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Acne

Acne always seems to appear during the most inconvenient situations--right before a wedding, a high school prom, or an important business meeting! Acne is not a life-threatening condition but it can result in scarring that is permanent in severe cases.

Acne is an inflammatory skin condition that causes lesions that are commonly known as pimples or zits to form on the skin. Although acne is one of the perils associated with "growing up," adolescents are not the only individuals who are afflicted by this condition. Acne outbreaks generally begin to occur around the puberty stage, affecting more than 85% of teenagers, and they often continue to occur during adulthood. In some cases, acne outbreaks do not begin until as late as adulthood. The positive aspect of acne is that, for the majority of acne sufferers, the condition diminishes over time and may even eventually disappear completely. However, it is impossible to determine if or when acne will permanently disappear. Acne may also resurface when it is least expected-- even when an individual is in his or her thirties or forties!

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The good news is, for majority of acne sufferers the condition diminishes over time and eventually may even disappear completely.

Causes and Risk Factors

The actual causes of acne are still unclear-no one knows exactly why the skin develops this itchy, red, irritating rash! However, it is commonly believed that acne is a disorder of the pilosebaceous units that consist of sebaceous (oil-producing) glands that connect hair follicles.

These sebaceous glands secrete an oily substance known as sebum that is drained on the surface of the skin. Many dermatologists believe that the onset of acne is incited by the production of a hormone called androgen, which is a male sexual hormone that is present in both males and females.

Androgen stimulates the sebaceous glands, which causes them to enlarge and produce more sebum. Over-stimulated sebaceous glands secrete excess sebum which eventually accumulates in the follicles (pores). The Propionibacterium Acnes bacteria that thrive on the skin surface multiply when the follicle is blocked by excess sebum and the dead skin cells on the skin further aggravate the condition. As the sebum production increases, there is a greater risk of the formation of clogged follicles that result in acne lesions including comedones (whiteheads and blackheads), papules, pustules, macules, nodules and cysts.

Hormonal imbalance occurs during puberty, pregnancy, menstruation, menopause, and as a result of emotional stress and additional psychological reasons. The imbalance also stimulates the pilosebaceous units which ultimately incites the formation of acne. Acne is often assumed to be a hormone-related disorder because of these factors.

Acne also appears to be hereditary, which associates acne with an individual's genetics. Therefore, if anyone in your family has acne there is a chance that you may eventually develop acne.

Certain drugs like corticosteroids, anti-epileptic medicines such as phenytoin, and birth control pills containing levonorgestrel or norethisterone, may aggravate acne. Anabolic steroids used by fitness enthusiasts and body builders may also cause acne as a side-effect.


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