A whitehead is formed in the same way, but the pore remains closed. The white pus is caused by dead white blood cells that have been fighting the bacteria as a result of the immune response to the chemicals they have emitted. It is not so much the bacteria themselves that cause the problem as the toxins that they produce.
The goals of management of acne are to reduce bacterial colonies, decrease sebaceous gland activity, prevent the follicles from becoming plugged, reduce inflammation, combat secondary infection, minimize scarring, and eliminate factors that predispose the person to acne. The therapeutic regimen depends on the type of lesion.
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