What Is Acne and What Causes It?

If you're a teen, chances are pretty good that you have some acne. Almost 8 in 10 teens have acne, along with many adults.

Acne is so common that it's considered a normal part of puberty. But knowing that doesn't always make it easier when you're looking at a big pimple on your face in the mirror. So what is acne, and what can you do about it?

What Is Acne and What Causes It?

Acne is a condition of the skin that shows up as different types of bumps. These bumps can be blackheads, whiteheads, pimples, or cysts. Teens get acne because of the hormonal changes that come with puberty. If your parents had acne as teens, it's more likely that you will, too. The good news is that, for most people, acne goes away almost completely by the time they are out of their teens.

The type of acne that a lot of teens get is called acne vulgaris (the meaning of "vulgaris" isn't as bad as it sounds — it means "of the common type"). It usually shows up on the face, neck, shoulders, upper back, and chest.

The hair follicles, or pores, in your skin contain sebaceous glands (also called oil glands). These glands make sebum, which is an oil that lubricates your hair and skin. Most of the time, the sebaceous glands make the right amount of sebum. As a teen's body begins to mature and develop, though, hormones stimulate the sebaceous glands to make more sebum, and the glands may become overactive. Pores become clogged if there is too much sebum and too many dead skin cells. Bacteria (especially one called Propionibacterium acnes) can then get trapped inside the pores and multiply, causing swelling and redness — the start of acne.

If a pore gets clogged up and closes but bulges out from the skin, you're left with a whitehead. If a pore gets clogged up but stays open, the top surface can darken and you're left with a blackhead. Sometimes the wall of the pore opens, allowing sebum, bacteria, and dead skin cells to make their way under the skin — and you're left with a small, red bump called a pimple (sometimes pimples have a pus-filled top from the body's reaction to the bacterial infection).

Clogged pores that open up very deep in the skin can cause nodules, which are infected lumps or cysts that are bigger than pimples and can be painful. Occasionally, large cysts that seem like acne may be boils caused by a staph infection. That doesn't happen often, though.

Acne Problems

What�s Acne?

Acne is a term that�s used to describe whiteheads, blackheads, and pimples. (You may well recognize slang terms like spots, or zits). Most teenagers get the type of acne called acne vulgaris, which can show up on the face, neck, shoulders, back, and chest. Skin pores contain oil glands which naturally lubricate your skin and hair. But sometimes if a pore gets clogged beneath the skin with excess oil and bacteria, the dreaded acne is caused...

Whiteheads happen when a pore gets clogged, closes, and then bulges out. If a pore gets clogged but stays open, the top may darken and you've got a blackhead. A pimple happens when dead skin and bacteria work their way under live skin. This leads to a small infection that makes your skin look red. Get glowing!

What Causes Acne?

Although everyone is different, acne is usually caused by the build up of oil and dead skin in a pore. This build up of oil and dead skin is caused because of:

• Natural hormones. These are particularly active in your teens.
• Plugged skin. Lots of skin cells can close the oil glands or pores, creating blackheads or whiteheads, (as mentioned earlier).
• Bacteria. Bacteria can easily infect oil glands and pores and grow very quickly.
• Family background. If you have acne, your kids are more likely to have it too.

How To Reduce An Acne Problem

• You shouldn�t squeeze, pick, scratch, or rub your skin as it makes the problem worse, and it might even cause scarring.
• Regularly shampoo your hair, and try to keep it off your face if possible - especially at night.
• Keep a food diary to work out if you are one of the few people whose acne gets worse if they eat certain things.
• Exercise regularly to get the old blood flowing, and make sure you get a wash as soon after as possible.
• Avoid unnecessarily touching your face.
• If possible, try to minimize your stress levels.
• Avoid getting sunburned.
• Change your wash cloth every day, as bacteria can grow on damp cloth.
• Wash your face twice a day with a gentle soap like Dove or Lever 2000.
• Always rinse really well with lots of water.
• Only wear makeup on special occasions, and then make sure you remove it completely.
• Granular facial scrub can make acne worse by aggravating the skin.

Medication For Extreme Cases

Oral antibiotics
Oral antibiotics have a high success rate, and can be safely used for up to a year. It can take up to six months to fully take effect, but there should be a noticeable difference within six weeks. Oral Antibiotics include erythromycin, minocycline and tetracycline

Antibacterial cream
Benzoyl peroxide kills the bacteria which causes inflammation. It is available over the counter in 2.5%, 5% and 10% creams and lotions. It is available in gels in the same percentages but only by prescription. Clinically, there�s not much difference between the effectiveness of the various strengths and types used.
NOTE: Unfortunately, there can be some �side effects� of the use of Benzyol peroxide, including hypersensitivity, irritation, and contact dermatitis (although these are very rare). Remember to always keep Benzoyl peroxide away from clothing as it has a bleaching effect.

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