In adolescent acne, which statement is NOT true?

In adolescent acne, which statement is NOT true?

• A. Females can have a cycle component to their acne
• B. Severe acne having a later onset in puberty is more common among males
• C. Poor hygiene is the primary cause of acne
• D. Associated with increased androgenic hormonal activity

Answer: (C)

Acne in adolescence is driven by hormonal changes that increase sebaceous gland activity and alter follicular keratinization, creating clogged pores that foster Propionibacterium acnes and inflammation. Hygiene alone does not cause acne; cleaning helps manage surface oil, but it’s not the main driver behind acne development. A cycle component in females fits what's commonly observed, since hormonal fluctuations across the menstrual cycle can trigger premenstrual acne flares. Severe acne often correlates with hormonal activity and tends to be more pronounced in males during mid to late puberty due to higher androgens, so the pattern described here is consistent with known sex-related differences in acne progression. Increased androgenic hormonal activity is a well-established contributor to acne, as androgens stimulate sebaceous glands and rise sebum production, promoting acne formation.

Acne in adolescence is driven by hormonal changes that increase sebaceous gland activity and alter follicular keratinization, creating clogged pores that foster Propionibacterium acnes and inflammation. Hygiene alone does not cause acne; cleaning helps manage surface oil, but it’s not the main driver behind acne development.

A cycle component in females fits what's commonly observed, since hormonal fluctuations across the menstrual cycle can trigger premenstrual acne flares.

Severe acne often correlates with hormonal activity and tends to be more pronounced in males during mid to late puberty due to higher androgens, so the pattern described here is consistent with known sex-related differences in acne progression.

Increased androgenic hormonal activity is a well-established contributor to acne, as androgens stimulate sebaceous glands and rise sebum production, promoting acne formation.