Why do pimples appear in the same place: causes, signs, treatment, prevention

Pimples in the same place: causes, treatment, prevention.

Scientists have long proven that human skin is a mirror image of internal processes. Therefore, if some pathological changes begin in the human body, this immediately affects the skin. To be more precise, pimples appear on them.

Sometimes they are painful, sometimes very inflamed, and sometimes purulent. Their appearance and size most often depend on what pathology caused their appearance. We will talk about why pimples appear in the same place in our article.

Why do pimples appear in the same place: reasons

Causes of pimples appearing in the same place
A painful red pimple that periodically appears in the same place is quite a big problem, especially if it leaves behind a long-lasting spot. If you are also familiar with this problem, then it is likely time for you to make an appointment with your local doctor. As a rule, this is how a sluggish inflammatory process manifests itself, which gradually destroys an organ.

Most often, the cause of this problem is pathological changes in the digestive system. If it does not work correctly, this leads to incomplete digestion of food and, as a result, severe intoxication of the body. The more harmful substances accumulate in the body, the more often a painful pimple will appear in the same place.

Other reasons for acne appearing in the same place:

Gynecological problems. As practice shows, in this case, acne appears on the face in the area of the chin and nasolabial folds. It is this area of our skin that reflects the condition of the ovaries, fallopian tubes and uterus. Therefore, if they begin to work incorrectly or simply become inflamed, this leads to the appearance of a hard subcutaneous pimple without a white top in the mentioned areas.
Hormonal disbalance. This problem greatly disrupts all metabolic processes and this leads to the pores of the dermis being clogged more intensely. If a person does not cleanse his skin on time, sooner or later it will become inflamed and covered with painful pimples.
Problems with the cardiovascular system. In this case, pimples appear in the nose area and between the eyebrows. In this way, the body signals to a person that he does not have enough substances that are needed for the proper functioning of the heart and blood vessels.
Climate change. The human body tolerates any drastic changes very poorly. Therefore, if he, without gradual adaptation, moves from a warm climate zone to a cold one, then against this background his immunity is greatly reduced. If it does not help its defenses rise to the required level, this inevitably leads to the appearance of skin problems.

What to do if you have acne?

25.08.2021

Acne spoils the appearance of the face and also causes a lot of inconvenience to the owner. Firstly, acne looks terrible (but you shouldn’t be afraid or ashamed of it). Secondly, acne can be very painful. Thirdly, squeezing pimples is a very unpleasant thing.

Girls are already accustomed to the fact that before an important event a pimple will always pop up in some prominent place. However, this is a one-time event. And there are people who constantly suffer from a large number of rashes. And here the question arises: “What to do? How to get rid of them?

Let's start with the definition of acne .

What is acne?

Acne is a common skin disease that affects those areas of the skin where the largest number of sebaceous glands are concentrated.

Who is susceptible to such diseases?

Acne is the most popular disease among teenagers. After 25-26 years, the likelihood of acne decreases to 13 percent.

Causes of acne

Firstly, you need to understand one thing once and for all - acne never appears just like that, because it is a skin disease, and it always has its own reasons. And the appearance of acne on the nose does not mean that someone has certainly fallen in love with its owner. The main causes of acne :

hormones : acne can appear in the premenstrual period, and often long-term skin diseases can appear due to hormonal imbalance;
poor diet: acne occurs due to the consumption of low-quality foods. Again, there are individual intolerances to certain foods;
allergies : allergic reactions are always accompanied by acne ;
improper cosmetic care: many girls choose the wrong skincare products, which can cause acne . This is only possible for two reasons: the composition of the cosmetic product irritates the skin, so this is its usual reaction to an external irritant, or it may be an individual intolerance to individual components;
stress: during prolonged stressful situations, sebum production increases;
hygiene: how often do you forget to wash your face in the evening? Or how often do you change your pillowcases? Do you have a separate face ? Do you often touch your face with dirty hands? All this also affects the condition of the skin;
long-term treatment: with long-term use of medications, the body begins to release harmful substances through the skin - it is difficult for the body to cleanse itself.

How to deal with acne?

In fact, the duration of treatment depends on many factors. Here it is worth taking into account your skin type, the stage of the disease, and the type of acne .

Start practicing hygiene: do not neglect proper cleansing and care of your skin, do not touch your face with your hands, dry yourself with a clean towel, or even use only paper towels.
Review your diet: analyze what constitutes the basis of your diet. Think carefully - after consuming which specific products acne worsens , try to exclude such a product and observe the changes.
You should pay attention to both skincare cosmetics and regular cosmetics. Perhaps something doesn't suit your skin.
Minimize worries and stress in the body, be less nervous.
You can purchase special cosmetics designed to combat acne , which are selected according to your skin type.
You can contact a doctor , who will prescribe tests to identify the exact diagnosis and problem, and then the specialist will select the correct treatment, which will be aimed at combating the source of the disease.

In fact, slow treatment, but effective, is better than fast, but short-lived treatment.

Thus, there are quite a lot of methods to combat acne , but it is not always possible to quickly find an effective treatment. Through mistakes and trials, you can find something that will help you get rid of the skin disease.

Published in Dermatology Premium Clinic

Why do pimples appear in the same place: signs

Signs about acne
Probably every person at least once in his life has heard the statement that a pimple on the nose indicates that someone has fallen in love with a man or woman. No one undertook to check whether this sign was true.

But people who believe that the Universe, even in this way, can warn about upcoming changes in life, claim that even a tiny pimple can make it clear how to move on.

Signs about acne:

A pimple on the nose indicates the appearance of a secret admirer who does not yet dare to admit his feelings
If a pimple regularly appears on your chin, then it is likely that very soon you will meet your future husband
If more than one subcutaneous tubercle appears on the beard, this indicates that you will soon make several true friends
A pimple on the bridge of the nose warns that a person’s internal strength is running out and it’s time for him to normalize his psycho-emotional state
A pimple that constantly appears on the forehead is a harbinger of problems at work. The more painful it is, the more effort you will have to spend, but in order to solve everything

Pimples in the same place for several years: how to cure, get rid of?

Recommendations that will help get rid of a pimple
I would like to say right away that in order to get rid of a pimple that appears in the same place, you must first understand what caused the inflammatory process. If the problem is not cosmetic in nature, then you definitely need to do an ultrasound of the abdominal organs, a cardiogram of the heart and be sure to visit a gynecologist. If you have problems with these organs, then you will need to carry out specific treatment and at the same time put your skin in order.

Recommendations to help get rid of acne:

If a pus pimple appears on your face, then you definitely need to stimulate the pus to come out. If you do not do this, then after some time a highly inflamed pustule will form under the unsightly top, in which there will be pus all the time. Therefore, without delay, start applying Vishnevsky ointment to subcutaneous inflammation.
You can also use Zinc ointment if you wish. It will need to be diluted with water, and then carefully applied to the inflamed area using a cotton swab. This remedy will help to block inflammation very quickly, and when the pus comes out, it will enhance regeneration in the cells of the dermis.
To combat acne on oily skin, it is best to use Streptocide ointment. It will simultaneously dry out the dermis, normalize the functioning of the sebaceous glands and reduce inflammation.
If the local effect does not have the desired effect, the person may be prescribed oral Roaccutane tablets. They have powerful anti-inflammatory properties, which allows you to block inflammation from the inside.

Principles of diagnosis and treatment of chronic recurrent furunculosis

Currently, there is a tendency towards an increase in chronic bacterial and viral diseases, which are characterized by a continuously relapsing course and low effectiveness of antibacterial and symptomatic therapy. One of these diseases is chronic recurrent furunculosis (CRF). A furuncle develops as a result of acute purulent-necrotic inflammation of the hair follicle and surrounding tissues. As a rule, a boil is a complication of osteofolliculitis of staphylococcal etiology. Boils can occur either singly or multiple times (so-called furunculosis).

In case of recurrent furunculosis, chronic recurrent furunculosis is diagnosed. As a rule, it is characterized by frequent relapses, long-term, sluggish exacerbations that are tolerant to antibiotic therapy. Depending on the number of boils, the prevalence and severity of the inflammatory process, CRF is classified according to severity (L.N. Savitskaya, 1987).

Severe: disseminated, multiple, continuously recurrent small lesions with a weak local inflammatory reaction, non-palpable or slightly visible regional lymph nodes. Severe furunculosis is accompanied by symptoms of general intoxication: weakness, headache, decreased performance, increased body temperature, sweating.

Moderate severity - single or multiple large boils, occurring with a violent inflammatory reaction, with relapses from 1 to 3 times a year. Sometimes accompanied by enlarged regional lymph nodes, lymphangitis, a short-term increase in body temperature and minor signs of intoxication.

Mild severity - single boils, accompanied by a moderate inflammatory reaction, with relapses 1 to 2 times a year, well palpable regional lymph nodes, without symptoms of intoxication.

Most often, patients suffering from furunculosis receive treatment from surgeons; at best, on an outpatient basis, they undergo a blood test for sugar, autohemotherapy, some are prescribed immunomodulatory drugs without a preliminary examination, and in most cases they do not receive a positive result from the therapy. The purpose of our article is to share our experience in managing patients with CRF.

The main etiological factor of CRF is considered to be Staphylococcus aureus, which, according to various sources, occurs in 60–97% of cases. Less commonly, CRF is caused by other microorganisms - Staphylococcus epidermidis (previously considered apathogenic), streptococci of groups A and B and other types of bacteria. An outbreak of furunculosis of the lower extremities was described in 110 patients who were patients of the same pedicure salon. The causative agent of this outbreak was Mycobacterium fortuitium, and this organism was identified in foot baths used in the salon. In most cases of CRF, antibiotic-resistant strains of Staphylococcus aureus are cultured from purulent lesions. According to N.M. Kalinina, St. aureus is resistant to penicillin and ampicillin in 89.5% of cases, resistant to erythromycin in 18.7% of cases, and sensitive to cloxacillin, cephalexin and cotrimoxazole in 93% of cases. In recent years, there has been a fairly wide distribution of methicillin-resistant strains of this microorganism (up to 25% of patients). According to foreign literature, the presence of the pathogenic strain St. on the skin or nasal mucosa. aureus is considered an important factor in the development of the disease.

CRF has a complex and still insufficiently studied pathogenesis. It has been established that the onset and further recurrence of the disease are caused by a number of endo- and exogenous factors, among which the most significant are considered to be a violation of the barrier function of the skin, pathology of the gastrointestinal tract, endocrine and urinary systems, and the presence of foci of chronic infection of various locations. According to our studies, foci of chronic infection of various locations are detected in 75–99.7% of patients suffering from CRF. The most common foci of chronic infection of the ENT organs (chronic tonsillitis, chronic sinusitis, chronic pharyngitis), intestinal dysbiosis with an increase in the content of coccal forms. In patients with chronic furunculosis, gastrointestinal pathology (chronic gastroduodenitis, erosive bulbitis, chronic cholecystitis) is determined in 48–91.7% of cases. In 39.7% of patients, pathology of the endocrine system is diagnosed, represented by disorders of carbohydrate metabolism, hormone-producing functions of the thyroid and gonads. 39.2% of patients with persistent furunculosis have latent sensitization, 4.2% have clinical manifestations of sensitization to allergens of house dust, tree pollen and cereal grasses, and 11.1% have an increased concentration of serum IgE.

Thus, the majority of patients with CRF are characterized by a continuously relapsing course of the disease (41.3%) with severe and moderate severity of furunculosis (88%) and long-term exacerbations (from 14 to 21 days - 39.3%). Chronic foci of infection of various locations were identified in 99.7% of patients. In 39.2% of cases, latent sensitization to various allergens was determined. The main pathogen is St. aureus.

In the occurrence and development of chronic furunculosis, along with the characteristics of the pathogen, its pathogenic, virulent and invasive properties, the presence of concomitant pathology, a major role is played by disturbances in the normal functioning and interaction of various parts of the immune system. The immune system, designed to ensure the biological individuality of the body and, as a result, performs a protective function when in contact with infectious, genetically foreign agents, for various reasons can fail, which leads to a violation of the body’s defense against microbes and manifests itself in increased infectious morbidity.

Immune protection against bacterial pathogens includes two interrelated components - innate (predominantly nonspecific) and adaptive (characterized by high specificity to foreign antigens) immunity. When the causative agent of CRF enters the skin, it causes a “cascade” of protective reactions.

With CRF, disorders of almost all parts of the immune system are detected. According to N. Kh. Setdikova, 71.1% of patients with furunculosis had impaired phagocytic immunity, which was expressed in a decrease in the intracellular bactericidal activity of neutrophils and defects in the formation of reactive oxygen species. Defects that impair granulocyte migration can lead to chronic bacterial infections, as demonstrated by Kalkman et al in 2002. Defects in the utilization of pathogens within phagocytes can have various causes and have severe consequences (for example, a defect in NADPH oxidase leads to incomplete phagocytosis and the development of a corresponding severe clinical picture). Low levels of serum iron may possibly cause a decrease in the efficiency of oxidative killing of pathogenic microorganisms by neutrophils. A number of authors have identified a decrease in the total number of T-lymphocytes in peripheral blood. As a rule, in patients with CRF, the number of CD4 lymphocytes is reduced (in 20–50% of patients) and the number of CD8 lymphocytes is increased (in 14–60.4% of patients).

In 26–35% of patients suffering from chronic furunculosis, the number of B lymphocytes decreases. When assessing the components of humoral immunity in patients with furunculosis, various disimmunoglobulinemias are revealed. The most common are decreases in IgG and IgM levels. A decrease in the affinity of immunoglobulins was noted in patients with CRF, and a correlation was found between the frequency of occurrence of this defect, the stage and severity of the disease. The severity of laboratory abnormalities correlates with the severity of clinical manifestations of furunculosis.

From the above it follows that changes in indicators of the immune status in patients with CRF are of a diverse nature: in 42.9% there was a change in the subpopulation composition of lymphocytes, in 71.1% - in the phagocytic and in 59.5% - in the humoral part of the immune system. Depending on the severity of changes in immune status, patients with CRF can be divided into three groups: mild, moderate and severe, which correlates with the clinical course of the disease. With mild furunculosis, the majority of patients (70%) have immune status indicators within normal limits. In moderate and severe cases, changes in the phagocytic and humoral components of the immune system are predominantly detected.

Diagnosis and treatment of CRF

Based on the above pathogenetic features of CRF, the diagnostic algorithm should include identifying foci of chronic infection, diagnosing concomitant diseases, and assessing laboratory parameters of the state of the immune system (Fig.).

Our institute has developed a plan for examining patients with CRF.

Mandatory laboratory testing:

clinical blood test;
general urine analysis;
biochemical blood test (total protein, protein fractions, total bilirubin, urea, creatinine, transaminases - AST, ALT);
RW, HIV;
blood test for the presence of hepatitis B and C;
sowing the contents of the boil for flora and sensitivity to antibiotics;
glycemic profile;
immunological examination (phagocytic index, spontaneous and induced chemiluminescence (CL), stimulation index (SI) of luminol-dependent chemiluminescence LZHL), bactericidal neutrophils, immunoglobulins A, M, G, immunoglobulin affinity);
bacteriological examination of feces;
stool analysis for worm eggs;
sowing from the throat for flora and mushrooms.

Additional laboratory test:

determination of the level of thyroid hormones (T3, T4, TSH, AT to TG);
determination of the level of sex hormones (estradiol, prolactin, progesterone);
blood culture for sterility three times;
urine culture (if indicated);
bile culture (according to indications);
determination of basal secretion;
immunological examination (subpopulations of T-lymphocytes, B-lymphocytes);
total IgE.

Instrumental examination methods:

gastroscopy with determination of basal secretion;
Ultrasound of the abdominal organs;
Ultrasound of the thyroid gland (according to indications);
Ultrasound of female genital organs (according to indications);
duodenal intubation;
external respiration functions;
ECG;
chest x-ray;
X-ray of the paranasal sinuses.

Consultations with specialists: otolaryngologist, gynecologist, endocrinologist, surgeon, urologist.

Treatment tactics for patients with CRF are determined by the stage of the disease, concomitant pathology and immunological disorders. In the acute stage of CRF, local therapy is required in the form of treating boils with antiseptic solutions, antibacterial ointments, and hypertonic solution; in case of localization of boils in the head and neck area or the presence of multiple boils - antibacterial therapy taking into account the sensitivity of the pathogen. At any stage of the disease, correction of the identified pathology is necessary (sanitation of foci of chronic infection, treatment of gastrointestinal pathology, endocrine pathology, etc.). If latent sensitization is detected in patients with CRF or in the presence of clinical manifestations of allergies, it is necessary to add antihistamines to treatment during pollination, prescribe a hypoallergenic diet, and perform surgery with premedication with hormonal and antihistamines.

Recently, in the complex therapy of patients with CRF, drugs that have a corrective effect on the immune system are increasingly used.

Indications for the use of immunomodulators have been developed depending on the dominant type of immune disorder and the degree of the disease. Thus, in the acute stage of CRF, the use of the following immunomodulators is recommended.

In the presence of changes in the phagocytic component of immunity, it is advisable to prescribe polyoxidonium 6-12 mg intramuscularly for 6-12 days.
If the affinity of immunoglobulins decreases, Galavit 100 mg No. 15 intramuscularly.
If the level of B-lymphocytes decreases and the CD4/CD8 ratio decreases, the use of myelopid 3 mg intramuscularly for 5 days is indicated.
When the level of IgG decreases against the background of a severe exacerbation of CRF and the clinical ineffectiveness of the use of Galavit, immunoglobulin preparations for intravenous administration are used (octagam, gabriglobin, intraglobin).

During the period of remission, the following immunomodulators may be prescribed.

Polyoxidonium 6-12 mg intramuscularly for 6-12 days - in the presence of changes in the phagocytic component of immunity.
Likopid 10 mg orally for 10 days - in the presence of defects in the formation of reactive oxygen species.
Galavit 100 mg No. 15 intramuscularly - with a decrease in the affinity of immunoglobulins.

The use of licopid is also advisable for sluggish, continuously recurrent furunculosis. In case of persistent recurrence of CRF against the background of changes in the humoral immunity, the administration of immunoglobulin preparations for intravenous administration (octagam, gabriglobin, intraglobin) is indicated. In some cases, the combined use of immunomodulatory drugs is advisable (for example, during exacerbation of furunculosis, polyoxidonium may be prescribed; in the future, if a defect in the affinity of immunoglobulins is detected, galavit is added, etc.).

Despite significant advances made in the field of clinical immunology, effective treatment of CRF remains quite a challenge. In this regard, further study of the pathogenetic features of this disease is required, as well as the development of new approaches to the treatment of CRF.

Currently, the search for new immunomodulatory drugs that can have a positive effect on the course of the inflammatory process in furunculosis continues. Clinical trials of new domestic immunomodulators, such as Seramil and Neogen, are being conducted. Seramil is a synthetic analogue of the endogenous immunoregulatory peptide - myelopeptide-3 (MP-3). Seramil was used as part of complex therapy for patients with CRF both in the acute stage and in the remission stage, 5 mg No. 5 intramuscularly. After treatment with the drug, normalization of the level of B-lymphocytes was noted, as well as a decrease in the level of CD8-lymphocytes. A significant prolongation of the period of remission of the disease was revealed (up to 12 months in 30% of patients).

Neogen is a synthetic tripeptide consisting of L-amino acid residues isolecithin, glutamine and tryptophan. Neogen was used as part of complex therapy for patients with chronic furunculosis. Intramuscular injections of the drug Neogen were carried out in the amount of 1 ml of 0.01% solution once a day every day, the course was 10 injections. The use of Neogen in complex therapy of patients with chronic furunculosis at the stage of remission of the disease causes a significant normalization of initially altered immunological parameters (relative and absolute number of lymphocytes, relative number of CD3+, CD8+, CD19+, CD16+ lymphocytes, the absorption capacity of monocytes in relation to St. aureus) and an increase indicators of spontaneous CL and the affinity of anti-OAD antibodies, the number of HLA-DR+ lymphocytes, and therefore allows to prolong the period of remission of the disease compared to the control group.

Thus, from the above it follows that CRF occurs under the influence of a complex set of etiological and pathogenetic factors and it cannot be considered only as local inflammation. Patients with CRF need to undergo a comprehensive examination in order to identify possible foci of chronic infection, which are the source of septicemia and, if the elimination of microbes in the blood is impaired, as a result of a decrease in the immunological reactivity of the body, lead to the appearance of boils. Since the prescription of immunocorrective drugs can cause an exacerbation of the underlying disease, we believe that treatment of patients should begin with the sanitation of identified foci of infection.

The question of prescribing immunocorrective drugs should be decided individually, taking into account the stage of the disease, the presence of concomitant pathology and the type of immunological defect. If sensitization to various allergens is detected in a patient, treatment of furunculosis must be carried out against the background of anti-allergy therapy.

N. Kh. Setdikova , Doctor of Medical Sciences K. S. Manko T. V. Latysheva , Doctor of Medical Sciences, Professor

Institute of Immunology, Moscow

Measures to prevent acne on the face

Measures to prevent acne on the face
Remember, the most effective prevention to prevent the appearance of acne on the face is a healthy lifestyle. If you eat right, lead an active lifestyle and give your body enough time to sleep, it will work like clockwork and, as a result, you will look perfect.

If you have recently gotten rid of the problem, then adhere to the following rules:

Never go to bed without removing your makeup
Periodically do facial exercises or light massage to promote blood flow to the skin
Take steam baths at least 2-3 times a month to help open pores (the procedure is contraindicated for people with porous dermis)
Train yourself to wash your face with decoctions that have anti-inflammatory, regenerating and healing properties.
Regularly apply masks to your face to help restore skin
Completely eliminate unhealthy foods and sweets from your diet.
Don't forget to supply your body with vitamins and minerals