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Background
Breakout CycleIntroductionVictim or Aggressor?Simpson DepositionStatisticsWhat’s Going On?Many LayersLove the SkinAll About AcneEpidermisNext Layers‘Plugging’ InBlackheadsWhiteheadsPimplesDon't MessAcne DiagnosisNasty ResultsScarringSkin PigmentationInfectionCancerAgingWhat's Next?Related DisordersBDDTrichotillomaniaPsychodermatosisAcne ExcorieeOCDDistress
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BACKGROUND: WHAT’S GOING ON DOWN THERE?Many Layers - All About Acne85% of American teens are afflicted with some form of acne.5% of all Adults are afflicted with some form of acne. It primarily affects women in their 20s through their 40s. The word ‘eczema’ is from the Greek "Ek Zeein" meaning to boil or seethe and indicates excess turmoil from within. Acne usually begins in puberty when the reproductive system and adrenal glands begin to effect the body’s hormonal system. The hormones which are especially active are the androgens, or male hormones which cause the sebaceous glands start to produce ‘sebum’ and ‘keratin’. Sebum which is usually just thought of as ‘oil’ is actually made up of ‘lipids’ which are a combination of oils, fats, and wax. Keratin is skin protein (keratinocytes are the cells this protein makes up). Female hormones such as estrogen and progesterone, by the way, tend to reduce the activity of the sebaceous glands, which may explain why boys have a tendency to have more severe acne in their teenage years than girls. It also explains why athletes on androgenic hormones (anabolic steroids) are very likely to develop acne as a side effect. Male androgens are produced by the testes and adrenals. But how do girls get male hormones? They are produced by the ovaries, the placentia (uteris lining) and adrenals. This production fluctuates each month and often has a marked effect on how the complexion behaves. Birth control pills can sometimes help to regulate this activity and reduce acne, or it can aggravate it and can even create a mild hirsutism (abnormal hairiness), depending on the type of pill and person involved. Under normal circumstances, the pores allow sebum to flow to the skins surface, the epidermis, or outermost layer of skin, where it functions lubricate the body’s surface. It eventually wears off through sweat or normal cleansing. The sebum also serves to expel dead skin cells along the pore lining. This next section contains many ‘polysyllabic’ dermatological terms, but try and follow it. It is necessary for you to really grasp what your skin is and how it functions.
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