Overview
Acne vulgaris is the medical term for the very common skin condition known as blemishes, pimples, zits, and spots. Acne is "multifactorial," meaning that many different factors contribute to the problem. These factors include overgrowth of normal skin bacteria (so some acne is treated with antibacterial creams or pills), plugging of follicles (so some acne is treated with creams to promote clearing of follicles), and overproduction of natural oils (again, there are creams to treat this cause). These coupled with the normal hormonal changes of adolescence are the major causes of acne. Other factors include medications such as lithium, cortisone, and seizure medications; stress; and an unhealthy diet. Acne is often hereditary, meaning it runs in families. Acne is not caused by dirt, though skin that is irritated by environmental exposures may be more inflamed in general. Almost all acne can be improved by simple measures and treatments that your doctor can advise. Many people are bothered by their acne and embarrassed to talk about it, but it is very important to discuss it with your doctor because he/she will be able to give you tips and prescribe products that can make a big difference.