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Overview

Causes
Symptoms
Risk Factor

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Overview

 

Acne is a very common skin disorder that most young people get in early puberty. It is caused by inflammation of the small oil glands (sebaceous glands) that surround the fine hairs on the face and chest. The severity of acne increases and, typically, reaches its peak around the ages of 17 to 19. For most people, acne tends to go away by the time they reach their mid-20s; however, very sensitive people may continue to have the disorder until they reach their 40s.

Hormonal changes related to pregnancy or menstrual periods can also cause or contribute to acne. This is also the case with environmental irritants such as pollution, intense heat, humidity or cold.



Causes

 

During puberty, the production of male sex hormones (androgens) increases in both girls and boys, which can stimulate the sebaceous glands to produce more sebum. In some people, the sebaceous glands are extremely sensitive to androgens. These people, mostly men, get acne so severely that they need medical treatment.

The increased production of sebum makes the openings of the sebaceous glands narrower, which prevents the sebum from getting out. Meanwhile, the sebum production continues regardless.

Pimples are often caused by Propionebacterium acnes, a common bacterium on the skin that feeds on sebum. This bacterium produces waste products and fatty acids that irritate the sebaceous glands and make them inflamed.

The top of the plug may be white (whitehead) or dark (blackhead). If the comedone ruptures, the material inside, including oil and bacteria, can spread to the surrounding area and cause an inflammatory reaction. If the inflammation is deep in your skin, the pimples may enlarge to form firm, painful cysts.

Acne is most common in teenagers, but it can happen at an age, even as an infant. Three out of four teenagers have acne to some extent, probably caused by hormonal changes that stimulate oil production. It may persist into a person's 30's and 40's.



Symptoms

 

The first symptoms are small, tender, red spots that later turn into pimples containing degraded fatty acids. The inflammation disappears over a few days or weeks, depending on the severity.

whiteheads
blackheads
pustules
cysts
redness around the skin eruptions
inflammation around the skin eruptions
crusting of skin eruptions
scarring of the skin.

Severe acne can cause scars which will never disappear. Acne can also cause psychological stress and be socially disabling. An early effective treatment is therefore imperative.



Risk Factor

 

The condition occurs when tiny holes on the surface of the skin, called pores, become plugged. Each pore is an opening to a canal called a follicle, which contains a hair and an oil gland. Normally, the oil glands help keep the skin lubricated and help remove old skin cells. When glands produce too much oil, the pores can become blocked, accumulating dirt, debris, and bacteria. The blockage or plug is often called a comedone.

Acne commonly appears on the face and shoulders, but may also occur on the trunk, arms, legs, and buttocks.

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