2008
DOI: 10.1016/j.jaad.2007.12.024
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Computer-assisted alignment and tracking of acne lesions indicate that most inflammatory lesions arise from comedones and de novo

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Cited by 56 publications
(44 citation statements)
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“…Biopsy specimens from the normal-looking skin of acne patients that show no evidence of microcomedones or ductal hyperproliferation whatsoever have a significant inflammatory cell infiltrate around the follicle (particularly CD3+ and CD4+ cells and macrophages), which suggests that inflammatory events are involved in acne lesion initiation and may respond to antimicrobial agents [9]. These observations indicate that one effect of current topical prescription drugs may be the shortening of time-to-healing of ongoing lesions, a fact that has not, actually, been well demonstrated so far [10]. …”
Section: The Lifetime Of Acne Lesionsmentioning
confidence: 99%
“…Biopsy specimens from the normal-looking skin of acne patients that show no evidence of microcomedones or ductal hyperproliferation whatsoever have a significant inflammatory cell infiltrate around the follicle (particularly CD3+ and CD4+ cells and macrophages), which suggests that inflammatory events are involved in acne lesion initiation and may respond to antimicrobial agents [9]. These observations indicate that one effect of current topical prescription drugs may be the shortening of time-to-healing of ongoing lesions, a fact that has not, actually, been well demonstrated so far [10]. …”
Section: The Lifetime Of Acne Lesionsmentioning
confidence: 99%
“…The anchor between the distal arrector pili and the extracellular matrix includes both α5β1 integrin and fibronectin. 49 However, quite a few cases (28%) appear to arise from normal skin, although some microcomedones may be difficult to visualize. 24 In a small proportion, it produces considerable disfigurement.…”
Section: The Normal Hair Folliclementioning
confidence: 99%
“…12,13 Attention has turned recently to the hair follicle immune system and its possible role in the causation of alopecia areata and the follicu-mild affliction which improves spontaneously after adolescence. 49 Acne affects the face and, less frequently, the upper part of the trunk. Severity can impact on the quality of life of the affected individual.…”
Section: The Normal Hair Folliclementioning
confidence: 99%
“…A high incidence of acne is found in girls aged 14-17 and in boys aged [16][17][18][19] [2]. The pathogenesis of acne is regulated by sebum hypersecretion in deformed follicles, which leads to microcomedones, and the follicular hyperproliferation of microcomedones causes inflammation [3], and comedones [4] in both open and closed types (black and white comedones) appearing in papules, pustules, nodules and cysts [5]. The resulting skin condition with sebum enrichment is prone to the anaerobic growth of Propionibacterium acnes, which is the main causative microorganism in acne.…”
Section: Introductionmentioning
confidence: 99%