Although the exact cause is unknown, some closed comedones may rupture, resulting in an inflammatory reaction caused by leakage of follicular contents (e.g., sebum, keratin, bacteria) into the dermis. This inflammatory response may result form the action of certain bacteria, such as proprionibacterium acnes, that live in the hair follicles and break down the triglycerides of the sebum into free fatty acids and glycerin. The resultant inflammation is seen clinically as erythematous papules, inflammatory pustules, and inflammatory cysts. Mild papules and cysts drain and heal on their own without treatment. Deeper papules and cysts may result in scarring of the skin. Acne is usually graded as mild, moderate, or severe, based on the number and type of lesions (e.g., comedones, papules, pustules, cysts).
Adult acne disappoints us by rearing it's ugly head long after we thought we were done with that phase of our lives. Often, it can leave physical scars and cause emotional scarring as well as we struggle to find ways to treat our outbreaks and prevent more. As adults, we have professional lives and social lives to conduct. Adult acne can add a degree of difficulty if it begins to affect our self-confidence. There are treatments, and the good news is that just like when we were teens, it will eventually go away. In the meantime, visit your dermatologist, or try one of the many highly recommended products on the market today to treat your adult acne.
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