acne

While many Spring residents think of acne as a problem that pre-teens and teens experience, the truth is, adults can have acne, too. In fact, Dr. Perri meets with many adults at Perri Dermatology searching for acne treatment to attain the clear, smooth skin their peers have. Many of these patients ask, “Why am I […]

Many people think that acne is just something you get as a teenager and grow out of after a few years, but if you’re one of the many sufferers of adult acne, you know how false this assumption really is. Having acne as a teen is bad enough, but as an adult, it can cause […]

Acne Excorie, also called picker’s acne, is an extremely common condition which can be seen in all types of acne and I encounter it in numerous patients in both The Woodlands dermatology and Conroe dermatology offices. The most common type of acne to be complicated with Acne Excorie is mild comedonal acne in patients with […]

Gram negative folliculitis is a rare complication of long term systemic antibiotic treatment of acne that I occasionally encounter in  both my Conroe dermatology and Woodlands dermatology offices as only 4% of all patients treated with antibiotics for acne develop this condition.  Prior to antibiotic therapy, the normal bacterial flora of the nose consists of Staph […]

Acne Necrotica is a common condition involving the scalp which I see on a routine basis in my Woodlands dermatology and Conroe dermatology offices.  The cause of acne necrotica is unknown but it usually occurs in adult men and less often in women in which red itchy acneiform papules arise spontaneously on the front and […]

Dissecting Cellulitis (also called Perifolliculitis Capitis Abscedens Et Suffodiens) is a variant of acne that is very similar to hidradenitis suppurativa but on the scalp and is a rare skin disease that I encounter in both my the Woodlands dermatology and Conroe dermatology offices.  It most commonly occurs in adult men and is predominantly located […]

Hidradenitis Suppurativa is an acneiform disease that is rather rare and I encounter it very frequently in both my the Woodlands dermatology and Conroe dermatology offices. Hidradenitis suppurativa involves the hair follicular unit and begins with thickening of the hair follicle called follicular hyperkeratosis.  This plugs the hair follicle and causes it to rupture spilling bacteria, sebum […]

Acne fulminans (also called acne maligna) is a severe form of acne that I occasionally encounter in my Woodlands dermatology and Conroe dermatology offices.  It usually occurs suddenly in young males, in which they develop deep cystic scarring painful acneiform nodules on their trunk and face.  Patients who develop acne fulminans usually have systemic symptoms such as fever […]

Acne keloidalis is a very common dermatological condition which I encounter on an almost daily basis in my Woodlands dermatology and Conroe dermatology offices.  It occurs on the posterior portion of the scalp and neck and is caused by shaving the hair too closely.  As the hairs grow, they curl backwards into the skin causing […]

I use the terms astringent and toner interchangeably.  They have a very small role in my acne regimens but are much more important in the treatment of mild acne in patients using over the counter products who have not seen a dermatologist.  Most astringents are alcohol based and function to clean the skin of dirt and […]

Severe acne can leave permanent or long lasting post inflammatory changes to the skin resulting in scars and blemishes.  I make a major distinction between a scar which is a permanent alteration of the dermis/epidermis resulting in textural changes on the skin surface and the more temporary changes of a blemish which is a discolored spot on the […]

I consider acne flare ups an emergency as changes in our complexion can be very distressing for the patient.  Unfortunately, others can form a negative impression about a person based on their acne.  Unlike other medical conditions, acne is visible to the world and can be very difficult to disguise.  Most importantly, a severe acne flare especially with cysts can […]

In many female patients who develop adult acne, they note that this acne is much different than the type of acne they had as a teenager.  Some adult women are susceptible to an acne that is caused by their normal hormones.  These patients experience this acne as fluctuations with their menstrual cycle, and others report that it is […]

Oral antibiotics are one of the mainstays in the treatment of moderate to severe acne.  I consider oral antibiotics for the treatment of acne when the acne lesions are deeper in the skin forming cysts or deep seated pustules, in which case topical treatments would be ineffective.  The -cyline class of antibiotics is the most commonly […]

As most acne lesions are very superficial in the skin, topical medicines are an integral part of the majority of treatment regimens.  A good topical regimen involves the use of an anti-bacterial agent with a retinoid.  The anti-bacterial agent reduces the number of P. acnes bacteria present on the skin, thus decreasing the inflammatory component […]

Acne washes play a very important role in the treatment of acne.  A good wash should most importantly be non-irritating.  Any wash that dries out the skin or is abrasive will worsen acne.  The main goal of an acne wash is to remove sebum (oil), keratinocytes (dead skin), and debris (dirt) thus cleansing the skin and […]

Acne is a very common skin disorder and occurs in all ages from babies to adults.  Its causes are multi factorial and rarely can be blamed on hygiene or eating habits.  Propionibacterium acnes, the acne bacteria, is a common culprit in teenage acne but is less responsible for adult acne.  In teenagers, hormones play a […]