Skin problems (Acne)



The following are visible signs of acne:


Comedones: An early acne blemish that is caused by blocked pores (blackheads and whiteheads).

Papules and Pustules: Early spots that become larger and inflamed (pimples).

Nodules: Deep and large bumps that can be painful (cystic acne).

Oily Skin: Caused by increased sebum production.

Pigmented Skin: After the inflammation subsides, the skin can be discoloured by brown acne stains (hyperpigmentation), and damaged by acne scars.

Acne Scars: Scars are common, and can occur even with mild acne.

What Causes Acne?

Acne is the visible end result of hormonal, bacterial and inflammatory disturbances that take place at the level of the oil pore (pilosebaceous follicle).

The hormonal effects (from testosterone and dihydrotestosterone) cause the sebaceous glands to increase oil (sebum) production, which then flows into the hair shaft.

The oil or sebum controls how much scale is produced in the inner lining of the hair shaft. Scale is made of a protein called keratin, which blocks the hair follicle.

Increased oil production may occur within the sebaceous glands, and the scale may become stickier and build up on the inside walls of the hair follicle, which can even further block the pore.

Acne bacteria can grow and multiply in the retained oil. As the inflamed hair follicles and glands enlarge, the surrounding skin becomes more inflamed, and nodules (cysts) may appear.

Inflammation can cause damage to the cells that create collagen, which can induce acne scarring.