Doctor insights on:
What Cause Zits
Nature: Acne pimples occur when the immune system detects the clump (comedone) of skin cells blocking a pore, trapping oils inside the skin, and also trapping some bacteria. The bacteria and oils leak into the skin, causing a reaction in which the immune system sends white blood cells in to push all of the stuff out of the body. After the pimple ruptures, it heals but imperfectly, leaving little scars. ...Read more
Your changing body: I hope you welcome the changes that turn you from a child into an adult. The chemical chaos often produces an environment in which the oils and bacteria that cause acne flourish. Thankfully, all acne is manageable today, and it's wrong for anyone to deny you the cheap, effective treatments that are available. ...Read more
Acne: Usually this is acne; less often, a heat rash or other illness. Don't try to figure out what is causing acne -- it's unrelated to lifestyle, diet, sex, or hygiene. Simply treat it. When it' s on the trunk, usually a systemic antibiotic will be required at least briefly in addition to topical Rx. ...Read more
Acne Conglobata: This is an extremely severe and deforming scar forming type of acne. It is thought to be genetic and related to hyperkeratosis state. There are extensive formation of nodulocystic Acne that lead to hypertrophic scarring. This is not a type of acne that can be treated with antibiotics or skin care. This is one of the rare indications for Accutane. Your dermatologist will need to monitor you closely ...Read more
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. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
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. ...Read more
Myth: Controlled tests show diet has little to do with acne. With today's rx's, even in a dysfunctional health care system, all acne should be manageable. If your problem is intermittent, a systemic antibiotic begun when a breakout seems imminent may be the cornerstone of effective treatment, perhaps with a topical agent. Good luck. ...Read more
Not lifestyle: Acne is a combination of poorly-understood genetics, male hormones that make the sebaceous glands undergo hyperplasia, a bacterium, and extra keratin on the skin. The key is that you know it is not a lifestyle or hygiene related problem, and diet and fitness have little impact. All acne can be managed today as a chronic disease. ...Read more
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