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From a small blackhead or whitehead, to large pustules, cysts, and inflamed nodules… acne has many forms. These may be interrelated, for example a pustule can follow a papule after white blood cells invade, or may be completely independent in origin.

The various types of acne are differentiated by size and whether the lesion is “inflammatory”or “non-inflammatory.” The beginning of acne is the smallest type of lesion, usually called a microcomedo, so small that it’s invisible to the naked eye. Depending on the growth of this
microcomedo, it may develop into a closed comedo or whitehead; or into an open comedo, or
blackhead. Similar to comedo, but a bit more serious formation is that of pustules and nodles.

 
 
 
 
   


Soft closed comedo-nes present as bum-piness on the skin's surface. They are not painful or red

Soft closed comedones develop when a plug of cellular debris and oil becomes
trapped within the pore, and is covered
by a layer of dead skin cells. The oil plug itself remains liquid or soft.

Soft

Closed
Comedone

Hard closed comedo-
nes have obvious white heads.They are not red or painful,
and are common in
the eye area.

Hard closed comedones develop just as their soft counterparts, however the plug has hardened and is similar to a grain of sand. The white head is mass of dead cells and sebum.

Hard Closed
Comedone

A blackhead is an accumulationof dead
skin cells and sebaceous matter within
the follicle. It's top is exposed to air, so
the black coloring is not dirt, but oil
darken by the air.

An open comedo, or
blackhead,is easy to
identify by its dark
brownto black surface coloring.

Open
Comedone

Although most acne
sufferers have many
microcomedones,
they are too small to
be seen with the
naked eye.

A microcomedon occurs when the
sebaceous duct and poreopening
becomes blocked by excess sebum and
dead skin cells. Every blemish begins
as a microcomedo.

Micro-
Comedone

 
 

 
   


A papule is a red and
is inflamed lesion on
the skin's surface. It
contains no pus or
white head.

Papules result from a break in the folliclewall, allowing cellular debris and bacteria to spill into the dermis.

Papules

A pustule is a typical
pimple, red and
inflamed with a white
head.They range in
size from small to
fairly large.

Pustules follow papules after white blood cells invade. The white cap on a pustule is pus, sebaceous matter and cellular debris.

Pustules

A nodule occurs when the follicle wall
ruptures deep within the dermis.
Contaminated debris from the follicle
empties into the dermis and infects
adjacent follicles.

Nodules are large
inflamed lesions that
occur deep within the
dermis.They feel like
a hard, painful lump
under the skin.

Nodules

Cyst are very large,
inflamed lesions.
They feel like soft,
fluid-filled lumps
under the skin’s
surface.

Like nodules, cysts begin as a deep
break in the follicle wall. As a cyst works its way to the surface, it damages healthy skin tissue, destroying the follicle. Cysts can be very painfu.

Cysts

 
 
 
 

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