Acne Treatment Burlington VT

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Jamie Allison Alpert, MD
(802) 847-4570
1 S Prospect St
Burlington, VT
Specialties
Dermatology
Gender
Female
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1990

Data Provided By:
Glenn David Goldman, MD
(802) 847-0761
1 S Prospect St
Burlington, VT
Specialties
Dermatology
Gender
Male
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1991
Hospital
Hospital: Fletcher Allen Health Care, Burlington, Vt
Group Practice: Fletcher Allan Health Care

Data Provided By:
Paul Anthony Krusinski
(802) 847-4570
111 Colchester Ave
Burlington, VT
Specialty
Dermatology

Data Provided By:
Irving Abrahams, MD
517 Golf Course Rd
South Burlington, VT
Specialties
Dermatology
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert David Gordon, MD
(802) 864-0404
364 Dorset St Ste 204
South Burlington, VT
Specialties
Dermatology
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1973

Data Provided By:
Anita Louise Licata, MD
(802) 847-0761
1 S Prospect St
Burlington, VT
Specialties
Dermatology
Gender
Female
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1989

Data Provided By:
Anita Louise Licata
(802) 864-0192
366 Dorset St
South Burlington, VT
Specialty
Dermatology

Data Provided By:
Paul Anthony Krusinski, MD
(802) 847-4570
1 S Prospect St
Burlington, VT
Specialties
Dermatology
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1968

Data Provided By:
W Landon Dennison Jr, MD
(802) 864-0192
368 Dorset St Ste 2
South Burlington, VT
Specialties
Dermatology
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1962
Hospital
Hospital: Fletcher Allen Health Care, Burlington, Vt
Group Practice: Timberlane Dermatology

Data Provided By:
Dorset Street Dermatology - Mitchell Schwartz MD
(802) 660-8808
329 Dorset St
South Burlington, VT
 
Data Provided By:

Suggestions for Acne Treatment?

Q. Do you have any suggestions for the treatment of acne? -Karen

Q. Do you have any suggestions for the treatment of acne? I’ve been researching accutane but am looking for a safer solution. Thank you, Karen

Hi Karen,

Acne is a common problem for many which occurs when oil and sebaceous glands that produce sebum to lubricate the skin get clogged by skin cells. The obstructed gland swells with excess sebum and becomes inflamed and sometimes infected. This results in a variety of appearances from whiteheads, blackheads, papules and pustules, to cysts that are large inflamed pus filled lesions that leave scars. 

The cause of this increase in sebum production is not really known but it’s thought that hormones play a role. For women, the week before menses is a common time of occurrence. High testosterone levels, especially in people who abuse exogenous testosterone, is known to correlate with acne. The use of hair and face products such as make-up that contains vegetable or animal oils will certainly contribute to blocking the oil glands. Medications linked to an increased occurrence of acne include: corticosteroids, androgens, birth control pills, lithium, halogens, isoniazid, phenytoin, and phenobarbitol.

Treatment options begin with the basics, which you have likely already addressed such as keeping the skin free of oils, washing with soap to reduce bacterial counts, and over the counter use of benzoyl peroxide or salicylic acid.

Your doctor will likely recommend antibiotics such as clindamycin or erythromycin to kill bacteria in an attempt to reduce inflammation. If you choose this approach I would recommend the topical varieties so that you avoid a systemic exposure. Antibiotics will kill bacteria in your bowel that are important for immune system to work effectively. Other options like retinoids (Retin-A) are medications derived from vitamin A and work by unclogging pores and reducing inflammation but can cause significant side effects such as peeling, redness and photosensitivity (sun burn).

Accutane is another well known acne treatment but we are not sure exactly how it works. Has great potential to cause birth defects in women.

Food and acne is always a popular discussion but from a scientific aspect there is no evidence that food effects acne, not even chocolate. The one possible exception would be that if you have a food allergy then this can upset your delicate immune balance and play some role. Many people have IgG food sensitivities and are completely unaware. If you have any symptoms such as joint pain, headache, rash, gas, bloating, congestion, cough after eating a particular food then you may have an allergy to that food and should get further evaluation which can be done through a simple blood test. Look at Alletess or Immuno Lab online for more information.

Natural therapies that offer hope:
Zinc has been shown in studies to reduce the effects of acne. Be careful not to take too much as zinc excess can...

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