A member asked:

What causes acne?

17 doctors weighed in across 8 answers

See below: Acne results from oil overproduction (often due to hormones), clogged pores, p acnes bacteria, & resultant inflammation from your immune system recognizing infection. Effective acne treatments target these causes: benzoyl peroxide & antibiotics kill bacteria, retinoids decrease oil, salicyclic acid & retinoids unclog pores, oral contraceptives target hormones.

Answered 10/11/2020

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Million $ question: Although much about the disease is known and the overactivity and dysfunction of the sebaceous glands comp, i cared by secondary bacterial colonization has been described and treated the exact cause is not definitively known.

Answered 12/17/2015

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Causes of acne: Acne has a number of different causes: 1. Genetics-if acne is common in your family, you have a higher chance of having it 2. Hormones, primarily androgens, cause oil glands to grow & produce more sebum. Women with hormone imbalance often have cystic acne. Oil and bacteria in hair follicles cause inflammation. 3. Diet-high glycemic index foods and dairy are linked to acne 4. Medications.

Answered 8/27/2015

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Acne cause: It is caused by the bacterium, p. Acnes. It eats the oils of your sebaceous (oil) glands and creates, as a byproduct, acne. It is treatable with either otc or rx meds. By the way, eating chocolate does not cause acne.

Answered 10/4/2016

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Dr. Keira Barr answered

Specializes in Pathology

Various causes: Acne is based in hair follicles. Secretion of oil glands, dead skin cells and a bacteria( proprionobacterium acnes) within a hair follicle trigger a cascade of signals in your body that leads to inflammation: ie. The red bumps and pus bumps of acne. Hormone levels and stress can contribute to acne and possibly dairy, but greasy foods and chocolate have not been proven to make acne worse.

Answered 7/11/2014

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Dr. Ben Treen answered

Hormones, diet?: Androgens ("male hormones" such as testosterone) are clearly implicated in causing acne. There is good circumstantial evidence that high glycemic index diet plays a role, too. Hunter/gatherer people rarely have problems with acne until adopting high glycemic index "western" diets. Hormones in dairy may be another source.

Answered 7/17/2020

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Dr. Anifat Balogun answered

Specializes in ENT and Head and Neck Surgery

Acne cause(s): The three major factors that contribute to acne formation include irregular shedding of surface skin cells that clog and inflame pores, overproduction of sebum that mixes with dead skin cells to form a soft plug in hair follicles/pores and bacterial build up. Androgens, pregnancy-related hormonal changes, some medications can worsen acne. Certain foods have been implicated in aggravating acne.

Answered 4/18/2013

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Hormones: Despite pop claims, cleanliness, diet, and fitness have little real impact. Around puberty, hormones thicken the outermost layer of the skin, enlarge the sebaceous glands, and invite the acne bacteria to live and cause trouble there. All acne can be controlled nowadays; one possibility for an 18 year old lady is the oral contraceptive pill if you can take and want it.

Answered 2/22/2014

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