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Plugged follicles can take the form of either whiteheads, where the plugged follicle remains beneath the skin's surface, or blackheads, where the plug in the follicle extends to the skin's surface and becomes visible. Once a follicle becomes plugged, it creates an ideal environment for a common sebum-eating skin bacterium, Propionibacterium acnes (or just P. Acnes), to multiply. This bacterium produces enzymes and chemicals that irritate and inflame the skin around a clogged follicle. Pimples, breakouts, or zits are common names for the lesions that result from this type of skin irritation and inflammation, though doctors have more precise ways of classifying acne lesions. For most people, acne is a generally mild condition. Of course, a pimple at the wrong time is never desirable, but in truth, there are far more concerning issues than acne. For some people, however, severe cases can result in permanent scarring if left untreated.
Atrophic, Hypertrophic & Keloids. Atrophic scars form below the level of the surrounding skin. Hypertrophic scare are bulged and projected scars above the level of the surrounding skin. These are especially common when wound is not protected. Keloids tend to form long after the wound has healed. These are due to massive overproduction of connective tissue fibres, which continue to grow over the wound and onto healthy skin like the claws of the crab.
Acne is a very common problem faced by our society today, it starts showing during our early years and it lasts all the way into adulthood, this means that this skin problem is not exclusively seen in teenagers but in adults as well. There are many factors attributed to be the causes of acne however they haven't been 100% proven, the factor that provides the right conditions for acne flair ups to occur is a change in hormonal activity. During puberty it is very common for hormones to go wild and cause all sorts of changes in our body, including the undesirable acne. In adults the same principle holds true but this problem is mostly seen in women who are going through their period, those who use a certain brand of cosmetics or those taking birth control pills.
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