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Acne - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Acne - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
Acne is a skin disease consisting of blemishes that can occur on your face, neck, chest, shoulders, and back. Acne is very common during the teen years but it can affect you during adulthood as well. So you keep your hair and skin well lubricated your body depends on sebaceous glands which sit just under your skin. These glands secrete an oily substance called sebum which coats your skin and hair to prevent them from drying out. Sebum travels up hair follicles and out through your pores onto the surface of your skin. Your hair follicles routinely shed dead skin cells which sebum carries out of your body. When your body produces extra sebum and dead skin cells, they can stick together and clog your pores resulting in skin blemishes. Then bacteria that normally exist in small amounts on your skin can flourish in the sebum in the clogged pore leading to inflammation. Depending on where the clog is located and if you have inflammation, acne may appear as whiteheads which are clogged follicles closed off from the air, blackheads which are clogged follicles that turn a darker color when the clog is exposed to air, pustules commonly called pimples which are inflamed follicles clogged with puss, or cysts which are larger, painful, puss-filled lumps going deep under the skin. Hormonal changes, particularly a rise in testosterone, can lead to sebum overproduction which is why acne often occurs during the teen years. However it can occur at any age. Other factors contributing to the development of acne are bacteria, certain medications, and genetics. If you have a mild case of acne your doctor may recommend an over the counter lotion with one of several active ingredients. Benzoyl peroxide kills bacteria, dries excess oil, and removes dead skin cells clogging pores. Salicylic acid slows the loss of skin cells to prevent clogged pores. It may also break down whiteheads and blackheads. Alpha hydroxy acids such as lactic acid help remove dead skin cells, reduce inflammation, and stimulate the growth of new smoother skin. Sulfur removes dead skin cells and dries excess oil. These are strong chemicals that may irritate your skin. Follow the directions for use exactly. If over the counter products are not effective, your dermatologist may prescribe stronger prescription lotions such as vitamin A which reduces the buildup of dead skin cells in your pores, topical antibiotics which kill bacteria on your skin, or a combination of benzoyl peroxide and topical antibiotics. For moderate to severe cases your dermatologist may prescribe an oral medication alone or in combination with a topical treatment. These medications include oral antibiotics which kill bacteria and reduce inflammation and isotretinoin which is used only for the most severe cases. A corticosteroid injection may be given to relieve your pain and help clear up a particularly large lesion. For women birth control pills containing estrogen may be prescribed to minimize the effects of testosterone. Regardless of the treatment your doctor recommends, good skin care is essential. For example wash problem areas twice daily with a mild soap and wash gently without scrubbing. If you have dry or peeling skin use an oil-free water-based moisturizer. When choosing any product to put on your skin look for an oil-free or noncomedogenic label, which means it won't clog your pores. Avoid picking or squeezing blemishes as these actions may lead to infection or scarring. And avoid touching your face with your hands, your hair, or any object such as a cell phone.

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Michael Beckman
Viles Law Firm, P.A.
Fort Meyers, FL

"A few words about The Doe Report: recently in a brachial plexus injury case, we used an image from The Doe Report to demonstrate the injury. We downloaded the PDF file image, and were amazed at the quality. The hard copies that you sent were even more clear. As well, we could not have been happier when you customized the image and reversed the injury from the left shoulder to the right shoulder, which is where our client's injury was.

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Needle Gallagher & Ellenberg, P.A.
Miami, FL

"At 3 PM it hit me--I needed exhibits of a tracheostomy, a coronary artery bypass and a deep vein thrombosis--all in time for a for-trial video deposition the next day. The Doe Report had each exhibit on line. In addition, I ran across an exhibit I hadn't even thought of: reduced ejection fraction after a heart attack. Because this was a video deposition, I could use the e-mail version of the medical exhibit, print it on my color copier, and let the camera zoom in. For $400, less than one blow-up by one of The Doe Report's competitors, I got four first-rate exhibits in less than a day. The Doe Report saved me time and money."

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Pulley Watson King & Lischer
Durham, NC
www.PWKL.com

"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

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As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
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