acne includes a combination of above classifications.

Grade 1: Mild, comedonal acne; non inflammatory type. Grade 2: Moderate, papular acne; inflammation is minimal Grade 3: Severe, pustular acne with moderate to severe inflammation. Chances of acne scar formation present. Grade 4: Very severe, nodulocystic acne. Deep acne scars possible if not treated promptly.

5. Ten Levels of Acne First Level: Skin has started to become inflamed and appears slightly raised. When touched, there is a feeling of slight pain. Second Level: Acne has triggering begun to gather, or have infected the surrounding pores, inflammation throughout the area. Third Level: Acne has extended from the cheek to the forehead and hairline, accompanied by a slight pigmentation. Fourth tier: In addition have not Fifth Level: Acne has become more concentrated, and bacteria have penetrated the skin to the lower levels. This situation is more difficult to treat, and even if cured, will leave scars. Sixth Level: In addition to old acne, there are many whiteheads under the skin, suggesting that the quality of skin is weak. 7th Level: Because acne has occurred over a long period of time, there is noticeable scarring and skin inflammation also covers a large area. 8th Level: There are severe inflammation and sensitivity issues. Because the skin is weak, treatment will take longer. 9th Level: Apart from pigmentation and scarring, there are also ulcers and rotting flesh, making it exceedingly difficult to cure. to pigmentation, there are also scars. Although old acne fully recovered, new acne have begun to grow.

10th Level: Because the skin structure is unstable, there are abnormal cells, nodules and cysts. This situation is serious.