Acne is a common skin condition that affects millions of people globally. Inflammatory acne is a type of acne that involves red, swollen, sore bumps that contain pus, dead skin cells, and excess oil (sebum). It’s correlated to certain strains of Cutibacterium acnes bacteria growing in and infecting clogged pores, triggering the body’s immune system to spring into action and fight off the infection.
In healthy skin, it’s naturally produced oil (sebum) and dead skin cells come out of the body through pores. However, when pores get clogged with bacteria, congealed sebum and dead skin cells, the liquid sebum gets stuck below the surface of the skin, stretch the pore and lead to acne. Certain genes can increase inflammation in your body and make you more likely to develop acne.
The acne inflammasome plays a significant role in the development of acne lesions (pimples and pustules) due to its activation of an inflammatory response within the skin. When the acne inflammasome is “activated”, it releases pro-inflammatory molecules that promote inflammation, stimulate excess oil (sebum) production in the skin, and disrupt the normal shedding of skin cells. This biological perfect storm leads to clogged pores, excessive growth of acne-causing bacteria within the clogged pores, and the formation of painful, unsightly, puss-filled pimples.
Hormonal acne is another type of acne that is influenced by hormonal imbalances in the body. It typically appears on the face, neck, and upper back and is characterized by pimples, blackheads, and whiteheads. Hormonal acne is most common in women, particularly during puberty, menstruation, pregnancy, and menopause.
Hormonal acne is often associated with polycystic ovary syndrome (PCOS) through increased androgen production which can lead to an overstimulation of the sebaceous (oil-producing) glands in the skin. This sebum is often thicker and stickier, making it more likely to clog pores and contribute to acne development. Hormonal imbalances associated with PCOS can also trigger inflammation in the body. Inflammatory responses can make acne worse by causing redness, swelling, and increased sensitivity.
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