Condition: Acne and breakouts

Acne is a very common skin problem in young people and it often lasts for several years, sometimes until mid-life.  It appears as blocked pores, pimples and cysts and usually affects the oily skin areas of the face chest and upper back – and is also termed ‘breakouts’.

The main cause is an increase in sensitivity to androgen hormones.  Stress, medication, smoking and a high sugar or milk diet may also aggravate.

Acne-friendly skin care is very important. The next step is prescribed treatment with creams and oral medication such as antibiotics.  In women, hormonal treatment such as spironolactone can be helpful and for severe or persistent acne, a course of oral isotretinoin (‘Roaccutane’) is usually very effective.  Ongoing treatment may be needed as acne is often a long-term condition.  Early effective treatment is important to prevent scarring.