How do people with acne who have dry, oily, mixed, and sensitive skin care? Professional doctors bring the principle of fighting against acne

Release time:Apr 16, 2024 21:49 PM

Acne is a chronic inflammatory skin disease of the hair follicle sebaceous gland unit, commonly known as "acne" due to its tendency to occur in adolescents. The incidence rate of acne worldwide is 9.4%, ranking the eighth largest chronic disease in the world. Research has shown that the prevalence of acne in the Chinese population is 8.1%, with 85.1% of adolescents experiencing acne and 3% to 7% of acne patients leaving scars. At the 6th "Acne Prevention and Control Science Popularization Week" Health China Public Welfare Activity held today, Professor Gu Jun, Chairman of the Dermatology and Venerable Disease Professional Committee of the Chinese Association of Traditional Chinese and Western Medicine, and Professor Gu Jun from the 10th People's Hospital affiliated with Tongji University, along with scholars, jointly proposed to designate September 19th to 26th as the "Acne Prevention and Control Science Popularization Week", which sounds like "Save Me" and calls on all sectors to work together to help Chinese acne patients.

A small question? Enduring War!

Although acne may seem like a common skin problem, it is actually closely related to physical health, mental health, social attributes, and more. Acne is divided into three levels and four levels. The occurrence of acne can lead to skin problems such as papules, pustules, cysts, nodules, and even leave scars, seriously affecting the patient's appearance and image. "Long term recurrent acne can cause patients to feel dissatisfied and insecure about their appearance, and even lead to depression and anxiety," said Professor He Li from the First Affiliated Hospital of Kunming Medical University.

However, while being affected by acne, many patients or family members may believe that acne is just a small problem that appears on the skin. With a simple use of medication to eliminate acne, it can be quickly cured. Little do they know that acne treatment is a "protracted battle" because patients already have inflammation in their skin, combined with external medications and various treatment methods, which can easily induce skin sensitivity, leading to a vicious cycle of acne.

How do people with acne who have dry, oily, mixed, and sensitive skin care? Professional doctors bring the principle of fighting against acne

Professor Zheng Zhizhong from Huashan Hospital affiliated with Fudan University explained that acne patients often have incomplete skin barrier function. Due to the strong secretion of facial sebum, changes in sebum composition, unstable lipid structure, and inflammatory reactions, it is easy to cause skin barrier damage and weakened resistance to external stimuli; Secondly, most patients have a bad habit of over cleansing their skin, which exacerbates the damage to the skin barrier. "Therefore, acne patients should simplify their skin care procedures as much as possible, and do a good job of basic cleaning, hydration, moisturizing, and sun protection to help repair the skin barrier and restore normal skin barrier function."

The principle of "acne" in different skin types

Scholars have also introduced different skin care methods, focuses, and precautions for acne patients of different skin types——

Acne patients with oily skin should use warm water close to body temperature for cleansing, which is beneficial for dissolving sebum; Use cleansing mousse and cleansing foam with moisturizing and oil controlling ingredients, and the frequency is less than 2 times/day; Use effective skin care products such as oil control and acne cleaning products all over the face, preferably water and gel.

Acne patients with dry skin can clean their face with warm water and use cleansers with soothing and repairing skin barrier functions, once a day; Use effective skin care products with the function of repairing skin barrier all over the face. It is better to use water agent plus emulsion/cream. You can also use moisturizing facial mask 2-3 times a week for deep hydration.

Patients with mixed skin have the common characteristics of oily skin and dry/neutral skin, and can use facial cleansers with soothing and repairing skin barrier functions, with a frequency of less than 2 times per day; The nursing principles for T-zone are the same as those for oily acne skin, and for areas such as cheeks, temporal area, and chin are the same as those for dry acne skin.

For acne patients with sensitive skin, it is recommended to use a cleanser with soothing and repairing skin barrier functions, once a day.

Integrating Medicine to Promote Acne Treatment

In recent years, the diagnosis and treatment of acne has also been continuously developing towards integrated medicine, including local treatment, systemic treatment, physical and chemical treatment, etc. The combination of multiple treatment methods is crucial. He Li said that developing integrated treatment plans from various aspects such as testing, diagnosis, treatment, and skincare, and providing precise prevention and care according to different skin types, can increase efficacy, reduce recurrence, and overall improve patient satisfaction.

Gu Jun introduced that since the establishment of the "Acne Prevention and Treatment Science Popularization Week" activity, the Skin and Sexuality Disease Special Committee of the Chinese Association of Traditional Chinese and Western Medicine has taken the lead in organizing free consultations, epidemiological investigations, patient science education, doctor education, and other work nationwide. They have written an acne science popularization book "Keep Youthful, Don't Keep Acne" to provide patients with authoritative and easy to understand acne science popularization knowledge. In addition, the special committee has released guidelines for the diagnosis and treatment of acne vulgaris at the grassroots level, expert consensus on the clinical application of aminolevulinic acid photodynamic therapy for the treatment of acne vulgaris, and expert consensus on the clinical application of oral isotretinoic acid for the treatment of acne, providing powerful references for dermatologists in clinical diagnosis and treatment. In this year's event, the special committee took the lead in distributing the "6th Acne Week Science Popularization Handbook" to various free clinics across the country, integrating the importance of medicine for acne treatment and simplifying it into multiple easy to understand and close to life chapters. The manual provides a comprehensive analysis of the causes of acne, as well as dietary interventions, personal skincare, and treatment plans, which helps to strengthen patients' comprehensive awareness of acne care and achieve precise treatment.

Nine medical experts from Shanghai who helped the residents of Karamay in Xinjiang free clinic, spanning more than 4000 kilometers Father | Expert | Shanghai

At the arrival of the sixth "Chinese Doctor's Day", nine medical experts from Shanghai, including Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Tongji Hospital affiliated to Tongji University, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Shanghai Dermatology Hospital, and China Welfare Society International Peace Maternal and Child Health Care Center, including neurology, urology, otorhinolaryngology, ophthalmology, thyroid surgery, breast surgery, hematology, geriatrics, and dermatology, went to Karamay Central Hospital and Karamay Third People's Hospital to carry out free clinic activities. Among them, 6 experts are doctors dispatched by Tongji Hospital to aid Xinjiang, and 3 experts have traveled over 4000 kilometers to Ke to help local patients clarify their doubts. Urumqi residents drove over 400 kilometers with their father to a free clinic, where Patiguli underwent a small physical examination

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"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery. At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and replace the new, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur,

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Fengxian is located in the remote suburbs, with limited medical resources. Community diagnosis and treatment have become the top priority for residents' health. How to build a good network base to serve the people? The reporter recently learned from the district health commission that based on the actual situation of the region, taking into account the size of the service population and the trend of population introduction, the district health commission is promoting the horizontal integration of community health resources. Residents are willing to "vote with their feet" to choose the community, and the solid foundation and warm service of community family doctors are indispensable. Data shows that there are currently 549 general practitioners in Fengxian District. Last year, the proportion of community diagnosis and treatment accounted for 49% of the total diagnosis and treatment in the district. In the first half of this year, the proportion of community diagnosis and treatment has increased to 60%. Wang Tao is a family doctor at the Xidu Community Health Service Center in Fengxian District who has been committed to the community for ten years and has signed contracts with more than 1900 community residents

In this regional medical center, patients make sachet masks to feel the warmth of home. The Dragon Boat Festival medical center | patients | sachets

Today is the traditional Dragon Boat Festival. As a regional medical center, Shibei Hospital of Jing'an District organized a special "love on the left and accompany on the right" activity to welcome the Dragon Boat Festival. The patients and their families wrapped Zongzi together to make sachets and feel the warmth of home. It is reported that the Elderly Rehabilitation Department of Shibei Hospital is a key discipline in Jing'an District, with 80% of hospitalized patients being over 70 years old, including those aged 90 or 100. During the meticulous treatment of the elderly, the Rehabilitation Department integrates family oriented services throughout, creating a humane "warm service" and building a harmonious doctor-patient relationship. Shu Jin, director of the Elderly Rehabilitation Department, said that with the arrival of the Dragon Boat Festival, medical staff have found that a small number of patients lack family companionship and their psychological and emotional needs cannot be met. The hospital's social work department and department medical staff work together to build a "heart to heart bridge" for doctor-patient interaction and two-way communication,

The annual throat preservation rate is nearly 80%, and Shanghai research was included in the International Annual Conference: Immunotherapy for locally advanced head and neck tumors | Patients | Local

At the recent 2023 Annual Meeting of the American Society of Clinical Oncology, research from Fudan University Affiliated Cancer Hospital was quite impressive: in the field of head and neck tumors, "induction chemotherapy combined with treprizumab can be used for laryngeal preservation treatment in patients with locally advanced laryngeal/hypopharyngeal cancer. The results of the Phase II clinical trial showed a one-year laryngeal preservation rate of 79.4%." The first author of this study, abbreviated as INSIGHT, is Professor Xiaomin Qu from Fudan University Affiliated Cancer Hospital, and the corresponding authors are Professor Yu Wang and Professor Xiayun He. It is reported that laryngeal cancer and hypopharyngeal cancer are one of the most common head and neck squamous cell carcinoma in China, with the incidence rate accounting for about 20% of head and neck squamous cell carcinoma. Due to the insidious symptoms of the disease, the patient was diagnosed later and had a poor prognosis. Previously, surgical resection was used to prolong survival. With the development of multidisciplinary comprehensive treatment, diagnosis and treatment

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