If you have liver disease or heart disease, that's between you, your doctor and your god. But skin diseases are known around the world. You live with a constant reminder that something is wrong. Children use body language to express their feelings. They may wear caps or have their collars raised. Putting their hands on their faces or covering their faces is also common. I think these are clues that acne bother them.
The appearance is a major problem. Our culture reveres beautiful people. You never take a magazine and see someone with acne or rosacea unless it's a medical journal and it's done as part of a diagnosis or diagnosis. 39, a treatment. We have many good medicines and products that can help children with acne. And not only do we know more about drugs, but we also know more about the pathophysiology of acne, thanks to giants of the field such as Peter Pochi, John Strauss, Alan Shalita and Jim Leyden. These are people who have dedicated their careers to better understand acne and its treatments. I see children with bad acne in the halls and grocery stores, working as clerks or takeaway. I would like to be able to let them know, one way or the other, that we have a really good treatment for them, especially if they are obviously trying to hide their acne. You look at all the signals of the body. Some of these children are not depressed, but they still do not like their acne.
I do not have a teenager yet who says to me "Yes, I have acne and I like it!" I never said that he wanted to keep it. The best thing about acne is that it is an illness that we can now confidently say, "We can improve on you". We can not say that about every disease, but with acne, we can almost always improve the patient. In some of these children, there will be an improvement within a month, but they never complain if they improve faster.
This avoids disappointment. We, dermatologists and our patients, are really lucky to have effective medications to treat acne. The psychological impact of acne can be devastating, especially in young patients most susceptible to this extremely visible disease. Dr. Jan Hornets has lectured nationwide on the effects of acne on self-confidence and self-esteem. I educate them about basic skin care, explain how their medications work and try to make them understand the importance of compliance. I usually tell them, "No matter what I do, I share their responsibility. It is particularly important that adolescents accept a shared responsibility. The agreement must be between the patient and the doctor, not the doctor and a parent.