...Oral antibiotics are indicated for moderate-to severe disease, for the treatment of acne on the chest, back, or shoulders, and in patients with inflammatory disease in whom topical combinations have failed or are not tolerated. After control of the acne is achieved and maintained for at least two months, a reduction in the dose can be attempted. Hormonal treatment is especially useful in women who desire contraception or have other manifestations of hyperandrogenism, such as irregular menstrual cycles or hirsute. Oral antibiotics and topical therapy may be used in combination with hormonal treatments.When the use of this agent is being considered, an assessment of the severity of disease should include the effect of the acne on the patient, such as the potential for scarring....»
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«...Acne is caused by hormonal changes, which is why so many teenagers suffer so much from this physically unpleasant and psychologically damaging infection. The sebaceous glands, not far below the surface of the skin, naturally produce sebum, an oil which moisturises the skin. Sometimes the hormonal activity caused sebaceous glands to work overtime and produce excess sebum which can then clog up the pores, the tiny holes in the skin. In these unnaturally confined spaces nasty bacteria can start to multiply and thrive. In a few days the infection can erupt into those unpleasant pimples so many of us are familiar with....»
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