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Acne
ACNE (ACNE VULGARIS) can occur at almost any age but most commonly occurs during adolescence. It can produce emotional and physical pain, scarring and disfigurement and has historically been very difficult to treat. Fifty percent of adult females will have some manifestation of acne and especially during the premenstrual phase. Hormones and especially testosterone seems to have an effect on acne. While some consider acne an infection it is probably caused by plugging of the sebaceous glands which supply oil to the hair follicle. Once these glands become plugged, they fill with sebum and then become secondarily infected. If enough inflammation occurs scarring can permanently prevent the drainage of these glands and cysts begin to form deep beneath the skin resulting in "cystic acne" which is the severest form and which can lead to chronic severe scarring.
