Acne does not result from a single factor, rather a variety of factors are responsible. Acne occurs when oil glands attached to the hair follicles are stimulated due to hormonal changes or at the time of puberty. Sebum secreted from the sebaceous gland is a natural substance that protects and lubricates the skin. Acne is associated with increased oil production, which leads to pre-disposing of mature cells into the follicle pore. When there is no inflammation, the plugging of hair follicles leads to open comedones (blackhead) and closed comedones (whiteheads). Open comedones are black in color, not because of dirt deposition rather the color is due to chemical changes going in the cell.
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