For those individuals who suffer from adult acne the normal transport of sebum out of the follicle is impeded which leads to an accumulation of sebum providing a breeding ground for bacteria. Regular cleansing only is not capable of removing the bacteria entrapped at the base of the hair follicle. The rapid growth of the bacteria in combination with the accumulated sebum cause the follicle to enlarge and can result first in a mild form of Acne called comedones otherwise known as whiteheads or blackheads.
The Acne may progress to an inflammatory type of Acne lesion which are red in color and called papules, pustules and nodules. Papules are the earliest stage in the development of what are normally considered the typical "pimple". Papules are an intermediate in the progression of Acne between the non-inflammatory and inflammatory stages. The next stage is the development of a clearly inflammatory lesion called the pustule, which contains limited number of bacteria and pus below the surface of the skin. Nodules or cysts are the most advanced and severe form of Acne. Nodules result when the contents of a comedone expands from the follicular region to the surrounding tissue causing a local inflammatory reaction that may turn into cystic acne.
And since acne is an
inflammatory disease any factors that increase the inflammatory response will also cause increase in acne symptoms.
When our blood sugar and insulin levels rise, we experience a serious increase
in inflammatory chemicals at a cellular level. This causes inflammatory
diseases such as acne to worsen dramatically.
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