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Here is a full breakdown of the prescription:

Prescription Summary

Doctor: Dr. Anil Kumar - MBBS, MD-Dermatology, DVD Consultant Dermatologist and Cosmetic Dermatologist (Skin, Hair & Laser) Clinic: #369-F, B.E.L. Layout, Dwarakavasa Road, Bangalore - 560 091
Patient: Poornesh, 18 years, Male Date: 14/07/2021

Diagnosis

  • Complaint: Multiple papulopustular eruptions over the face for 1 year
  • Diagnosis: Acne Vulgaris, Grade II + Post-inflammatory Reactive Hyperpigmentation (PRH)

Medications Prescribed

#MedicineInstructions
1Cap. Doxyclari (Doxycycline capsule) - Qty: 201 capsule in the morning (1-0-0)
2SEBUMchar Gel (sebum-control topical gel) - Qty: 1 tubeApply morning and night (1-0-1)
3Cuticlair Acne Face WashUse to wash face (routine use)

What These Medicines Do

  • Doxycycline (Cap. Doxyclari): An antibiotic that reduces the bacteria (C. acnes) responsible for acne and also has anti-inflammatory effects. Standard treatment for moderate acne.
  • SEBUMchar Gel: A topical gel designed to control excess sebum (oil) on the face and reduce breakouts.
  • Cuticlair Acne Face Wash: A medicated face wash that helps cleanse pores, reduce oiliness, and manage acne-prone skin.

Note: This is a doctor's prescription for Grade II Acne Vulgaris. The Kannada notes in red (ಬೆಳಗ್ಗೆ = Morning, ರಾತ್ರಿ = Night) indicate timing instructions. Always follow your doctor's advice and complete the antibiotic course as directed.

Acne vulgaris means

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What is Acne Vulgaris?

Acne vulgaris is the medical term for common acne - the skin condition almost everyone gets during their teenage years. Here's a simple breakdown:
  • "Acne" = a skin disease involving the oil glands and hair follicles
  • "Vulgaris" = Latin for "common" (meaning it's the ordinary/most common type)
So "Acne Vulgaris" simply means common acne.

What Causes It?

According to Harrison's Principles of Internal Medicine and Robbins Pathologic Basis of Disease, four key factors work together:
  1. Clogged pores - Dead skin cells and excess oil block the hair follicle opening, forming a plug (comedone)
  2. Hormones (Androgens) - At puberty, hormones cause the oil glands to grow and produce more sebum (oil)
  3. Bacteria - Cutibacterium acnes (formerly Propionibacterium acnes) bacteria live in the clogged pore and release fatty acids that cause inflammation
  4. Inflammation - The body's immune response attacks the clogged follicle, causing redness, swelling, and pus

Types of Acne Lesions

TypeWhat it looks like
Whitehead (closed comedone)Small white bump - pore is blocked and closed
Blackhead (open comedone)Dark spot - pore is open, oil oxidizes to black (not dirt!)
PapuleSmall, red, raised bump
PustuleRed bump with pus (white/yellow tip) - what your prescription calls "papulopustular"
Nodule/CystDeep, painful, large lumps that can cause scarring

What "Grade II" Means (Your Diagnosis)

Acne is graded by severity:
GradeDescription
Grade IMild - mainly whiteheads and blackheads
Grade IIModerate - papules and pustules on face (your case)
Grade IIISevere - many pustules and nodules
Grade IVVery severe - cysts, nodules, risk of scarring
Poornesh's Grade II acne means moderate acne with red inflamed pimples and pustules - treated well with the antibiotic (Doxycycline) and topical gel prescribed.

Acne Vulgaris - inflammatory papules, pustules, and comedones on the face
Clinical photo of Acne Vulgaris showing inflammatory papules and pustules - Harrison's Principles of Internal Medicine, 22nd Ed.

Key Points

  • It is not caused by poor hygiene or eating oily food (a common myth)
  • It is largely driven by genetics and hormones
  • It usually improves with age and is very treatable
  • With proper treatment like what was prescribed, most Grade II acne clears up well within 6-8 weeks
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