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Acne is the most common skin disorder in North America. The problem starts from blockage of skin pores which causes pimples to develop. In the process of development of an acne, hair follicles become blocked first. Sebum, which is produced by sebaceous glands to lubricate the hair and skin, accumulates and creates a plug in the follicle - bacteria that normally live on the skin and they start to overgrow in ample resources. Bacterial overgrowth cause inflammation, redness and rupture of the follicle where a tender pimple is developed. Sebum production is increased in adolescence and sebaceous glands are frequently found on the face, chest, upper arm and upper back where acne is commonly seen.

Hormonal increase in adolescence enlarges the sebaceous glands and increases the sebum production. Hormone levels are appropriate for the age but most people with acne have highly sensitive sebaceous glands to hormones.

Oil-based cosmetics are also contributing to the development of acne whereas water-based cosmetics are less likely to worsen the acne.

Stress is also shown to increase the development of acne as the acne severity is found to be worsen by stress.

Food is a very controversial topic in the development of acne. No strong evidence is found between the consumption of specific foods and development of acne.

Theoretically, acne can develop on any skin with follicle. Acne can also be seen on the tiny hairs around the lips in severe cases or sporadically. When acne develops around the lip, inflammation and redness pushes the lip away and it may look as if a pimple has developed on the lip. If an acne appears only on the lip, either there is the possibility of structural or developmental disorder of the lip or the actual diagnosis of acne is at question. It should be remembered that there are a number of lesions that develop on the lip which may resemble an acne in appearance. Viral infections including herpes could be the culprit. Any lesion on the skin could potentially resemble the acne especially when they become infected. The reason behind this statement is that acne is nothing but a locally infected follicle which can develop under other conditions.

Adult acne treatment covers has a wide variety of options on the table from mild local treatments to systemic medication with important side-effects. Although minor cases of sporadic acne can be treated by over the counter local treatments, it is suggested to visit a dermatologist to receive tailored treatment when acne becomes bothersome.

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