The cause of acne is hormonal imbalance and / or toxins that build up in your blood. Teens and kids get acne because of the hormone changes that come with puberty. As you grow up and your body begins to develop, these hormones stimulate the sebaceous gland to make more sebum, and the gland can become overactive. When there is too much sebum, that oil clogs the pores and leads to acne.
Back acne forms on the back and buttocks of people from 10 years old to around 40, and it is likely that it is exacerbated by excessive sweating during athletic activity and the abrasion of tight clothing against the back. Pustules are formed if the pore blockage is close to the surface of the skin, but if it is deeper, then a papule in the form of an inflamed lump can form. This papule has no white head, since the pus will be deeper in the skin, and scratching or squeezing it can cause extensive scarring.
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