Pink acne
Pink acne is a chronic pathology of the sebaceous glands, in the pathogenesis of which, first of all, attention is paid to angiopathies, as well as neuroendocrine diseases and ailments of the digestive system. Of those women who go to a dermatologist, about five percent of the cases are women suffering from pink acne of various shapes and degrees of severity.
The content of the article:
Pathogenesis of pink acne
Provoking factors
Symptoms of pink acne
Diagnosis of pink acne
Treatment of pink acne
Prevention of pink acne
Pink acne
Pathogenesis of pink acne
Of great importance in the pathogenesis of pink acne is the type of human skin and its belonging to a particular race. For example, the Irish and other representatives of the northern peoples are more susceptible to the disease than others. As statistics show, pink acne occurs in 40% of the total population of this contingent, while representatives of the Negroid race, as well as Asians, almost never suffer from pink acne.
Pink acne occurs in both men and women, but more often they affect women who have blonde hair, whose photosensitivity is of the first or second type.
Provoking factors
Usually, the appearance of pink acne provokes overheating in the sun or, on the contrary, excessive hypothermia, as well as insolation, including exposure to ultraviolet rays of the solarium. Stress, prolonged use of glucocorticosteroids is also a provocateur, leading to the development of pink acne.
Pink acne can cause improper skin care, while using harsh scrubs or other aggressive chemicals (such as chemical peeling) — all this leads to the expansion of the vascular network, and this is already a cosmetic problem that can continue to turn into pink acne.
Interestingly, those who abuse alcoholic beverages, consume spicy or spicy food, smoke, are more likely to suffer from pink acne. In the case of an already established disease, such factors will only aggravate it. The condition of pink acne is also affected by allergic reactions with various dermal manifestations.
It is also interesting that in the case of the presence of ticks in the follicles, the symptoms of pink acne will be enhanced, but do not mistakenly believe that demodex ticks are the cause. It is because of this erroneous opinion that incorrect treatment is often prescribed, which only complicates the course of the disease itself.
There is no specific cause of pink acne (or obvious pathogenesis) in their development, but a combination of these or other factors can increase the likelihood of their occurrence. It should be said that in the pathogenesis of pink acne, the microflora itself will not be a provoking factor, but sometimes the disease can be complicated by gram-negative pyoderma.
Symptoms of pink acne
If we talk about the prodromal period of the formation of the disease, then it is characterized by sharp flushes observed on the skin of the face. Such hot flashes are usually accompanied by a feeling of heat. Usually hot flashes appear as a response to stimuli that are not significant in their strength. It is known that even small doses of alcoholic beverages can cause persistent expansion of the vascular network on the face. At the very first stage of the development of pink acne, such a blush is very bright, having a clearly defined border with healthy skin. It happens that the blush resembles flames or rose petals in its appearance.
If we are talking about the first stage, then erythema of the facial skin is most often observed here, which occurs without provoking factors. An increase in the fat content of the skin also occurs due to the use of certain cosmetic preparations, which are just the same aimed at reducing fat content. There is a violation of hydro—exchange, the development of seborrhea, and as a result – a significant amount of sebum.
The second stage is characterized by the formation of pink acne not only in the form of permanent redness, but also in the form of telangiectasias, as well as papules and pustules of insignificant size.
The third stage is characterized by the manifestation of pink acne in the form of pronounced erythema, as well as a dense network of so-called telangiectasias, which is clearly manifested in the area of the wings of the nose and on the chin, as well as in the form of papules and pustules. Nodes and dense infiltrates located in the central part of the face can form on the skin, depending on its type.
The course of the disease is usually undulating, there may be periods of remission or exacerbations, but over time the duration of such remissions will decrease, and the exacerbation of pink acne will only become more frequent, and each subsequent relapse in its clinic will be longer than the previous one. The time will come when remissions will no longer be observed, when pathogenic microflora will be detected, after which the infiltrative stage will occur — the entire skin will be thickened, edematous and inflamed.
Diagnosis of pink acne
Usually, a dermatologist is able to make a diagnosis based on the data obtained by a simple visual examination. An important sign in the course of diagnosis is the absence of comedones, as well as black dots on the face. Additional studies may also be prescribed for the purpose of a differentiated diagnosis. The doctor may prescribe the passage of bakposev and conduct a bacteriological examination to determine the contents of the pustules, which allows you to exclude the presence of staphylococcal infection or any other pyoderma.
The use of microscopic examination (on demodex) will make it possible to more accurately determine the tactics of treatment of pink acne, which were complicated by demodecosis.
Treatment of pink acne
As you know, in the first stages, pink acne does not manifest itself as clinical signs, since it is possible to mask any flaws with cosmetics, but it is most effective to begin treatment of the disease at this stage. Doctors prescribe medications that can strengthen the vascular wall, conduct sedative therapy with herbal preparations, which reduces nervous excitability, reducing the release of adrenaline into the blood. Thus, the vascular network will not expand, and the very external severity of pink acne will gradually subside. The use of vitamins A, B and C, as well as the introduction of subcutaneous injections containing nicotinic acid, will strengthen the walls of blood vessels, while stabilizing the autonomic nervous system.
Doctors recommend washing regularly with an infusion of chamomile or horse chestnut. The latter gives a particularly good local effect, soothing the skin in the presence of pink acne.
It should be noted that the presence of demodex mites at this stage cannot be considered as an indication for the therapy of demodecosis. On the contrary, such treatment only worsens the patient’s well-being. The demodicosis itself will take place after the follicles start working in their usual mode, while the separation of sebum will decrease.
At the second and third stages of the development of pink acne, local application of various gels containing antibiotics (as well as metronidazole) will be required. It is these drugs that can have an anti-inflammatory effect, cooling the surface that has been affected by pink acne.
If the appearance of acne was caused not by prolonged use of ointments of the glucocorticosteroid group, then the use of short-term local therapy with these ointments (for example, Synaflan) will quickly help to relieve infiltrative inflammation caused by pink acne.
After stopping the inflammatory process, it is necessary to eliminate the main cause of pink acne, namely the expanded vascular network, which is also branched. Photocoagulation, laser coagulation or electrocoagulation will help solve this problem. Such procedures will help to thrombize excess vessels.
As for full recovery, it can be achieved only with timely therapy. This is the only way patients can achieve stable and long-lasting remission. If the treatment itself was started at the first stage, then if it is carried out correctly, skin modifications will not be observed. In the case of complicated forms, pink acne leaves behind scars or scars.
Prevention of pink acne
Those persons who are at risk of pink acne should, first of all, avoid insolation, hypothermia or overheating of the body, as well as more carefully approach the alternation of work and rest. If a person has been running or skiing before the disease, then to prevent the onset of pink acne, this sport should be abandoned. A good prevention will be a proper diet, where there are fermented dairy products, vegetable food, which improves the functioning of the intestines and reduces the risk of pink acne.
Proper skin care with the use of the right creams designed to protect the skin from ultraviolet radiation, will help to achieve long-term remission or even prevent the occurrence of pink acne.
