Acne for Dummies

322 Pages·2006·4.988 MB·English

by  Goodheart, Herbert P

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Acne
FOR
DUMmIES
‰
by Herbert P.Goodheart,MD
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Acne
FOR
DUMmIES
‰
by Herbert P.Goodheart,MD
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Acne For Dummies®
Published by
Wiley Publishing, Inc.
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Hoboken, NJ 07030-5774
www.wiley.com
Copyright © 2006 by Wiley Publishing, Inc., Indianapolis, Indiana
Published simultaneously in Canada
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Library of Congress Control Number: 2005935157
ISBN-13: 978-0-471-74698-0
ISBN-10: 0-471-74698-3
Manufactured in the United States of America
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About the Author
Herbert P. Goodheart, MD, has been in the private practice of
dermatology for over 25 years.He is a fellow of theAmerican
Academy of Dermatology and a member of the Greater New York
Dermatological Society. For 20 years, Dr. Goodheart was an Assistant
Clinical Professor of Medicine in the Division of Dermatology at the
Albert Einstein College of Medicine, Bronx, New York, and is now an
Assistant Clinical Professor in the Department of Dermatology at
the Mount Sinai College of Medicine in New York City.
Dr. Goodheart is the author of Goodheart’s Photoguide of Common
Skin Disorders, Diagnosis and Management,a clinical guide to assist
the primary care provider and dermatologist-in-training in the iden-
tification and treatment of common skin disorders. The book,
which is in its second edition, was a unanimous choice for first
prize in dermatology at the annual British Medical Association
Book Awards for 2004.
He also is a contributing editor of Women’s Health in Primary Care,a
medical journal for physicians and other healthcare professionals.
Dr. Goodheart’s monthly column, “Dermatology Rounds,” provides
information on the wide spectrum of skin disorders affecting women.
He lives in New York City with his wife Karen and his son David.
Dedication
This book is dedicated to my parents, Nathan and Rose Goodheart,
who instilled in me the importance of something they were deprived
of — a good education. Their love, sacrifices, and encouragement
have allowed me to pursue my career in medicine. I also dedicate it
to my beloved sister and brother Myra Krenzel and Bernie Goodheart.
My love and thanks also go to my in-laws, Dr. Norman Schneeberg
and Helen Schneeberg, who have been supportive of me all along
the way and who allowed me to marry their daughter, Karen.
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Author’s Acknowledgments
This project proved to be far from a solo effort. Mike Baker, the pro-
ject editor, was at my side throughout the entire project. With his
steadfast patience, attention to detail, and great intelligence, he was
a true partner in bringing this complicated project to completion.
Thank you Mike — I really enjoyed working with you! The great
acquisitions editor, Kathy Cox, deserves credit for her wonderful
guidance in always keeping the book on course. Special thanks goes
to Heather Dismore who was an indispensable support in helping
me overcome some difficult obstacles. Jen Bingham, my copy
editor, made many suggestions that were right on target and helped
to make Acne ForDummiesboth clear and concise. I also want to
thank the talented group at Wiley, including my illustrator, Kathryn
Borne, and the entire production staff. They all deserve huge praise!
A big thanks to Linda Roghaar, my literary agent, who brought me to
For Dummiesand helped make this book a reality. My deep gratitude
goes to my friends Jane Friedman Century and Richard Lieberman
for their inspiration and helpful suggestions. I also wish to thank
my dermatologist friends and colleagues, Drs. Hendrik Uyttendaele,
Ross Levy, Diane Berson, Ron Shelton, and Peter Burk, for their
assistance in working through difficult problems.
I deeply appreciate the efforts of my technical editor, Joe Eastern,
MD, whose watchful eye assured the scientific and clinical integrity
of the text. Also I would like to thank Sandra Mamis, RPA-C, physi-
cian assistant par excellence,who helped to review some of my dif-
ficult chapters, Ilene Buchalter, who knows how to run a dermatology
office and helped me to describe it, and Lance Brown, MD, who
provided me with material about acne scars.
Many thanks go to my colleagues at Derm-Chat/Derm-Rx, who keep
me up to date on the latest diagnostic and therapeutic issues in
dermatology. Art Huntley, MD, at UC Davis, who founded and main-
tains this valuable online resource, deserves special credit. I also
am indebted to my patients who taught me more than anyone
about acne.
Special love and appreciation go to ma belle soeur, Susan Bronstein,
whose foresightwas the driving force behind my pursuing Acne For
Dummies. When she heard aboutFor Dummies, she immediately
thought of me.Also, a big hug and kiss goes to my 14-year-old son,
David, who proofread the chapters on teenage acne and gave me
tremendous computer assistance. Most of all, I wish to thank my
wife Karen for her support, encouragement, and great editing. Her
skills and patience helped me throughout the long journey that led
to this publication.
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Publisher’s Acknowledgments
We’re proud of this book; please send us your comments through our Dummies online regis-
tration form located at www.dummies.com/register/.
Some of the people who helped bring this book to market include the following:
Acquisitions, Editorial, and Composition Services
Media Development
Project Coordinator: Erin Smith
Project Editor:Mike Baker Layout and Graphics: Carl Byers,
Acquisitions Editor:Kathleen M. Cox Joyce Haughey, Stephanie D. Jumper,
Lynsey Osborn
Copy Editor:Jennifer Bingham
Special Art: Illustrations, Kathryn Born;
Technical Reviewer:Joseph Eastern, MD
Photos, Herbert P. Goodheart and
Editorial Manager: Christine Meloy Beck Goodheart’s Photoguide of Common Skin
Editorial Assistants: David Lutton, Disorders,Sonya Seigafus, ed.,
Hanna Scott Lippincott Williams & Wilkins, 2003.
Cartoons: Rich Tennant Proofreaders: LeeannHarney, Carl Pierce,
(www.the5thwave.com) Charles Spencer, TECHBOOKS
Production Services
Indexer: TECHBOOKS Production Services
Publishing and Editorial for Consumer Dummies
Diane Graves Steele, Vice President and Publisher, Consumer Dummies
Joyce Pepple, Acquisitions Director, Consumer Dummies
Kristin A. Cocks, Product Development Director, Consumer Dummies
Michael Spring, Vice President and Publisher, Travel
Kelly Regan,Editorial Director, Travel
Publishing for Technology Dummies
Andy Cummings,Vice President and Publisher, Dummies Technology/General User
Composition Services
Gerry Fahey,Vice President of Production Services
Debbie Stailey,Director of Composition Services
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Contents at a Glance
Introduction.......................................................1
Part I: Facing Up to Acne...................................7
Chapter 1: Dealing with Acne....................................................................9
Chapter 2: Getting Comfortable with the Skin You’re In.....................17
Chapter 3: Tracing the Evolution of a Pimple.......................................27
Part II: Figuring Out Your Acne and
How to Tackle It on Your Own...........................37
Chapter 4: Examining Acne in Teens......................................................39
Chapter 5: Addressing Acne in Adults...................................................49
Chapter 6: Evaluating Other Causes and
Contributors: Myth and Reality.......................................................61
Chapter 7: Taking Care of Acne Over the Counter...............................73
Part III: Turning to the Pros to Treat
Your Type of Acne............................................85
Chapter 8: Calling in the Experts............................................................87
Chapter 9: Reviewing the Topical Tools
at Your Dermatologist’s Disposal...................................................101
Chapter 10: Taking the Oral Antibiotic Route.....................................115
Chapter 11: Hormonal Treatment for Women....................................129
Chapter 12: Managing Acne in Dark-Complexioned Skin..................137
Chapter 13: Attacking Acne with Accutane
and Other Isotretinoins...................................................................151
Chapter 14: Searching for Weapons of Zit Destruction.....................167
Chapter 15: Seeking Alternative Treatments......................................177
Part IV: Dealing with Scars and
Associated Conditions.....................................189
Chapter 16: Focusing on the Physical Scars.......................................191
Chapter 17: Coping with the Psychological Scars..............................203
Chapter 18: Reining in Rosacea and Other Acne Look-Alikes..........211
Chapter 19: Fighting the Feisty Follicle...............................................229
Chapter 20: Reviewing Endocrine Disorders
Associated with Acne......................................................................243
Part V: The Part of Tens..................................249
Chapter 21: Ten Terrific Acne and Rosacea Web Sites......................251
Chapter 22: Ten Tips for Healthy Skin.................................................255
Chapter 23: Ten Things You Should Never Do to Your Skin..............261
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Part VI: Appendixes........................................267
Appendix A: Glossary............................................................................269
Appendix B: International Brand Names for Some
of the Medications Listed in This Book........................................279
Index ............................................................281