By Gerd Plewig MD, Albert M. Kligman MD, PhD (auth.)
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Extra resources for Acne: Morphogenesis and Treatment
In keeping with these observations, the material extracted from papulo-pustules contains low numbers of C. acnes unless one also expresses the comedonal core. In fact, cultures from fresh lesions are not infrequently sterile. Larger inflammatory lesions such as nodules typically contain very few organisms. Not only is C. acnes quickly mopped up by neutrophiles, but the inflammatory environment is too aerobic for its survival. Accordingly, if C. acnes has any role at all, it must be an indirect one.
Accordingly, if C. acnes has any role at all, it must be an indirect one. Though the matter is still sub judice, there is reason to believe that C. acnes is a major etiologic factor through the products it synthesizes or the biochemical changes it produces in sebum. We consider that it contributes importantly both to the formation and rupture of the comedo, a major villi an among the cast of characters performing in the acne drama. 40 First as regards the formation of the comedo: (1) C. acnes produces a lipase which releases free fatty acids from triglycerides.
Acnes levels in subjects with and without acne. J. invest. Derm. In press. : The microflora of the face and acne lesions. J. invest. Derm. 62, 326-331 (1974). : Control of free fatty acids in human surface lipids by Corynebacterium acnes. 1. invest. Derm. 56, 127-131 (1971). : The skin microflora in acne vulgaris. J. invest. Derm. 62, 37-41 (1974). : Corynebacterium acnes and other anaerobic diphtheroids from human skin. J. Med. Microbiol. 7, 349-357 (1974). : Microbiology of comedones in acne vulgaris.