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Acne
Acne is a disorder resulting from the action of hormones on the skin's
sebaceous glands, which leads to plugged pores and outbreaks of lesions
commonly called pimples. Acne lesions usually occur on the face, neck, back,
chest, and shoulders. Acne is a common skin disease. Although acne is not a
serious health threat, severe acne can lead to disfiguring, permanent
scarring, which can be upsetting to people who are affected by the disorder.
The exact cause of acne is unknown, but doctors believe it results from
several related factors. One important factor is an increase in hormones
called androgens (male sex hormones). These increase in both boys and girls
during puberty and cause the sebaceous glands to enlarge and make more
sebum.
Another factor is heredity or genetics. Researchers believe that the
tendency to develop acne can be inherited from parents. For example, studies
have shown that many school-age boys with acne have a family history of the
disorder. Certain drugs, including androgens and lithium, are known to cause
acne. Greasy cosmetics may alter the cells of the follicles and make them
stick together, producing a plug.
Acne is often treated by dermatologists (doctors who specialize in skin
problems). These doctors treat all kinds of acne, particularly severe cases.
Doctors who are general or family practitioners, pediatricians, or
internists may treat patients with milder cases of acne.
The goals of treatment are to heal existing lesions, stop new lesions from
forming, prevent scarring, and minimize the psychological stress and
embarrassment caused by this disease. Drug treatment is aimed at reducing
several problems that play a part in causing acne: abnormal clumping of
cells in the follicles, increased oil production, bacteria, and
inflammation.
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