Majority of acnes are caused by the bacteria Acne vulgaris; where the word 'vulgaris' means 'a common type of'. The hair follicles on faces contain oil glands which is called sebaceous glands that secrete the oil or sebum. As a teenager's body begins to develop, his or her body undergoes lot of hormonal changes which make the sebaceous glands overactive, producing large amount of oil. These oils clogs up the pores containing bacteria or dead cells, as a result the bacterium multiplies causing redness and swelling; which cause pimples. Sometimes when the skin reacts with the bacterial infection, the pimple gets filled up with pus. A whitehead occurs when the pore is clogged and closes but later bulges out. Blackhead occurs when the clogged pore remains open and the upper surface gets darkened.
This is a special type of acne which develops after prolonged antibiotic acne treatment. This basically has a condition in which follicles get affected by bacteria. These bacteria do not get noticed under strain which is known as "Gram" so these are called as gram negative bacteria.
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