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Additional resources for Acne and its therapy
Determination of density of follicles on various regions of the face by cyanoacrylate biopsy: correlation with sebum output. Br J Dermatol 1994; 131:862– 865. 23. Otberg N, Richter H, Schaefer H, Blume-Peytavi U, Sterry W, Lademann J. Variations of hair follicle size and distribution in different body sites. J Invest Dermatol 2004; 122:14– 19. 24. Cunliffe WJ, Perera WDH, Thackray P, Williams M, Forster RA, Williams SM. Pilosebaceous duct physiology III. Observations on the number and size of pilo-sebaceous ducts in acne vulgaris.
This action of estrogens is indirect and occurs by inhibiting the adrenals and gonads via the pituitary, thereby reducing the production of androgens. During hormonal treatments, such as hormone replacement therapy (HRT), the effect on skin surface lipids depends on the predominant hormone given. Skin surface lipids are increased during combined HRT, possibly reflecting stimulatory effects of the progestogen component on sebaceous gland activity, while estrogen alone has a sebumsuppressive action (116).
The point at which both Ki-67 and keratin 16 are coexpressed by the follicle is when the follicle is susceptible to comedogenic changes (184). DK4962-Webster-ch2_R2_240307 28 Knaggs A more extensive investigation of adhesion in follicles is required. In epidermis, intercellular adhesion is mediated by lipids, cellular adhesion molecules, and desmosomes. At the present time, the relative importance of follicular intercellular lipids in normal and acne follicles is unclear due to the experimental difficulties encountered obtaining sufficient material for analysis.