Acneea este o afectiunie comuna a pielii si este aproape universala in cazul adolescentilor. Apare atunci cand micile deschideri prezente pe suprafata pielii, denumite pori, devin infundate, inflamate si uneori, infectate. Durata si severitatea acneei este unica pentru fiecare individ si se produce pe fata, piep, spate si umeri. Acneea are un fond hormonal si fiecare caz in parte trebuie evaluat cu atentie. Acneea non-inflamatorie poate duce la dezvoltarea de acnee inflamatorie atunci cand exista o supra-infectie cu diversi agenti patogeni.

Optiuni de tratament: Acneea prezinta diferite optiuni de tratament in functie de severitatea si tipul de acnee dezvoltat de pacient. Cele mai frecvente optiuni de tratament includ cremele topice, medicamentele administrate pe cale orala, peelingul chimic, extractia si chiar terapia cu laser. Masurile de prevenire a acestei afectiuni includ spalarea pielii pentru indepartarea excesului de sebum si a bacteriilor cu ajutorul unor produse non-comedogenice (care sa nu infunde porii) de doua sau trei ori pe zi, aplicarea de creme topice cicatrizante si evitarea produselor pe baza de ulei intrucat acestea pot bloca porii.

Alopecia areata este reprezentata de aparitia unor zone bine delimitate lipsite de par. Cel mai adesea se produce pe scalp dar si alte zone pot fi afectate precum barba la barbati sau sprancenele si genele. Nu se cunosc cu exactitate cauzele producerii bolii intrucat aceasta are o patogenie complexa dar specialistii o considera o afectiune autoimuna, care are ca rezultat inflamarea foliculilor de par si caderea acestora. Majoritatea pacientilor sunt sanatosi cand se declanseaza alopecia, cel mai adesea brusc si inexplicabil, afectand atat copiii cat si adultii. Simptomele asociate cu alopecia areata dureaza mai multe luni, uneori pana la un an sau doi.

Optiuni de tratament: In prezent exista o serie de tratamente alternative dar nu s-a gasit un tratament care sa vindece aceasta conditie. Majoritatea tratamentelor functioneaza prin diminuarea celulelor albe din sange, care produc inflamatia foliculilor de par si caderea acestora. Prin urmare, este nevoie de un timp indelungat pentru ca o terapie sa functioneze. Cresterea parului este, in general lenta, de aproximativ 1 centimetru si jumatate pe luna.

Alunitele, denumite si nevi, reprezinta leziuni benigne aparute din cauza proliferarii celulelor pielii. De obicei sunt de culoare maronie sau neagra si pot aparea oriunde pe corp. Alunitele pot deveni mai inchise la culoare dupa expunerea la soare, in timpul sarcinii sau adolescentei. Daca dimensiunea, conturul si coloritul alunitei nu sufera modificari de-a lungul timpului, nu exista motive suplimentare de ingrijorare. Alunitele evaluate ca fiind „cu risc” de catre practician sunt acele leziuni care prezinta modificari de culoare, dimensiune, forma intr-o anumita perioada de timp sau acelea care apar dupa varsta de 20 de ani. Alunitele trebuie evaluate daca sangereaza, prezinta scurgeri de fluide, cruste sau daca incep sa prezinte urmatoarele simptome: prurit (mancarime cutanata) sensibilitate sau durere in zona alunitei. Este important sa mergeti la un consult dermatologic si sa optati pentru o evaluare clinica a leziunii.

Optiuni de tratament: Alunitele pot fi indepartate in intregime sau o biopsie poate fi prelevata si tesutul este apoi microscopic, in cazul in care exista motive de ingrijorare in urma consultului clinic si modificari raportate de pacient.

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Dermatita atopica, denumita si eczema, este o boala genetica sau mostenita in care pielea nu poate retine un nivel optim de hidratare si nu poate proteja organismul in mod corespunzator de diverse substante iritante din mediul inconjurator. Acest lucru are ca rezultat o piele uscata, sensibila, cu mancarimi, roseata si formarea de cruste si dezvoltarea de zone cu inflamatie. Dermatita afecteaza sugarii in cea mai mare parte si poate dura pana cand copilul ajunge la adolescenta sau maturitate.

Optiuni de tratament: Nu exista un remediu universal sau tratament care sa vindece definitiv dermatita/eczema dar exista optiuni de tratament eficiente menite sa gestioneze simptomele si sa tina dermatita sub control. Obiectivul principal al tratamentului este de a minimiza eruptiile cutanate si de a atenua senzatia de mancarime de la nivelul zonelor afectate. Antihistaminicele si cremele intens hidratante pe baza de uree si alti compusi care refac bariera protectoare sau bariera fosfolipidica a epidermului sunt folosite adesea pentru ameliorarea simptomelor.

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