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What causes acne

What Causes Acne             

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Acne is not fully understood, but we do know some of the biology behind it. The main culprit is the excess production of an oily substance called sebum whose function is to keep skin and hair lubricated and supple. During adolescence, the body often produces excess amounts of sebum. The sebum combines with naturally occurring dead skin cells to block hair follicles which prevents the sebum from escaping.

The resulting block up of oil beneath the surface of the skin provides an ideal environment for bacteria. The bacteria multiply and the skin area becomes red and inflamed resulting in what is commonly called a pimple.

The excess production of sebum is caused by the male hormone testosterone. Testosterone is present in both males and females, but during puberty, the body changes the way it reacts to the presence of testosterone. It is this abnormal reaction, characteristically appearing during adolescence, that causes the skin (especially on the face and upper torso) to become excessively oily. By the early 20s, the body usually normalizes its reaction to testosterone and acne clears up.

Acne seems to be partly hereditary, but we don't know exactly why some people are affected by it and others are not. Some of the factors which seem to aggravate acne conditions include stress, diet, skin irritation, certain medications, and hormonal activities such as menstrual cycles.

Medications that are associated with acne include anabolic steroids used for bodybuilding, lithium, barbiturates, halogens, and androgens.  Dietary links seem to be mostly related to skim milk products. Many people associate food like chocolate and fast food with pimples, but there is no statistical evidence that this type of food causes or aggravates acne.

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