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     Papules- are small, red, tender bumps or spots. A group of very small papules and microcomedones may be almost invisible but have a "sandpaper" feel to the touch. A papule is caused by localized cellular reaction to the process of acne.

     Pustules- are larger, red and inflamed-pus filled spots. On the other hand, severe acne vulgaris is characterized by: Nodules- are large and hard bumps under the skin’s surface. Unlike a papule, a nodule is characterized by inflammation, extends into deeper layers of the skin and may cause tissue destruction that results in scarring. A nodule may be very painful.

     Cysts- are similar to nodules but can be severely inflamed and infected. Acne Rosacea is a variant that typically causes a red nose and is more common in older people than in young people, mostly affecting those who are aged 30 and above. It commonly appears as red rash, which are normally confined, to the cheeks, nose, forehead and chin. The redness is often accompanied by bumps and pimples. Blood vessels may also become more visible on the skin. People with this kind of acne rarely have pimples. These flashes can be triggered by certain foods like spicy foods and alcohol.

     


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