...At puberty, the hormones stimulate the sebaceous glands into generating more sebum, an oily substance that waterproofs and protects the skin and hair. However, sebum is also involved in the formation of acne, although the exact mechanism is not understood. It is believed that the pores become clogged with sebum, bacteria and dead skin cells, and that bacterial attack of this oily mass causes it to become infected. Your immune system reacts to the bacteria, and the pus is formed by dead white blood cells that succumbed during the fight with the bacteria. The immune system's inflammatory response causes the redness and inflammation....»
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«...The face and upper neck are the most commonly affected, but the chest, back and shoulders may have acne as well. The upper arms can also have acne, but lesions found there are often keratosis pilaris, not acne. The typical acne lesions are comedones and inflammatory papules, pustules, and nodules. Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne. True cysts are rarely found in acne, and the term should be abandoned and the term severe nodular acne used instead. ...»
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