Pimple is the more common name for the medical term acne
vulgaris. It is a social menace to adolescents and young adults, especially as
these are ages when “fine boy, no pimples” is a big deal.
Many of us have had issues with pimples while growing up, ranging from lack of confidence to total social withdrawal. For some, however, it was just an insignificant menace. We are lucky anyway, because in some parts of the world, suicide is not an uncommon effect with pimples (trust ‘oyibos’ na).
Many of us have had issues with pimples while growing up, ranging from lack of confidence to total social withdrawal. For some, however, it was just an insignificant menace. We are lucky anyway, because in some parts of the world, suicide is not an uncommon effect with pimples (trust ‘oyibos’ na).
Definition
Acne vulgaris is a skin disease of the face, chest and back,
characterized by solitary or multiple papules, pustules (pimples), or nodules (don’t
mind the jargon; these are just skin eruptions of varying sizes and contents).
Course
Pimples usually start when puberty sets in (when you wan
start dey do fine boy/girl). This is because of the hormonal readjustments that
occur during this period, particularly testosterone. By adulthood anyway, the
frequency and severity reduce considerably or the pimples completely disappear.
The eruptions may be singular or may cover the whole face and extend to the
chest and back.
It may get infected and contain pus. In some people, it forms scars after resolving, especially in those that scratch and try to squeeze it out. In extreme cases, it may form keloids.
It may get infected and contain pus. In some people, it forms scars after resolving, especially in those that scratch and try to squeeze it out. In extreme cases, it may form keloids.
Causes/ Predisposing Factors
I will not bother you with the pathophysiology (wink) of
pimples but let me just say it principally involves blockage of skin pores and accumulation
of sebum (oily substance secreted by the sebaceous glands that
helps prevent hair and skin from drying out) with dead skin cells. The following
contribute to the formation of pimples:
·
Menstrual cycle
·
Puberty
·
Pregnancy
·
Menopause (acne climactera)
·
Stress (for me it is when I am broke)
·
Bacteria
·
Diet (high glycaemic and skim milk diets)
·
Hair greases or oil-based cosmetics (unless non-comedogenic
is written on them)
·
Polycystic ovary syndrome
·
Cushing’s syndrome
Myths
·
The more
you wash your face, the less pimples you have. Fabu. Excessive washing of
the face will cause dryness and microfragmentation of the tissues which heal to
block pores.
·
Popping the
measles will make them go away faster. Fabu. Beware of scars and dark spots.
·
Don’t wear
makeup. Abeg no let them spoil your market, just be careful of the type of makeup
you use. If you don’t have money for quality cosmetics that are
non-comedogenic, just use very light make up. Guy wey go like you go still notice
you whether you use makeup or not.
·
Pimples always
go away on their own. Wrong. When you are uncomfortable with it, see a
doctor. It is very curable. It may also lead to diagnosis of underlying
conditions like PCOS (polycystic ovarian syndrome).
·
Shaving causes
pimples. No. shaving may cause pseudofolliculitis barbae in people with
easily irritable skins.
·
Oily foods
cause pimples. No significant correlation from studies carried out.
·
Pimples are
more common in males. Wrong. No significant sex predisposition.
·
Masturbation
causes pimples. Where did they even get this one from?!
Prevention/Treatment
·
Keep clean skin. Taking your bath at least twice
a day is enough. If you must use sponges, use soft ones. Hard sponges may be
too harsh for your skin and are not really necessary for dirt removal (except
you are a surgeon scrubbing).
·
Avoid cosmetics that clog your pores. Remember,
if you have problem with pimples, look for non-comedogenic creams.
·
Do not squeeze or pick at your pimples.
·
If just mild pimples, look for OTC creams that
have benzoyl peroxide or salicylic acid. There are other compounds that are
also useful in the treatment of pimples, but we will leave those to the
doctors. Gels, soaps and lotions are also available.
·
Avoid excessive use of acne creams as many of
them cause excessive skin dryness. If your pimples do not disappear despite the
OTC medication, please see a doctor.
·
If pimples have horribly scarred your pretty
face, and you are seeking a job in Nollywood, see a plastic surgeon.
Conclusion
It is not a crime to look great. In fact, it is fantastic. Talk
about the self-confidence! The attention you command too! If pimples are trying
to come between you and your dreams, get it treated, but don’t let it bother
you. Remember, your looks have nothing to do with what you have got to offer
the world. For social life, if you believe you are beautiful, the world sees
you as beautiful (na fine people dey get issues self). So just go out there and
do your thing.
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