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.
Blue light acne therapy operates on a very simply principle. It involves pulses of light rays being targeted to the root of an acne pimple and works to kill the bacteria that gave rise to the acne outbreak in the first instance.
Whitehead is a closed comedo. The pore is inflamed and close. On the other hand, blackhead is an open comedo. The sebus is visible and discolored. Whether you are suffering from blackheads or whiteheads, do not try to force them open as it can leave scars or even cause infections.
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