Acne

Preface ix
 
Practical acne therapy xii
 
Genetics xii
 
Diet xii
 
Hormones xii
 
Stress xiii
 
Comedones (plugs in pores) xiii
 
Blemishes--a brief catalogue xiv
 
Nodules xv
 
Scars and sinuses xvi
 
Support xvii
 
Introduction xviii
 
Nomenclature xix
 
The three acnes and grading xx
 
Acne vulgaris xx
 
Acne rosacea xxii
 
Acne inversa (hidradenitis suppurativa) xxiii
 
Grading the three acnes xxvi
 
Acne vulgaris xxvi
 
Acne rosacea xxvi
 
Acne inversa (hidradenitis suppurativa) xxvi
 
1 The three acnes and their impact 1
 
1.1 Acne vulgaris 1
 
1.1.1 Terminology 1
 
1.1.2 The starting point 3
 
1.2 Acne rosacea 3
 
1.2.1 The "pimply" part 4
 
1.2.2 The "redness" part 4
 
1.2.3 The third part the firm fibrosis 6
 
1.2.4 Part four--ocular rosacea 7
 
1.2.5 Putting it all together 7
 
1.2.6 The inflammatory epiphenomena in acne rosacea 8
 
1.2.7 The "acne rosacea" versus "rosacea" controversy 12
 
1.2.8 Summary 12
 
1.3 Acne inversa (formerly hidradenitis suppurativa) 12
 
1.3.1 Before the rupture where and why? 15
 
1.3.2 After the rupture what next? 15
 
1.3.3 So what invaders are important in acne inversa? 15
 
1.3.4 What makes this disease behave so much worse than acne vulgaris? 18
 
1.3.5 So what can one possibly do to settle down all this inflammation? 21
 
1.3.6 So how do you get rid of all this material? 25
 
1.3.7 What does the future offer? 25
 
1.4 The psychology of acne 26
 
1.4.1 Acne as a stress 26
 
1.4.2 Acne and self-image 27
 
1.4.3 Isotretinoin therapy and the psyche 27
 
1.4.4 The isotretinoin-depression question 28
 
1.4.5 Isotretinoin in perspective 29
 
2 The folliculopilosebaceous unit--the normal FPSU