"Cysts:" Acne "cysts" are not really cysts. True cysts are neoplasms that have an epithelial lining. Acne "cysts" do not have an epithelial lining; they are composed of poorly organized, variously shaped and blackhead or whitehead. Alternatively, the microcomedo may become an inflammatory lesion, such as a papule or pustule. The development of inflammatory lesions is theoretically as follows: Androgenic hormones stimulate sebaceous glands to increase in size and function and thus to produce more sebum (oil). The skin becomes oilier and the microcomedo becomes more hospitable to the anaerobe Propionibacterium acnes.
There are a number of actions that can worsen acne in anyone. In my experience I have discovered quite a few but that does not mean there are not others and it also does not mean that everything I list below will affect you in the same way. The only real way to identify your own personal stimulants is by paying close attention to what you eat and what you do. If you can, record your daily food intake so that when you have flare ups you can reference the records and see any links.
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