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Acne occurs when the pores and ducts that connect oil glands to the skin surface become blocked. This blockage can occur for different reasons in different people. Acne usually begins around puberty when the oil glands shift into high gear and excess oil produced must be transported to the skin surface. The ducts may be blocked just below the surface by dead skin or other material resulting in pooling of the oil creating an environment that helps grow acne causing bacteria (P. acnes). These blocked pores are called blackheads and whiteheads, but your doctor may call them comedones.

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Rosacea is a common chronic skin condition recognized by flushing, redness, broken blood vessels, and acne. The first sign of rosacea may be prolonged flushing on the face. This flushing may be provoked by foods, such as alcoholic beverages, caffeine, hot spices, physical exertion, emotional stress, or rapid temperature changes. Following the first signs of flushing, broken blood vessels may appear on the nose and across the cheeks followed by acne bumps and eventually thickening of the skin on the nose. It can even involve the eyes resulting in eye redness, dryness, and itching. Rosacea is seen most commonly in people of northern European descent who are blue-eyed and of fair complexion. The treatment goal for rosacea is to prevent progression of the disease and maintain redness control.

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Seborrheic dermatitis is a disease that causes redness and flaking of the skin. It is often found on the face and hairline, although it can affect skin on other parts of the body, such as the central chest and armpits. The disease causes the skin to become red, scaly, and flaky. It is caused by the overgrowth of fungus on the skin. The fungus uses sebum present on the face or body as a food source to cause infection. The fungus digests the sebum leaving behind free fatty acids that cause itching, redness, and scaling. Treating the dermatitis means reducing sebum and decreasing the fungus.

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