The basic cause of acne is still unknown. It seems to be a multifactorial disease in which interaction of several factors play an important part in the pathogenesis. The primary event may be (a) obstruction of the sebaceous duct due to alteration in the pattern of keratinization within the follicle, (b) abnormal sebum production with excess quantities or altered composition or (c) increased bacterial colonization (proprionibacterium acnes and staphylococcus epidermi¬dis of pilosebaceous follicles which furnish the lipases responsible for hydrolysis of sebum triglycerides into free fatty acids. All three mechanisms may be involved. Obstruction of duct leads to forma¬tion of a comedone, the initial lesion of acne. A comedone can be located either in a closed follicle as a 'white head' consisting of lipid and keratin, or in an open follicle as 'black head' consisting of keratin and lipid with melanin deposition. The continual accumula¬tion of keratin and lipid may lead to rupture of the follicular wall and release of its contents into the surrounding dermis provoking an inflammatory tissue reaction.
2. High sugar foods. Mainly looking at chocolate and soft drinks. High sugar is what forms acne in a small way. A good thing to do is stay away from apple juice and stick with the water. As with all these foods and drinks they are fine in moderation, but a regular consumption of them would worsen the condition of the skin.
There are many acne cleansers on the market. Hundreds in fact, and new ones are released every month. Some claim to completely cure acne, although in reality they barely make a difference. As someone who has suffered from acne for many years, there hasn't been a single acne cleanser that's ever helped reduce or clear my acne...
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