I don't know if you have ever had the experience of acne on your back
These abominable acne not only affects the aesthetics, but is also embarrassing at times
For example, when two mouths are embracing, they suddenly feel it under their hands...
It's more awkward when you're alone
These pimples can't be seen, scratched and scratched
It's so annoying!!!
Let's start with one wrong operation: frequent exfoliation
Whether it is a chemical exfoliation (sulfur soap, exfoliating paste)
Or physical exfoliation (scrubbing)
It really makes the back skin feel refreshed for a short time
But use keratin cream too often
Or use your back as a washboard and rub it vigorously with a bath towel
It is easy to damage the normal barrier function of the skin
Instead, it makes the skin sensitive[1]
It is easier to be bullied by bacteria and fungi
The same goes for skin care products that have acne removal functions
It is also possible to turn into an enemy and turn the tip of the gun to hurt the skin
So, how to properly get rid of the acne on the back?
First, know how they came about
Acne on the front chest and back
And acne on the face is essentially the same thing
Sebaceous glands on the face, chest, and back
Far more than the lower half of the torso and limbs
Sebaceous glands are abundant, and it is easy to produce oil
Too much oil to drain out
Bacteria and fungi will come to make trouble, and acne will appear[2]
There are two possible ways to get acne on the back – acne or folliculitis
Let's start with acne that we're all familiar with
There are many causes of acne
In addition to the innate "acne constitution", it is also related to androgens
It induces a large secretion of sebum, which accumulates in the hair follicles
Provides food for latent bacteria such as Propionibacterium acnes
This in turn slowly promotes keratosis and inflammation of pores[3]
Let's talk about folliculitis
Hairs that are pulled, rubbed, and scratched can cause damage
Bacteria and fungi tend to enter the hair follicle to multiply in large quantities
Fungi can also cause folliculitis, mainly Malassezia furunculus
There is a red halo around the pustules, which can squeeze out something in the form of powder
Heavier after sweating, and tolerate! easy! complex! hair!
Doctors use bacterial cultures and fungal microscopy to identify them
This can be symptomatic treatment
(How is folliculitis treated?)
If you are in a hurry, please go straight to the end of the article)
Knock on the blackboard!
These 6 daily behaviors can aggravate acne in the back
(It is recommended to long press to save and share Oh ~)
Next, it's time to talk about specific solutions!
If the acne is not too serious, do a good job of daily care
1. Frequently change sheets, covers, and clothes
If you have a cat, dog or dog at home
It is best to remove mites regularly
2. People who love to sweat, remember to stay dry
Especially boys who love sports
Usually wear loose and breathable clothing
After exercising, change into dry clothes in time
If possible, it is best to take a bath right away
For informal occasions, you can also try it - backlesswear
3. Eat less sweets, dairy products, high-fat and other foods
Eat more vitamin-rich foods such as vegetables and fruits
Studies have found that people who are prone to acne
High concentrations of insulin and insulin-like growth factor in the blood[4]
After eating sweets, the concentration of insulin in the blood increases
Insulin-like growth factors also increase
Thus promoting the growth of acne[5]
The same is true of milk
20% of milk is whey protein, which promotes insulin secretion
80% is casein, which promotes IGF secretion
Such a double whammy can induce or worsen acne
4. Avoid staying up late
Irregular sleep can lead to disturbances in the rhythm of the organism
Causes an increase in male hormones and promotes acne formation[6]
So be sure to keep regular sleep
And get 7 to 9 hours of adequate sleep
5. Remove excess oil and secretions from the surface of the skin
But not overly clean
Scrub towels, loofahs, scrubbing brushes, all throw away!
The golden companions for bathing are:
Clean fluffy towels and shower gel
Washes away excess oil and dirt without damaging the skin
Of course, the top configuration is that the boyfriend/girlfriend helps you wash it
Dry in time after bathing
Avoid moisture loss
6. Pay attention to skin care and choose products containing acne ingredients
After cleaning the skin, apply a moisturizing product with a refreshing texture in time
You can also choose to contain fruit acid, salicylic acid and other acne ingredients
But remember, that fruit acid concentrations below 6% are safe
The concentration of salicylic acid is preferably below 2%.
Concentrations above these two are used by professional dermatologists
Apply moisturizer and change into soft, breathable pajamas
Reduces friction on the back skin and reduces the chance of acne
7. Keep your dirty hands in check!
Be sure not to squeeze or scratch the affected area with your hands to avoid infection
If you try these methods and don't work well, you have to ask a doctor for help
Doctors first determine whether it is acne or folliculitis
If it is acne
Topical tretinoins, benzoyl peroxide,
Apply topical antibiotics, selenium disulfide and other drugs
It can also be combined with photodynamic, laser, fruit acid and other methods of treatment
If it is bacterial folliculitis
Fish stone fat ointment, iodine tincture and mopirocin ointment are used
May also be combined with antibiotics, infrared, or surgery
What the? Still have surgery?
yes! If the lesions are severe and purulent and ruptured
Doctors do recommend prompt surgical incision and drainage[2]
If it is fungal folliculitis
Generally use propylene glycol cream, ketoconazole lotion and so on
If topical use is not good, oral antifungal drugs can also be taken[7]
Note: Antifungals must be checked for normal liver function
Only in order to eat under the guidance of a doctor, otherwise it will die!
In short, what you need to do is to cooperate with the doctor's treatment!
Finally, send you an Easter egg
Special Author: Duan Guixiang | Attending physician of the Department of Dermatology, Beijing Muslim Hospital
Review expert: Dong Xiaolong | Deputy Chief Physician, Department of Dermatology, Aviation General Hospital, China Medical University
bibliography
[1] Zhang Shuting (Review), Yang Chunjun, Yang Sen (Reviewer). Research Progress on Influencing Factors of Skin Barrier[J]. China Aesthetic Medicine,2016,025(012):110-112.
ZHANG Xuejun. Dermatology and Venereology[M].Beijing:People's Medical Publishing House,2013:89.]
Ju Qiang. Chinese Acne Treatment Guidelines (2019 Revision)[J]. Journal of Clinical Dermatology, 2019, v.48(09):65-70.
[4] MELNIK B C.Linking diet to acne metabolomics, inflammation, and comedogenesis:an update[J]. Clin Cosmet Investig Dermatol, 2015, 8:371-388.
Yang Yin, Lin Tong. Acne and Diet[J]. Chinese Journal of Dermatology, 2015, 48(6):440-440.
Zhao Huijuan, Yan Huimin, Guo Duyi, et al. The Effect of Diet and Lifestyle Habits on the Incidence of Acne[J].Chinese Journal of Leprosy Dermatology,2016(10):588-591.
[7] Hald M, Arendrup M C, Svejgaard E L, et al. Evidence-based Danish guidelines for the treatment of Malassezia-related skin diseases[J]. Acta Derm Venereol,2015,95(1):12-19.
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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