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freckles and pimples

Human Anatomy, Physiology, and Medicine. Anything human!

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Postby Dr.Stein » Wed Jan 11, 2006 5:00 am

They are totally different I think so. Freckles caused by the less elasticity and platicity of skin, it is all about collagen fiber... Aah fiber... reminds me of fiber disease thread ahahahahahaa :lol: Acne caused by things I already mentioned above. Pimples is something else :)
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Postby chicoguardian » Wed Jan 11, 2006 1:08 pm

isn't acne just a different way of saying pimples, I mwan they display is that way on commercials(which most are from the insane assylum anyhow)
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Postby Dr.Stein » Thu Jan 12, 2006 4:10 am

Acne vs pimples, they are somewhat different actually :?
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Postby chicoguardian » Thu Jan 12, 2006 12:52 pm

thats interesting, I always thought they were different :/ go figure
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Postby victor » Thu Jan 12, 2006 1:02 pm

then we should form the acne dissease thread..:mrgreen:
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Postby Dr.Stein » Fri Jan 13, 2006 5:28 am

Good idea. Who will subscribe for that thread? (read: patient) :lol:
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Quite funny

Postby Sabrina » Sat Jan 14, 2006 10:46 pm

Dr. Stein and Victor are very witty. :P Always glad to see a display of a sense of humor.

My question to you Dr. Stein is if a patient is diagnosed with severe cystic acne and never responds to the treatment of months of Tetracycline, Minocycline, and Acutain, would be be a safe assumption that the patient really does not have acne to begin with? If so are you aware of any conditions that could cause an acne type reaction not from bacteria or hormones?

One more thing please.

If acne can produce cysts, how are these cysts formed, what causes this to happen, and what is their make up?

Thank you for giving me this opportunity to educate myself.

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Postby Dr.Stein » Sun Jan 15, 2006 2:04 am

First I should tell that I am not a clinician or a pharmacian, means that I don't have a deal with applying medical prescription for patients. All I can do is just analyze what is happening, give advices and for consultation purpose only. Here I try to answer your question, and I think it would be better if we see this as an open discussion rather than a Q&A forum because I am not an expert. I am educationg myself as well here :)

One more, I am sorry for my English. Mine is boring, I know :P

The most common things that could cause acne is bacterial infection and hormonal condition. I cannot mention something else yet.. You mentioned some antibiotics. Yes, these can clear acne caused by bacterial infection, but ONLY in appropriate dose and proper period of treatment. In your case, the patient suffers a sever cystic acne and never responds to those antibiotics. It might that the dose is less than that can elliminate the bacteria, means that the bacteria still able to survive (resistant) against your antibiotics. As far as I know, we are not suppose to apply antibiotics for long term because in addition to give a resistance for microbia, it also will destroy our body system especially the structure. So, I think it is about dose, IF the acne is caused by bacterial infection. If it is caused by hormonal condition, of course antibiotics will not play a role in this case.

It is a good idea to analyze how that acne comes up (the cause) whether it is a bacterial infection or hormonal condition. This is even the first step before deciding to apply what kind of medicine we will apply on it. Get a little bit acne tissue sample to make a preparation to investigate if there is bacteria or their product on it. Measure the level of total androgen to observe if it is caused by hormonal condition. If both are negative, the acne could cause by something else, or it even might not be an acne. It could be pimples, mild tumor, necrotic tissues, granulomas, etc.

Cysts could happen in two ways, provided by the microbia or by our immune system:

(1) By the microbia, for instance, bacteria will secretes certain substance(s) to protect their 'habitat' from being recognized by our immune-surveillance. This results in excessive proliferation of bacteria that causes severe local disease.

(2) By the immune system, if the immune system fails to elliminate antigen(s) from our body, they will localize it to prevent the antigen(s) to spread out over our body, for example in granuloma case. This results in lymphocytes (and other immune cells) influx arround the antigen(s) on local tissues which seen as swollen things we can say as cystic acne or pimples. This is longlasting and hardly removed.

I hope this makes sense and if you find a mistake or something not in the place from my fairy tale (hehe), let's discuss ;)

P.S. Hey if I am not mistaken, you are the regular poster from Fiber Disease Thread, aren't you? That thread is awesome, you know :)
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Re: Quite funny

Postby victor » Sun Jan 15, 2006 11:47 am

Sabrina wrote:Dr. Stein and Victor are very witty. :P Always glad to see a display of a sense of humor.


haha...you haven't see the real me in making jokes.. :lol: I also one of the best jokers in my school.. :lol:
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Postby Dr.Stein » Mon Jan 16, 2006 1:04 am

Hey it gives me an idea. Vic, let's try a club. We can play a joke there or you rather be a clown? :lol:
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Postby victor » Mon Jan 16, 2006 1:29 pm

that's my bad side of my psychology...I really hate clowns and feels like I wanna kick them away..it's more like traumatic feelings I think..
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Postby Sabrina » Tue Jan 17, 2006 12:44 am

Dear Dr. Stein,

Thank you for responding to all of my questions. Your modesty is refreshing and you answers most informative. 8)

You claim not to be an expert however your brilliant suggestion of attempting to identify the cause of the acne is more than any specialists usually do and I never knew this was an option to begin with. I wonder why this is almost never done by the experts? I suspect it takes too much of their time and is not cost effective to their practice. Am I correct?

The condition of the cysts are very discouraging. So, they are hard to remove but surly there is a way, No? How would one go about that with an invasive procedure being a last option?

Are you aware of Flagyl being able to break up cysts? What meds or therapies are used if any, to produce such an effect?

If the formation of cysts are the bodies way of dealing with the disease, no matter what the cause, would it be better to just leave the condition as is? Sorry if that question is stupid :oops: but I tend to trust that the human body knows better than people most of the time.

I am sorry I have more questions than discussion in me but this subject really has me thinking and the need to know is great.

Yes, I am the one who started the Fiber Disease thread (sorry) but, I thought the only crazy people on this board were on that thread! :P Still don't know if my mind is open enough to entertain the thought of this condition being a spliced and diced organism made in a lab somewhere by our government for population control!! :shock: I still have no way to rule this out, but come on, that theory is pretty far out there to say the least! Common sense will take one far in life.

I prefer to do my research in solidly based science and that's why I am participating on this most interesting thread. It makes sense to learn how normal skin conditions and reactions work before shooting in the dark about the how and why of something yet unidentified. Do you agree?

Victor,

Kicking clowns???? OMG!!! I will admit that clowns are kind of creepy but wanting to inflict harm is extreme in my opinion. Personally, Dr. Stein”s picture :shock: :shock: is more disturbing than any clown could ever be.

Your Latin is most interesting too. Lol! Laughter is the best medicine so joke away my friend.

What kind of club do you all intend on creating and may I join?


Thank you VeenaandNivyah for starting this thread. I am learning a lot from it.

Peace,
Sabrina
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