Definition &
Overview & Types:
Acne is an inflammatatory disease of the pilosebaceous
unit (PSUs) which contains the sebaceous gland and a hair follicle.
When the opening or pore to this PSU becomes blocked by other
cells, this prevents sebum (an oily substance created by the sebaceous
gland) from being released. When sebum and other skin cells are
trapped, it allows bacteria to grow inside the pore.
This bactera then
attracts white blood cells which cause the entire pore to
become inflammated. When the hair follicle ruptures, it
spills it's contents of sebum, cells, bacteria, onto the
nearby skin which then creates a lesion - also called pimples,
zits or spots.
There are approximately eight different types
of acne but Acne Vulgaris is the most widespread form and
is the most common in teenagers and young adults. The occurence
of Acne vulgaris usually begins to decrease as one gets
older, but has been known to occur in people in their 30s
and 40s.
Types of Acne Vulgaris: In
order to understand the different types and stages of acne
vulgaris, the entire spectrum must be broken down into a
format that's easiest to understand. The two main types
of lesions are Noninflammatory and Inflammatory.
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Noninflammatory lesions are
called comedos and can result in whiteheads or blackheads.
Whiteheads occur when trapped sebum and skin cells stay just
BELOW the skin's surface. Blackheads occur when the trapped
sebum barely breaks through the skin's surface. The trapped
sebum oil turns black due to the exposure and should not be
confused with dirt. Whiteheads and blackheads do not contact
bacteria. However, pimples, (see below) do contain bacteria.
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Inflammatory acne consists
of pimples and zits (papules and pustules) and in worst cases,
nodules and cysts. Nodules are large, painful, solid lesions
that are lodged deep within the skin. Cysts also lay deep
within the skin but are filled with pus instead of being solid.
Both types can produce scarring.
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