These include idiopathic adrenal androgen excess, partial defect in 21-hydroxylase, and polycystic ovarian syndrome. This increased activity is independent of systemic levels of androgens and may explain the poor correlation between systemic levels of androgens and the severity of the acne lesions. There are about as many ways to treat acne patients as there are patients who have acne. Most external treatments dry the face to some extent and cause some degree of mild peeling that loosens plugs in oil glands. Peeling smooths the face and resolves the old and new lesions.
Most patients receive some sort of topical drying therapy to promote healing.
External medications can be irritating and may need a period of adjustment. Some minor irritation often occurs, especially at the start of therapy. Antibiotics Other major ways in which acne is treated include oral antibiotics to prevent the formation of new blemishes while externally applied medications are working to resolve the old and the new blemishes. FFA is very irritating and can cause the rupture of oil glands, making what we normally see as a red acne blemish. Some generic antibiotics however, can suppress and may compromise your immune system if used for prolonged periods of time.