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When bacteria and sebum are trapped in the pores below the skins surface, they appear as white spots and are known as 'whiteheads'. When the pore opens up to the surface of the skin and the contents gets oxidized and turns black, the lesions are then known as 'blackheads'. 2) Inflammatory acne: Here the acne lesions are inflamed and may appear as papules, pustules, cysts, nodules. With nodules being the most severe. Incidence: o Majority of acne cases occur between 10-17 years in females, and 14-19 years in males. o But late onset acne can sometimes occur in persons 25 years old or older. Some women develop acne in their 30 & 40's often with pre-menstrual exacerbations. o The incidence of acne is actually lower in Asians and blacks, and even rarer in China. o It can occur on the face, neck, chest, back, shoulders. Myths about Acne: 1. Acne is NOT caused by chocolate or fatty foods.

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