Acne occurs when tiny holes on the surface of the skin become clogged. These holes are called pores. Each pore opens to a follicle. A follicle contains a hair and an oil gland. The oil released by the gland helps remove old skin cells and keeps your skin soft. The glands can become blocked with a mixture or oil and skin cells, the blockage is called a plug or comedone. If the top of the plug is white, it is called a whitehead. It is called a blackhead if the top of the plug is dark. If bacteria become trapped in the plug, the body's immune system may react to it, causing pimples. Acne that is deep in your skin can cause hard, painful cysts. This is called nodulocystic acne. Acne is most common in teenagers, but anyone can get acne, even babies. The problem tends to run in families. Your health care provider can diagnose acne by looking at your skin. Testing is not needed in most cases. Bacterial culture may be performed with certain patterns of acne or to rule out infection if large pus bumps persist.
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